SSM Community Member Ownership Application: Founding Owners

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Thank you for your interest in becoming a Southside Market Founding Owner. Please take 3-5 minutes to fill out this form. With a one-time purchase of an equity share(s), you are granted a lifetime Southside Market ownership. You can learn more about what is means to become an ownership on our website's FAQ page.

This form includes the following sections:

Basic Information (Name and Contact Info)
Ownership Commitment (1,2,3,4 or 5 shares)
Membership Agreement
Preferred Payment Method

If you have any questions or concerns, please contact info@chisouthsidemarket.com and our team will get back to you shortly.

Email *

First Name *

Last Name *

Pronouns (Optional)

Address Line 1 (Property Number and Street Name) *

Address Line 2 (Apartment, Unit, or Suite Number, if applicable)

City *

State (i.e. IL) *

ZIP code *

Phone Number *

Number of Shares (1-5). If you purchase any shares between now and June 2024, you will be considered a "Founding Owner". If you purchase 2 or more shares, you also receive the distinguished title of "Legacy Owner".
*

Community Membership Ownership Agreement

For the purpose of facilitating access to consumer goods by providing necessary funds for Southside Market’s proposed retail grocery store and to acquire an ownership interest in Southside Market, I hereby purchase an ownership interest of 1, 2, 3, 4, or 5 shares for $50.00 each (between $50 to $250 total).

The ownership interest hereby purchased is intended to confer the right to purchase consumer goods and services at Owner prices and to participate in the governance of Southside Market in accordance with its bylaws. The ownership interest hereby does not guarantee the holder to dividends or other monetary return, will be non-transferable except to Southside Market, will be redeemable only in limited circumstances in accordance with the bylaws of Southside Market, and will be subject to other terms and conditions in Southside Market’s bylaws.

The funds remitted hereby are intended to be used to fund the development of Southside Market, including the securing of additional financing for Southside Market. All such funds are subject to the risks inherent in any start-up enterprise of this character and may result in the loss of part or all of such funds. Persons who cannot afford to incur such losses should not purchase ownership interests in Southside Market.

Ownership will be effective upon conversion to Cooperative Corp (estimated date: June 1, 2024) and an official acceptance with confirmation of IL residency.

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I would like to pay via the following payment plan: *

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I am interested in a Payment Plan (The Southside Market Team will follow up with payment plan options).

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