CHICKEN - NATURAL PROPORTION
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1 SEPDS SUMMRY END PRODUCT DT SCHEDULE TYSON National Summary (EPDS approved by USD) THIS IS N ORIGINL SUMMRY SCHEDULE UNLESS CHECKED BELOW: VLUE PSS THROUGH SYSTEMS PPROVED: Direct Sale State Summary Reflects Change in Formulation (Italic) Refund to Recipient gency (EPDS approved by state agency) dditional Products Listed Price Through Distributor Correction Information Certified as ccurate from pproved EPDS (requires signature from agency that approved EPDS) Fee for Service (billed by Processor) Fee for Service (billed by Distributor) Certified by s Drawdown Value Value of DF cceptance/pproval FC CN Whole Grain Breaded Chicken Pattie Fritter FC CN Whole Grain Chicken Chunk Fritters FC CN Whole Grain Spicy Homestyle Pep Popcorn Chicken Fritters FC CN Whole Grain HomeStyle Popcorn Chicken Fritter FC CN Whole Grain Breaded Chicken Patties CN FC Whole Grain Breaded Chicken Chunks FC CN Whole Grain Krisp n Krunchy Chicken Pattie Fritters CHICKEN - NTURL PROPORTION No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $10.92 Tyson Sales and Distribution, Inc. 01/27/2015 Page 1 of 7
2 Information Certified as ccurate from pproved EPDS (requires signature from agency that approved EPDS) Certified by s Drawdown Value Value of DF cceptance/pproval FC CN Whole Grain Kripsy N Krunchy Breaded Strip-Shaped Chicken Pattie Fritters FC CN Whole Grain Breaded Chicken Pattie Hot n Spicy w/packaging FC CN Whole Grain HomeStyle Breakfast Chicken Pattie FC CN Whole Grain Breaded Chicken Pattie FC CN Whole Grain Breaded Chicken Nuggets FC Diced Chicken, Low Sodium FC Boneless Skinless Low Sodium ll Natural Pulled Dark & White Chicken Meat FC CN Whole Grain Golden Crispy Chicken Pattie Fritters FC CN Whole Grain Golden Crispy Chicken Pattie Fritters No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $8.77 Tyson Sales and Distribution, Inc. 01/27/2015 Page 2 of 7
3 Information Certified as ccurate from pproved EPDS (requires signature from agency that approved EPDS) Certified by s Drawdown Value Value of DF cceptance/pproval FC CN Whole Grain Hot & Spicy Chicken Pattie Fritters FC CN Whole Grain Golden Crispy Chicken Tender Shaped Fritters (3 Piece ) FC CN Whole Grain Golden Crispy Chicken Tender Shaped Fritters (4 Piece ) FC CN Whole Grain Hot & Spicy Chicken Tender Shaped Patties - 3 pieces FC CN Whole Grain Golden Crispy Chicken Chunk Fritters No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ FC CN Whole Grain Golden Crispy Chicken Rings FC CN Whole Grain Golden Crispy Chicken Stick Fritters FC CN Whole Grain Golden Crispy Popcorn Chicken Fitters No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $8.75 Tyson Sales and Distribution, Inc. 01/27/2015 Page 3 of 7
4 Information Certified as ccurate from pproved EPDS (requires signature from agency that approved EPDS) Certified by s Drawdown Value Value of DF cceptance/pproval FC CN Whole Grain Hot & Spicy Chicken Chunk Fritters FC CN Whole Grain Hot & Spicy Chicken Stick Fritters FC CN Whole Grain Hot & Spicy Popcorn Chicken No $ $ No $ $ No $ $ No $ $ No $ $ FC CN Glazed Chicken Breast Pattie FC CN ll Natural Whole Grain Breaded Chicken Chunk FC Chicken Slices (chicken white meat) FC CN Sweet sian Style Glazed Whole Grain Breaded Chicken Breast Chunks FC Whole Grain Breaded Chicken Breast Chunk Fritters FC CN Whole Grain Battered Chicken Breast Chunk Fritters FC Mini Chicken Sandwiches Whole Grain Breast Filets on Buns Twin Pack FC Whole Grain Chicken Breast Filets on Biscuits FC Grilled Chicken Breast Filet FC Grilled Chicken Breast Filet FC CN Whole Grain Golden Crispy Breaded Chicken Breast Filets (Whole Muscle) FC CN Whole Grain Golden Crispy Breaded Chicken Breast Filet FC CN Whole Grain Homestyle Chicken Breast Filets CHICKEN - WHITE No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $30.21 Tyson Sales and Distribution, Inc. 01/27/2015 Page 4 of 7
