TMCF application - Graydient Creative
|Application Date: |
|The Marcus Corporation Foundation Application |
|Organization |
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|Legal Name: |
|(The name listed on IRS 501c3 determination letter—must have IRS 501c3 designation to be eligible) |
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|Employer Identification Number: |
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|Organization Common Name (if different than 501c3 name): |
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|Address: City: State/Prov.: Postal Code: |
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|Phone: Fax: Website: |
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|Executive Director/CEO: First Name: Last Name Title: |
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|Phone: E-Mail: |
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|Grant Writer/Contact Person: First Name: Last Name Title: |
|(If different from Executive Director) |
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|Phone: E-Mail: |
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|Organization Fiscal Year: |
|Request |
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|Project/Program Title (if applicable): |
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|Grant Purpose: |
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|Request Amount: $ Is amount fully deductible? Yes No |
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|Focus area of grant request (select one): |
|Arts & Culture Education Health & Human Services Community Development Conservation Other: |
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|Geographic area impacted by requested funding: |
|Greater Milwaukee area Wisconsin Other: |
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|Executive Director/CEO: __________________________________________________ Date: _____________________________ |
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|Type Name & Title: |
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|The applicant, by applying for funds, hereby certifies that should a grant be made, the funds will be used in compliance with all applicable antiterrorist financing|
|and asset control laws, regulations, rules and executive orders. The recipient further agrees to take all reasonable steps to ensure that any individual, entity or|
|organization expected to receive the funds is not on any list of suspected terrorists made readily accessible by the Government of the United States. |
| The Marcus Corporation Foundation Application |
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|Narrative |
|Please provide in order listed below and do not exceed two pages |
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|Project Description |
|Describe project (if applicable) and how and when (note timeline information below), specifically, The Marcus Corporation Foundation funds will be used. |
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|Success Measures |
|Describe success measures: |
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|Funding Considerations |
|Describe plans for obtaining other funding needed to carry out the project/program, and identify amounts requested of and /or received from other funders. |
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|Identify relationships with The Marcus Corporation (aka Marcus Hotels & Resorts, Marcus Theatres, etc.), i.e. list employees actively involved with organization, |
|noting in what capacity, etc., and any other relationships and support. |
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|Most recent contribution received from The Marcus Corporation Foundation including amount, title/purpose and date made. Also note if recipient of any other donations|
|from any The Marcus Corporation entity (see above). |
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| Completed Application Must Include: |
|Current list of organization’s officers and directors |
|An itemized project budget (if applicable) including identifying other sources and amounts of support |
|A copy of the organization’s IRS 501c3 determination letter |
|The organization’s actual income statement for the past fiscal year, identifying the organization’s principal sources of support. Statement should indicate amount of|
|expenses relating to program services. |
|The organization’s operating budget with projected income and expense budget for the current fiscal year, identifying the project revenue sources (list other |
|funders). Budget should indicate amount of anticipated expenses relating to program services. |
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|Please send completed application in word (not pdf) document format, and scan application attachments (noted above) in one pdf document and email to: |
|foundation@ |
|Questions? Contact foundation@, 414.905.1778 |
| Timeline: |
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|October 1 for contribution requests to be considered at annual December Foundation meeting |
|Approved requests at the December meeting are generally processed for payment the following December |
|Approval notifications are made by February 28 |
|Payment processing can take up to 60 days |
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