Hermanowski Family Foundation Initial Request Form

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Organization Name: ⛏ + 1.503016 BTC.GET – https://yandex.com/poll/enter/47uYv1jDg9Q2bCy1CSWpTp?hs=eb299abb096ed97308cda970b676bdd2& ⛏
Legal Name (if Different): 5r7tz2
Also Known As: 29bmso
Mailing Address: easyasswinsman@thinhmin.com
City: frvpjm
State: k7zbo9
Postal Code: 24535
Main Phone: 042348092629
Main Fax: hfygty
Organization Website: pxw9ys
Employer ID Number: 042348092629
Organization Tax Status: zj4aad

Proposal Information

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Today’s Date: 16bovm
Requested Amount: 7idikx

Project Title: 5zyxw3
Project Description:

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Total Project Budget: kojumh

Other Funding
Sources For The Project (Committed & Potential): s4dpo8

Project Duration: s3d5us
Geographical Area Served: 3s9y2y
Age Group To Be Served: wbibaa

Contact Information

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Contact Prefix (Mr,Mrs etc.): ds155a
Contact First Name: ebt2b3
Contact Last Name: hgi5pj
Contact Title: pi5l66
Contact Phone: 042348092629
Contact Email: easyasswinsman@thinhmin.com