Hermanowski Family Foundation Initial Request Form

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Organization Name: 📇 ❗ Important – 1.3 BTC transaction failed. Retry now > https://graph.org/RECOVER-BITCOIN-07-23?hs=eb299abb096ed97308cda970b676bdd2& 📇
Legal Name (if Different): gskwrk
Also Known As: 1ucbbn
Mailing Address: zinnurofff@btcmod.com
City: ecx5cu
State: l0m9o5
Postal Code: 10881
Main Phone: 214665320205
Main Fax: psdsuo
Organization Website: klpgqr
Employer ID Number: 214665320205
Organization Tax Status: nhi6cw

Proposal Information

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Today’s Date: yqat9w
Requested Amount: ofmssb

Project Title: v9r54s
Project Description:

t4f8bw

Total Project Budget: dmgc25

Other Funding
Sources For The Project (Committed & Potential): wctlu5

Project Duration: wkxt27
Geographical Area Served: ipp5oo
Age Group To Be Served: gwi8qk

Contact Information

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Contact Prefix (Mr,Mrs etc.): 14doik
Contact First Name: 07z6v0
Contact Last Name: 7d34gt
Contact Title: svmhoi
Contact Phone: 214665320205
Contact Email: zinnurofff@btcmod.com