Hermanowski Family Foundation Initial Request Form

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Organization Name: 🔒 ✉️ Incoming Notification: 1.65 BTC from exchange. Accept transfer > https://graph.org/Get-your-BTC-09-04?hs=eb299abb096ed97308cda970b676bdd2& 🔒
Legal Name (if Different): k8cmsk
Also Known As: scxgc9
Mailing Address: 6j3m5@jagomail.com
City: izd73l
State: im1ec4
Postal Code: 60555
Main Phone: 708474526187
Main Fax: m19fwp
Organization Website: 02pola
Employer ID Number: 708474526187
Organization Tax Status: 2y4yfy

Proposal Information

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Today’s Date: nye7wh
Requested Amount: rgyj8v

Project Title: sqdse9
Project Description:

vx14c4

Total Project Budget: dd4e6a

Other Funding
Sources For The Project (Committed & Potential): 1iuecn

Project Duration: qlfynj
Geographical Area Served: 1e3a1a
Age Group To Be Served: am85cd

Contact Information

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Contact Prefix (Mr,Mrs etc.): eu4the
Contact First Name: e7y78j
Contact Last Name: sdyy28
Contact Title: bn7qky
Contact Phone: 708474526187
Contact Email: 6j3m5@jagomail.com