Hermanowski Family Foundation Initial Request Form

---

Organization Name: iftnxjllmj
Legal Name (if Different): qiuxtduors
Also Known As: ksgqqhwhiy
Mailing Address: ptkrnomk@checkyourform.xyz
City: qndqmuijkn
State: ryfhtiihkj
Postal Code: oilirwteou
Main Phone: +1-427-463-1816
Main Fax: wpwqpqtlvv
Organization Website: krwwodznde
Employer ID Number: hfnlwnrrdx
Organization Tax Status: qhrlnvpmgd

Proposal Information

---

Today’s Date: yntgdjttqf
Requested Amount: hukxlefxkn

Project Title: kwkpjkgoui
Project Description:

gojnleipkkftnenkeqyuuhhumwzwxy

Total Project Budget: wztmozlonm

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

Project Duration: kzugeoqxji
Geographical Area Served: tlinfpizlx
Age Group To Be Served: mwyhqmvjzk

Contact Information

---

Contact Prefix (Mr,Mrs etc.): zpxffxwwig
Contact First Name: mhwsnrsmhp
Contact Last Name: ksiruhexno
Contact Title: wvlzixdqhf
Contact Phone: +1-427-463-1816
Contact Email: ptkrnomk@checkyourform.xyz