GENERAL DONATION REQUEST
Whole Foods Market Westminster
9229 N. Sheridan Blvd Westminster, CO 80031
Thank you for your patronage and for thinking of us for help with your fundraising efforts. There are many worthwhile
organizations supporting the community that Whole Foods Market would be proud to work with. Please pardon us as
only organizations receiving a donation will be contacted. Please do not call to check on the application’s status.
This is the general one-page donation application form that includes speaker requests. If you want to apply for
the Bag Credit Donation (schools only) or apply for a Community Giving Day, please go online to
wholefoodsmarket.com/Westminster then click on the Community Giving Page link to download those specific
application forms.
In order to approve your requests, we need the following form and information 6 weeks prior to the date of the event
and submitted in person at Customer Service. Phone and mailed requests are not accepted. If you have missed
the deadline, please consider us for your organization’s future donations. Please attach any information, such as a
flyer, letter, or sponsorship packet related to the event. Also attach copy of agency’s 501(c)3 tax-exempt
paperwork, if applicable. See additional guidelines on page 2 if you have questions.
Name and Address of Applicant Organization:
Street
City
Zip
Phone
ST
Fax
Contact Person
Title
Contact Person’s Email Address _______________________________@_____________________
Person Submitting the Application if different than the Contact: _____________________________________________________
Organization’s web address _____________________________________
Name and Summary of Event:
(ex. 4th Annual Run for the Picnic Table to raise funds for XXX taking place in Town, State)
While we are not able to attend most off-site events, please let us know if you would like Whole Foods Market to:


host a booth

provide a speaker
present a topic
I am interested in the following type of donation (circle):

In-kind Food
Donation

Other In-Kind
Donation

Gift Card for
Fundraiser

Gift Basket for
Fundraiser

Other
Donation
How many people are expected at the event? ______________ Where is the event held?: _______________________________
Have you received a donation from any Colorado Whole Foods Market in the past 12 months? __________
Indicate specific requests, or additional event details here (attach flyer if applicable):
Please list specifically how both the event and Whole Foods Market’s donation will be promoted (media affiliates, number of fliers and
posters to be distributed, direct mail, e-newsletters, social media channels, etc.):
Indicate Tax Status of Organization:

Tax exempt under IRS Ruling 501(c)3. Please attach copy of tax-exempt certificate.

Affiliated with a tax-exempt organization. Please attach copy of tax-exempt certificate.
Commitment needed: __________ Date donation needed: __________ Event Date: __________ Application Date: __________
For Internal Use Only
RECEIVED BY
Form Updated: 8-2011
Date_______ FP_________ FY_________ CT__________
GENERAL DONATION REQUEST
Whole Foods Market Westminster
9229 N. Sheridan Blvd Westminster, CO 80031
Dear Donation Seeker:
Thank you again for your patronage and thinking for thinking of us. We ask that you look over the following criteria before
submitting your request for a General Donation. Donation requests forms and information can be found online for Community
Giving Day and the Bag Credit Program (for schools only):
1. Requests must be applied for in writing and in person. Donation requests are available at the Customer Service Desk.
2. Phone requests are not accepted, and due to the large volume of applications we are not able to return all messages
regarding the status of a donation. Only those receiving a donation will be contacted.
3. The recipient must be a 501-C (3) nonprofit organization (includes schools). A copy of the 501-C (3) letter from the IRS
must accompany the application. This letter comes from the Treasury Department and is different from the state
tax-exempt form.
4. The application must be received at least 6 weeks before the event date and of the “pick up” date in order to be
considered.
5. All applications are reviewed on a first-come-first serve basis. Because the donations budget is limited, early submission
of your application is recommended. Due to the volume of requests we receive, we are not able to respond to all
requests.
6. Whole Foods Market has specific guidelines for the organizations we are able to support with donations. In addition to
being a non-profit, the event you are conducting or the activities of your organization must fall into one or more of the
following:
 Environmental Preservation
 Preventative Health Care
 Hunger Relief
 Organic Farming / Sustainable Food Resources
 Children, or the very local community
 Education on any of the above
7. Because Whole Foods Market believes in being an active community member, requests from other civic and charitable
groups will be considered if the organization is in the immediate vicinity of a store location, meets our core values, and
funding is available.
8. Past support of an organization or event is not a guarantee of future support. Although we would like to support every
worthwhile cause, due to the volume of applications, it is not possible for Whole Foods Market to fulfill every request.
Thank you for your interest.
Best Regards,
Alana Trembly
Store Marketing Specialist
Whole Foods Market Westminster
9229 N. Sheridan Blvd
Westminster, CO 80031
P: 303.650.2333
alana.trembly@wholefoods.com