Samuelson Free Grocery Store

New to Samuelson this year is the Samuelson Free Grocery Store. This is a food pantry supplied by the Food Bank of Iowa and by other donations. If your child has been in the Backpack Buddy program in the past (bags of food sent home on Fridays), it will no longer be available as families will be encouraged to come to the free grocery store instead.

The free grocery store is officially open!

The Samuelson Free Grocery Store is open for ALL families. Once each year, anyone using the free grocery store will be asked to fill out a TEFAP (The Emergency Food Assistance Program) form. This form asks for your name, address, and the number of individuals living in your household. It will also ask for income information to determine if you would qualify for SNAP (Supplemental Nutrition Assistance Program) benefits. Filling out this form allows anyone shopping in the free grocery store to take any of the food available, including USDA (United States Department of Agriculture) foods.

Please note: the household income and any other information you list on your TEFAP form will not need to be verified and is only needed for record keeping purposes. If you choose not to fill out a TEFAP form, you are still welcome to shop in the free grocery store but you will not be allowed to take any USDA foods.

Samuelson’s Free Grocery Store will be open on Mondays from 2:00-4:00pm and Fridays from 7:45-9:00am, or by appointment. Some foods may have a quantity limit to ensure all shoppers are able to get the food they need. To make an appointment outside of open hours, please contact Samuelson’s Community School Coordinator, Savannah Stuckmayer, at 218-503-1056 (call or text), or email at savannah.stuckmayer@dmschools.org.

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this
institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual
orientation), disability, age, or reprisal or retaliation for prior civil rights activity. Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination
Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/ad-3027.pdf , from any
USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name,
address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the
Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027
form or letter must be submitted to USDA by:

1. mail: U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410; or
2. fax: (833) 256-1665 or (202) 690-7442; or
3. email: Program.Intake@usda.gov