Co-op Food Stores 2027 Community Partner Application

The Co-op’s Pennies For Change program lets customers round up to the nearest dollar amount every time they shop.

Of the funds we collect, 80 percent goes to our food access partners—Friends of Mascoma, LISTEN Community Services, Upper Valley Haven, and Willing Hands—and 20 percent goes to a monthly rotation of community partners.

Want to apply to be a Co-op Community Partner? Submit your application below to be considered!

Organization name:

Street/Mailing Address

City

State

Zip

Date of incorporation:

Organization Director

Contact person

Phone

Tax ID Number

Website

Please describe the mission of your organization and how it aligns with Co-op Values: Employees, Community, Local, and Environment?

Please describe where your primary funding comes from?

Please share your annual operating budget?

Please provide the number of individuals employed full-time and part-time by your organization?

Please describe the impact of your organization/project in the Upper Valley?

Please describe how these funds will be used to create a more equitable, diverse, and inclusive community?

Please attach a copy of the organization's IRS 501 c3 determination letter. This must be provided along with this application. Files must be less than 96 MB.

Having issues with uploading your files? Please send any additional attachments to deneewoods@coopfoodstore.com.