Charles D. Jacobus Family Foundation: Contact Us
Charles D. Jacobus Family Foundation

Site Visit Sign Up
(Applicable only to the Special Program Grant)
Send immediately! Please submit no later than June 1, 2007.

A member of the Board of Directors of the Charles D. Jacobus Family Foundation will make a visit to your organization after we receive your full application. Site visits will be made between July 10 and July 31, 2007. Please pick three different dates and times, from the available dates and times listed below, that your organization would be avaliable for a visit. We generally allow two hours per visit (including travel time).

Please plan the site visit around a program or an activity for which your organization is seeking funding. If none of the dates below are appropriate, please call me as I can be flexible. (For example: some programs meet only in the evening - I will work with you to find an evening that works.)

Please fill this out and submit electronically, or print out a hard copy and fax to Missy MacLeod at (414) 359-1357 as soon as possible. If you have any questions, or if these times are not convenient, please call (414) 577-0252.

Available dates in 2007 (please click on three available dates and the times that would be convenient):


July 10
11:00 am 1:00 pm 3:00 pm
July 26
11:00 am 1:00 pm 3:00 pm
July 11
11:00 am 1:00 pm 3:00 pm
July 31
11:00 am 1:00 pm 3:00 pm
July 12
11:00 am 1:00 pm 3:00 pm
July 17
11:00 am 1:00 pm 3:00 pm
July 18
11:00 am 1:00 pm 3:00 pm
July 19
11:00 am 1:00 pm 3:00 pm
July 24
11:00 am 1:00 pm 3:00 pm
July 25
11:00 am 1:00 pm 3:00 pm

Contact Name:

Organization Name:

Phone Number at Visit Location:

Address of Visit Location:

Directions to the Location from Good Hope Rd. and Hwy 45:
Please have the following ready for our visit:
  1. Most recent audit report
  2. Copy of your most recent Federal Tax Form 990 and/or annual report
  3. Budget for the program for which you are requesting a grant
  4. Your organization's 501(c)(3)




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  C.D. Jacobus Family Foundation
11815 West Bradley Road Milwaukee, WI 53224
Phone: (414) 577-0252 or 1-800-JACOBUS ext.252
Fax: (414) 359-1357
E-mail: quickinfo@jacobusenergy.com