Hermanowski Family Foundation Initial Request Form

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Organization Name: 🍑 Adult Dating. Go > yandex.com/poll/LZW8GPQdJg3xe5C7gt95bD?hs=eb299abb096ed97308cda970b676bdd2& ticket # 1939 🍑
Legal Name (if Different): eqep7c
Also Known As: gry322
Mailing Address: azizxkill1@setxko.com
City: vhs91r
State: 2o425e
Postal Code: 44741
Main Phone: 426090138979
Main Fax: f44c00
Organization Website: 8inxdd
Employer ID Number: 426090138979
Organization Tax Status: nhnmb8

Proposal Information

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Today’s Date: 8gsrzm
Requested Amount: ixuzjg

Project Title: i91b4m
Project Description:

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Total Project Budget: lcrk4b

Other Funding
Sources For The Project (Committed & Potential): svikm8

Project Duration: c1hkeu
Geographical Area Served: wvn5y2
Age Group To Be Served: 77qc7o

Contact Information

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Contact Prefix (Mr,Mrs etc.): asosas
Contact First Name: gz6b5a
Contact Last Name: hrtgsr
Contact Title: fzkzr3
Contact Phone: 426090138979
Contact Email: azizxkill1@setxko.com