NON-VOTING MEMBERSHIP APPLICATON

I am applying to purchase one share of A Preferred (Non-Voting) Stock in Sunrise Cooperative, Inc.

I am an individual or operate my business as an individual under my name.I am applying on behalf of a Business Entity.

I am applying on behalf of a Business Entity I am applying on behalf of is organized as a(n) (check only one):

Please provide the name and the EIN number for the individual, sole proprietorship, or business entity uses to report income to the IRS:

Individual Name to Appear on Stock Certificate:

First NameLast Name

Business Entity to Appear on Stock Certificate:

Business Entity

SSN or EIN:

Sunrise Account Number:

Address:

Mailing Address

Street Address Line 2

CityState

Zip

Township:

County:

Phone:

Email Address:

example@example.com

I am a(n):

ConsumerNon-agricultural businessAgricultural producer (out of trade territory)Agricultural producer and Common shareholder desiring to set up additional Sunrise account

By signing below:

1. As an individual, or if a Business Entity on behalf of the above named Business Entity, I agree to comply with all provisions of the Articles of Incorporation and the Amended and Restated Code of Regulations (Bylaws)

2. I understand that A Preferred stock, par value $50, may be issued to eligible persons as evidence of Non-Voting Membership (Articles of Incorporation, Section 4.3(c). My stock is an indicium of non-voting membership only. It is not held for investment and does not pay dividends.

3. As an individual, or if a Business Entity on behalf of the above named Business Entity, consent to include all patronage received from Sunrise Cooperative on my tax return. I understand and agree that while I am a non-voting member, for federal income tax purposes I must include on my income tax return the stated dollar amount of any written notice of allocation I receive as patronage. Both the cash portion and the non-cash portion must be included as income or as a reduction of expenses. This must be done in the tax year in which I am notified of the patronage dividend, as provided in the following bylaw:

Bylaw Article 7.8, CONSENT BYLAW. Each person (including individuals, partnerships, cooperative associations, and corporations) who becomes a Member, and each Member on the effective date of this Bylaw who continues as a Member, consents, by such act alone, to include in the Member's gross income for federal income tax purposes the stated dollar amount of any qualified written notice of allocation or qualified notice of Per Unit Retain (as defined in 26 USC 1388 of the [Internal Revenue] Code) received from the Association with respect to Patronage Transactions, to the extent provided in Section 1385 of the [Internal Revenue] Code.

A Preferred Stock membership costs $50.00. Your payment can be mailed to:

Sunrise Cooperative, Inc.
Attn: Membership
P.O. Box 870
Fremont, OH 43420

Applicant's Signature - Authorized Representative:

Date:

Date