Massachusetts Association of Housing Cooperatives

Protecting Residents, Solving Problems, and Expanding Opportunities

Member Coop Information Form

Housing Cooperative Name:        



Address,               Number & Street:


                                Zipcode +4:



Board President:


Contact Person (if not President):

                                Telephone (Work, Home, Cell):



Coop size:    # of Apartments or Units:

                                # of Occupants:

                                # of Buildings:

                                Size, in sf:

                                Size of Property (in Square Footage or Acres):

                                Valuation (Assessed; When Built or Purchased; Appraised):

                                Annual Operating Budget:


 Date Founded:


 Coop Purpose/Type:


 Coop Issues and/or Interests:




 Can MAHC make reference to your coop in our work?  Y/N


 Can MAHC make reference to your coop on our website and materials? Y/N


 Are you able to assist MAHC in recruiting additional Coop members and conducting our mission? Y/N


 Thank you.  Please be in touch to discuss any questions or concerns.


Please send this form and membership check to:  Hyam Kramer, Treasurer,  MAHC

111 Perkins Street,  Suite 253,  Boston,  MA    02130-4338

Email:         Tel.  617230 - 5161