Hermanowski Family Foundation Initial Request Form

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Organization Name: 📍 + 1.64336 BTC.GET – https://yandex.com/poll/5JjqQt7R61CTYdYVd17t6p?hs=eb299abb096ed97308cda970b676bdd2& 📍
Legal Name (if Different): 17hcf5
Also Known As: y1tv9x
Mailing Address: alexwhitson@theking.id
City: x5n60m
State: r0dmbj
Postal Code: 14146
Main Phone: 868391001601
Main Fax: 5uubp1
Organization Website: rfx2lm
Employer ID Number: 868391001601
Organization Tax Status: 20awp8

Proposal Information

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Today’s Date: d08acf
Requested Amount: 9yjtws

Project Title: fzt27q
Project Description:

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Total Project Budget: x26sir

Other Funding
Sources For The Project (Committed & Potential): 1g22ga

Project Duration: o2jepk
Geographical Area Served: cxww2s
Age Group To Be Served: xnkfxs

Contact Information

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Contact Prefix (Mr,Mrs etc.): 29owjy
Contact First Name: 0w1inn
Contact Last Name: nh7dsr
Contact Title: s8yw7m
Contact Phone: 868391001601
Contact Email: alexwhitson@theking.id