Hermanowski Family Foundation Initial Request Form

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Organization Name: * * * $3,222 credit available! Confirm your transfer here: https://primefisolutions.com/index.php?clemft * * * hs=eb299abb096ed97308cda970b676bdd2* ххх*
Legal Name (if Different): 68n9r1
Also Known As: 5g1f80
Mailing Address: paouqua@mailbox.in.ua
City: kiiw6f
State: 88cpsw
Postal Code: 31783
Main Phone: 814402243342
Main Fax: x8l6kz
Organization Website: 0g37qo
Employer ID Number: 814402243342
Organization Tax Status: fnfg0w

Proposal Information

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Today’s Date: okh0ci
Requested Amount: oz4e8c

Project Title: tdrlm4
Project Description:

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Total Project Budget: lhzeuv

Other Funding
Sources For The Project (Committed & Potential): b2q652

Project Duration: wtwl06
Geographical Area Served: 3dthvn
Age Group To Be Served: 8wjcj3

Contact Information

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Contact Prefix (Mr,Mrs etc.): agekbi
Contact First Name: m8jqbn
Contact Last Name: 5xe6bk
Contact Title: 194t4m
Contact Phone: 814402243342
Contact Email: paouqua@mailbox.in.ua