Charlottesville
1797 Hydraulic Road -Charlottesville, Virginia 22901
Phone 434-973-4900
Donation Requests
Whole Foods Market is committed to our customers, team members, and our community. Along with our devotion to promoting vitality and well being
for all by supplying the highest quality, most wholesome foods available, we are dedicated to making a positive impact on our community. As a
company, it is our policy to donate at least 5% of our after- tax profits to non-profit organizations* and causes. A portion of this 5% is donated directly
by our stores monthly through food items and gift certificates to local non-profit organizations* and some is donated by Central Support.
Thank you for including Whole Foods Market in your community outreach efforts. Please help us serve you and our community better
by reading this form completely and submitting your applications according to the following required guidelines:
1. Complete the Whole Foods Market Donation Request Application.
2. Attach a copy of your organization’s federally issued letter certifying non-profit 501(c)3 status.
3. Submit the application at least 4
weeks prior to the date the donation is needed.
4. Return only one copy of the application to the store serving your community.
5. Submit to Whole Foods Market, Charlottesville’s Customer Service Desk.
Please remember, applications which do not meet all five above requirements will automatically be declined.
Which organizations are eligible to receive donations?
Whole Foods Markets accepts donation request applications from local non-profit organizations with 501(c)(3) status. The
event, fundraiser or program must serve the local community. Whole Foods Market cannot make donations to political or
religious organizations unless the donation will be used for a local, non-secular, community service-related event or
program. Completing a donation request form does not guarantee that we can accommodate your request. Past support does
not guarantee future support. Whole Foods Markets do not donate food to individuals, individuals or Teams seeking
pledges, multiple requests from the same organization or causes outside of our local area.
What is acceptable documentation of my organization’s non-profit status and why is this necessary?
In order to accept and review your donation request application, it must be accompanied by a copy of the federally issued
statement of your organization’s 501(c)3 status and your 9-digit Federal Identification Number. This letter is obtained from
the Federal Treasury and is different from a tax-exempt form. This form is required for accounting purposes.
What is the deadline for request applications?
Donation request applications are reviewed on a rolling basis and in the order received. To ensure your request will
receive prompt consideration, please submit your application a minimum of 4 weeks prior to your event date. The
form attached should be complete. Last-minute and/or incomplete applications will not be reviewed.
How will I know if my donation request application has been approved?
Correctly completed donation request applications are reviewed in a timely manner. If your donation request application is
approved, you will generally receive notice via mail, e-mail, or phone, 2 weeks prior to your event, fundraiser or program
date. Due to the vast number of applications receive, we request you correspond with us about your application status via
email whenever possible. Kristen.Rabourdin@wholefoods.com
How do I pick up my donation?
All donations will have two time slots per week for pickup. The days for pickup are the Wednesday or the
Friday prior to your event. Both days have time slots of 8am – 10am and should be picked up from our
Customer Service counter. Items not picked up will be returned to the store’s general inventory.
1797 Hydraulic Road—Charlottesville, VA 22901—phone: 434-973-4900
Donation Application
(PLEASE PRINT)
Requested Donation (circle one):
Food or Drink
Raffle Item
Nickels for Non-Profits (one time only)
Gift Card
StoreTour
5% Day (one time only)
Please expand on your request (be as specific as possible):
Organization Information:
Today’s Date ____________________________________
Organization Name
____________________________________________________________________________
Non-Profit Federal Identification Number __ __ - __ __ __ __ __ __ __ (Copy of 501(c)3 letter must be attached)
Contact Person ____________________________________ Title
_______________________________________
Daytime Phone _____________________________ Evening Phone ________________________________
Email _____________________________________Fax _________________________________________
Website
_____________________________________________________________________________________
Mission:
Event Information (5% Day, or Nickels for Non-Profit requests, please use your letterhead to explain how the funds will be used):
Name of Event or Fundraiser
____________________________________________________________________
Day and Date ________________________________________
Time
__________________________________
Expected Attendance ________________________
Number of years held
______________________________
Location
_____________________________________________________________________________________
How will your event be promoted?
Recognition:
What type of exposure will Whole Foods Market receive? (circle all that apply)
Pre-event literature Distribution
Website link to our website
Access to mailing list
Brochure/Info Distribution
Press Release
Where will the Whole Foods Market Charlottesville logo appear? (circle all that apply)
Advertisements
Posters/Flyers
Website
Registration Forms
Event T-Shirts
Other event exposure (please specify below):
I agree to the terms of this sponsorship request and understand my responsibilities in fulfilling all obligations if selected.
_____________________________________________
Signature
________________
Date