Heritage Cooperative Board of Directors Nomination

2025 BOARD OF DIRECTORS NOMINATION

DIRECTOR CANDIDATE REQUIREMENTS

The candidate must meet all of the following requirements:
- Be a Member or an owner of a Member entity in good standing (be a Producer of agricultural products, own 1 share of Common stock, and be an active patron accepted into membership by the Board).
- Have a good credit history at Heritage Cooperative.
- Not have a significant financial interest in a product or service that competes with a product or service offered by Heritage Cooperative.
- Have the ability and desire to attend all Board meetings unless excused.
- Be a resident of a region where a director’s term is expiring or vacant.
Applicant's Name

First NameLast Name
Member is*

Sole ProprietorPartnershipCorporationLLCTrustOther
Title/Office
County of Residence*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Email*
example@example.com
Agricultural products Member produces (field crops, vegetables, fruit, dairy, livestock, etc.)*
Do you have any other significant business interest or career in addition to your farming operation?*

YesNo
Please describe additional interests.
What percentage of your agronomy inputs are purchased from Heritage Cooperative?*
What percentage of your feed and livestock inputs are purchased from Heritage Cooperative?*
What percentage of your energy inputs are purchased from Heritage Cooperative?*
What percentage of your harvested grain is delivered to Heritage Cooperative?*
What Heritage Cooperative branches do you patronize?*

AdaArlingtonBurnsvilleBellvilleBeloitCairoCaldwellCambridgeCanfieldCarrolltonColumbianaDeGraffDerbyFletcherFresnoGarfieldHarrisburgHarrisvilleKentonLisbonMariettaMarysvilleMcCutchenvilleMechanicsburgMilford CenterNashportNew PhiladelphiaNewportRichwoodSycamoreThackeryUpper SanduskyUrbanaVanlueWaterfordWest LibertyWoodsfield
Memberships in community or agricultural organizations:
Why do you have an interest in serving Heritage Cooperative as a Board Member?
Please describe your farm operation
CERTIFICATION AND ACKNOWLEDGEMENT

By signing below: (i) I certify the information provided on this Application is true to the best of my knowledge. (ii) I acknowledge receipt of copies of the Articles, Bylaws, and Board policies affecting my status as a Member or as an owner of a Member entity. If approved as a candidate for election, I agree to comply with all provisions of the Amended and Restated Articles of Incorporation (“Articles”), the Amended and Restated Bylaws (“Bylaws”), and the policies and conditions of Membership adopted by the Board of Directors as currently in effect or as amended in the future.
Signature

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