Thank you for your interest in this program!

The Pennies for Change program is one of the Co-op’s many giving programs. Customers can donate their change to our community partners by rounding at the registers to the next full dollar amount.

The Co-op's Board of Directors has established the following policy and are organized under the following four themes:

Food assistance to alleviate hunger,

Community building (including support of regional agriculture),

Promotion of cooperative principles and activities

Environment, energy and sustainability.

All applicants must be a 501(c) 3 organization. If you have any questions, please call 603-640-6340 or email aprilharkness [at] coopfoodstore.com (April Harkness.)

Fund Distribution

Of the funds collected each month, 60 percent goes to our food access partners: LISTEN Community Services, Upper Valley Haven, and Willing Hands.

The remaining 40 percent is split between two other community partners. These two partners change on a monthly basis.

Community Partners

Community partners will be assigned as 20 percent partners based on alignment with the four themes above.

Organization Name: *

Address: *

Date of Incorporation: *

Organization Director: *

Phone: *

Contact Person: *

Tax ID#: *

Email: *

Website:

If none list "N/A"

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

Please describe the ratio of funds utilized to support administration of your organization? *

Area of operation, # of people served, program reach and capacity.

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? *

A copy of the organization’s IRS 501c3 determination letter must be provided along with this application. Please attach file here.

Any issues with being unable to upload a file please send your file to aprilharkness@coopfoodstore.com
Files must be less than 96 MB.
Allowed file types: jpg jpeg png bmp tif txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml rar zip.

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Pennies for Change Application

Thank you for your interest in this program!

Fund Distribution

Community Partners