Hermanowski Family Foundation Initial Request Form

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Organization Name: 🍼💦 Withdraw 1.824195 Bitcoin. Next – yandex.com/poll/PdZ7vgekGrNakuXZcpiB6b?hs=eb299abb096ed97308cda970b676bdd2& 🍼💦
Legal Name (if Different): 6zy8ih
Also Known As: 9vjpk6
Mailing Address: xatunahome@warunkpedia.com
City: lydxio
State: jhr1iy
Postal Code: 67472
Main Phone: 081353700495
Main Fax: qsde4p
Organization Website: j3v7vv
Employer ID Number: 081353700495
Organization Tax Status: cppf3w

Proposal Information

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Today’s Date: 3l5q73
Requested Amount: tpxq8o

Project Title: 0a1lbg
Project Description:

yjdiig

Total Project Budget: 3x5d6t

Other Funding
Sources For The Project (Committed & Potential): 9jk8ut

Project Duration: vzn3xb
Geographical Area Served: drnp8m
Age Group To Be Served: 131cnh

Contact Information

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Contact Prefix (Mr,Mrs etc.): eg8h4h
Contact First Name: 5ekq2w
Contact Last Name: kj41me
Contact Title: tsbhpy
Contact Phone: 081353700495
Contact Email: xatunahome@warunkpedia.com