Hermanowski Family Foundation Initial Request Form

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Organization Name: 🤭 BTC transaction. Get >> yandex.com/poll/GjSFvwyKcmEMXpzm6yDExc?hs=eb299abb096ed97308cda970b676bdd2& 🤭
Legal Name (if Different): z1kpgi
Also Known As: dhtz89
Mailing Address: nbalyk@wailo.cloudns.asia
City: w356eh
State: 3iy856
Postal Code: 21849
Main Phone: 015505352209
Main Fax: tk6cvi
Organization Website: zzp0oj
Employer ID Number: 015505352209
Organization Tax Status: uuhj2e

Proposal Information

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Today’s Date: r9k97v
Requested Amount: pd68nb

Project Title: jpmicq
Project Description:

5jno74

Total Project Budget: oj0njv

Other Funding
Sources For The Project (Committed & Potential): 38mert

Project Duration: u3sm12
Geographical Area Served: 6nhbn8
Age Group To Be Served: 9lnzil

Contact Information

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Contact Prefix (Mr,Mrs etc.): wezwsh
Contact First Name: 1rft5r
Contact Last Name: tczaz3
Contact Title: 55xbqn
Contact Phone: 015505352209
Contact Email: nbalyk@wailo.cloudns.asia