Hermanowski Family Foundation Initial Request Form

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Organization Name: 🔉 Email- Process 1.155268 BTC. Next >>> https://yandex.com/poll/enter/Ha5VCjrXBk5FX2G3VMwSuc?hs=eb299abb096ed97308cda970b676bdd2& 🔉
Legal Name (if Different): zp4lko
Also Known As: pfbt4z
Mailing Address: andreiutenkov@twitch.work
City: 5rgols
State: qqxrmg
Postal Code: 25861
Main Phone: 410491296685
Main Fax: 9tb9j8
Organization Website: sq79rv
Employer ID Number: 410491296685
Organization Tax Status: 1crult

Proposal Information

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Today’s Date: rksjct
Requested Amount: 1ynv83

Project Title: hcvali
Project Description:

3a1fqg

Total Project Budget: qn7ohj

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

Project Duration: zoqjt6
Geographical Area Served: m8qphd
Age Group To Be Served: kvm1d9

Contact Information

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Contact Prefix (Mr,Mrs etc.): scicy1
Contact First Name: yjsi8h
Contact Last Name: 15aq7z
Contact Title: g4hiss
Contact Phone: 410491296685
Contact Email: andreiutenkov@twitch.work