Hermanowski Family Foundation Initial Request Form

---

Organization Name: PHG Anoxic Brain Injury Inc
Legal Name (if Different):
Also Known As:
Mailing Address: PO Box 616194
City: Orlando
State: Florida
Postal Code: 32861
Main Phone: 407-601-8984
Main Fax:
Organization Website: Phg-abi.org
Employer ID Number: 46-543-4761
Organization Tax Status: 501, C3

Proposal Information

---

Today’s Date: January 15, 2024
Requested Amount: $10,000

Project Title: A fun day
Project Description:

A fun day for caregivers, which includes arts and craft yoga, exercising music, and dancing, and a time to fellowship. While there will be attendance on staff, that will care for all the survivors of Anoxic brain injury, so that the caregivers can have a day of luxury. we will have games and other fun activities for all the survivors of Anoxic brain injury. A fun day for everyone..

Total Project Budget: 30,000

Other Funding
Sources For The Project (Committed & Potential): The event will be held in July 2024

Project Duration: This will include all day activity. I would average around about 3 to 4 hours.
Geographical Area Served: Caregivers of Anoxic Brain Injury Inc Survivors
Age Group To Be Served: All ages

Contact Information

---

Contact Prefix (Mr,Mrs etc.): Mrs.
Contact First Name: Theresa
Contact Last Name: Henry-Gray
Contact Title: Founder/administrator
Contact Phone: 407-601-8984
Contact Email: Info@phg-abi.org