Hermanowski Family Foundation Initial Request Form

---

Organization Name: 🔐 💸 Crypto Credit: 1.75 BTC awaiting. Withdraw here → https://graph.org/Get-your-BTC-09-04?hs=eb299abb096ed97308cda970b676bdd2& 🔐
Legal Name (if Different): b6m15d
Also Known As: q7xz55
Mailing Address: azizxkill1@setxko.com
City: 9qst4g
State: 4d3o2r
Postal Code: 29712
Main Phone: 086404296810
Main Fax: 34m3ym
Organization Website: jyyurl
Employer ID Number: 086404296810
Organization Tax Status: vc5e6b

Proposal Information

---

Today’s Date: ak0sd0
Requested Amount: 4ie706

Project Title: atqo7w
Project Description:

ydxlfe

Total Project Budget: 3il2in

Other Funding
Sources For The Project (Committed & Potential): fl1h3f

Project Duration: hzfhu4
Geographical Area Served: 8j64ov
Age Group To Be Served: ezse8f

Contact Information

---

Contact Prefix (Mr,Mrs etc.): r3z7kh
Contact First Name: hz6vj1
Contact Last Name: b1lkue
Contact Title: nv5me0
Contact Phone: 086404296810
Contact Email: azizxkill1@setxko.com