Hoelting – Family Owned and Operated Full-Line Food Service Distributor

Hoelting Farmers to Families Food Box Program

Thanks for your interest. Hoelting Foodservice is working on a project that would deliver pre-assembled food boxes filled with dairy, produce, precooked meats to non-profits that serve those in need in Central Illinois. Through a USDA funded program, Hoelting’s is looking to use our suppliers and delivery capacity to partner with nonprofits that can utilize their network to help those in need of access to food.

If your organization is a 501(c)(3) non-profit that serves those in need of access to food, please fill out the form on on our website (www.hoeltingfoodservice.com) or the link on our Facebook page.

Organization Information
Organization Legal Name*
Main Phone Number*
Legal Street Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Primary Contact*
First Last
Primary Contact Title*
Primary Contact Email*
Primary Contact Cell Phone*
Distribution Plan
Number of Boxes Per Delivery Requested*
Delivery Address*
If more than one location please enter multiple addresses.
Delivery Days*
Delivery Frequency*
Preferred Delivery Time*
What are your preferred delivery windows? Please provide a minimum of 3 hour time frame (e.g. 7am-10am)
Additional delivery notes or message
Upload your 501c3 letter AND a written Distribution Plan on your organization's letterhead.**
You can upload multiple documents at the same time or by repeating the upload process before submitting this form.
Certification of Donations
Certification of Donations*
On behalf of my organization, I certify that all food boxes will be donated to people in need. If there are any leftover boxes after the standard distribution, this food will be distributed to people in need through channels described below.
- Confirm
- Cannot confirm
Opportunity Zone Description*
Briefly describe how you will determine the opportunity in your zone and the people that qualify to receive this donation.
Briefly state how you handle any leftover boxes
Today's Date*
Date Format: DD slash MM slash YYYY

Family Owned and Operated Full-Line Food Service Distributor

Hoelting Farmers to Families Food Box Program

Organization Information

Distribution Plan

Certification of Donations