Please complete all fields for consideration. Pete's Fresh Market Location * - Select -PFM #01 - 57th & KedziePFM #02 - 47th & KedziePFM #03 - 43rd & PulaskiPFM #04 - West Lawn MarketPFM #05 - 118th & Ave OPFM #06 - Cermak & RockwellPFM #07 - Calumet CityPFM #08 - Evergreen ParkPFM #09 - Oakbrook TerracePFM #10 - Madison & WesternPFM #11 - BridgeviewPFM #12 - Oak ParkPFM #13 - WillowbrookPFM #14 - WheatonPFM #15 - Glen EllynPFM #16 - LemontPFM #17 - MattesonCorporate Office Today's Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2023 Event Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202320242025 Organization * Contact * Title * Address * City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Phone Number * E-mail Address * Fax Number Tell Us About Your Organization * Please offer a brief explanation of what your organization does. Organization’s Achievements & Impact on the Community * What has your organization achieved in the last year, and what was its impact on the community? (i.e., fed 4,000 people, delivered fruit to over 70 senior residents) Event Name, Date, Location, and Mission * Only events that directly benefit Pete’s Fresh Market community residents will be considered. Number of People Impacted * How many people do you expect to attend your event? Proximity to Pete’s * How many miles is your event from the nearest Pete's Fresh Market? Has your organization received a donation from Pete’s in the past? * Yes No Why Pete's? * Reason why Pete’s Fresh Market is a good fit for your cause. Items Requested * You are applying for a donation, not a sponsorship. Typically, we donate grocery items from our stores. Please list the items and quantities your organization is requesting. How will Pete's be recognized? * Will our logo be displayed? Will we be mentioned in any publications or announcements? Tax ID Number * Organization’s 501(c) 3 tax identification number Current Copy of 501(c)(3) form (IRS tax exempt letter) * *Applications will not be considered without a current IRS tax exempt letter Leave this field blank
