Hermanowski Family Foundation Initial Request Form

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Organization Name: Tyrone Borden
Legal Name (if Different): Tyrone Borden
Also Known As:
Mailing Address: 15245 Novara Street
City: Detroit
State: MI
Postal Code: 48205
Main Phone: 3135511926
Main Fax:
Organization Website:
Employer ID Number:
Organization Tax Status:

Proposal Information

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Today’s Date: 07/14/2025
Requested Amount: 5,000

Project Title: Daily living expenses.
Project Description:

I have stage 4 diffuse large b-cell lymphoma. And is not working because of my diagnosis. Please help me

Total Project Budget: 5,000

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

Project Duration:
Geographical Area Served:
Age Group To Be Served:

Contact Information

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Contact Prefix (Mr,Mrs etc.):
Contact First Name: Tyrone
Contact Last Name: Borden
Contact Title:
Contact Phone: 3135511926
Contact Email: TYRONESHAFER25@GMAIL.COM