5 Information Certified as ccurate from pproved EPDS (requires signature from agency that approved EPDS) Certified by s Drawdown Value Value of DF cceptance/pproval FC CN Whole Grain Hot & Spicy Breaded Breast Filet FC CN Glazed, Grilled Chicken Breast Filets (Whole Muscle) FC CN Glazed Grilled Chicken Breast Filets FC CN Hot & Spicy Glazed Chicken Breast Filets FC CN Whole Grain Breaded Golden Crispy Chicken Tenderloins FC CN Whole Grain Breaded Hot & Spicy Chicken Tenderloins FC CN Glazed Grilled Chicken Breast Tenders FC CN Whole Grain Golden Crispy Breaded Chicken Breast Chunks FC CN Whole Grain Breaded Hot & Spicy Breaded Chicken Breast Chunks FC CN Glazed Grilled Chicken Breast Chunks FC CN Peruvian Chicken Breast Chunks FC CN Coated Chicken Breast Chunks FC Fajita Chicken Dark Meat Strips FC Boneless, Skinless Chicken Dark Meat FC Chicken Sausage Pattie FC Chicken Sausage Patties with Biscuits FC Chicken Meatball FC Chicken Taco Meat FC Sliced Chicken Ham FC Chicken & Vegetable Protein Crumbles CN Chicken Sausage Pattie with egg, cheese, & pancakes CN Diced Chicken Peponi CN Sliced Chicken Peponi FC WG Chicken Chili Crispito FC CN Chicken Sausage Pattie CHICKEN - DRK No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $42.35 Tyson Sales and Distribution, Inc. 01/27/2015 Page 5 of 7
6 Information Certified as ccurate from pproved EPDS (requires signature from agency that approved EPDS) Certified by s Drawdown Value Value of DF cceptance/pproval FC Breaded Chicken Sausgae Pattie Bites FC Whole Grain Breaded Dark Meat Chicken Chunks FC Chicken Sausage Pattie, Egg White Pattie, & Cheese on Maple Flavored Pancakes FC CN Dark Chicken Patties Fully Cooked CN 3.0 oz Preminum Beef Burger Red Meat No $ $ No $ $ No $ $ No $ $ No $ $ Fully Cooked CN Beef Meatball.5 oz Fully Cooked Beef Taco Meat Fully Cooked CN Beef Meatball.5 oz Fully Cooked CN Beef Meatball.75 oz Fully Cooked CN Beef Meatball 1.0 oz Fully Cooked CN Beef Burger 2.0 oz Fully Cooked CN Sloppy Joe Fully Cooked Ground Beef Crumbles Fully Cooked CN Beef Crumbles Soy dded Fully Cooked Beef Taco Meat FC Breaded Beef Pattie FC Breaded Beef Fingers FC Beef Taco Meat - Soy added CN Charbroil w/soy No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $ No $ $46.47 PROCESSOR: USD PPROVL: (not applicable for state summary) STTE GENCY PPROVL: Tyson Sales and Distribution, Inc. 01/27/2015 Page 6 of 7
7 Information Certified as ccurate from pproved EPDS (requires signature from agency that approved EPDS) Certified by s Drawdown Value Value of DF cceptance/pproval Tyson Sales and Distributions, Inc. Name of Company Gail Ferguson - Dir Business Management Name and Title of uthorized Representative USD, MS, LPS, Quality ssessment Division Name of pproving gency Michelle Degenhart, ssistant to the Director Name and Title of uthorized Representative Name of pproving gency Name and Title of uthorized Representative 12/29/2014 Signature Date Signed Signature 12/29/2014 Date Signed Signature Date Signed *If by products are produced, provide value and method credit will be given Tyson Sales and Distribution, Inc. 01/27/2015 Page 7 of 7
8 SEPDS B National Summary (EPDS approved by USD) For Meat and Poultry Processed Under Guaranteed Minimum Return THIS IS N ORIGINL SUMMRY SCHEDULE UNLESS CHECKED BELOW: Billed by Processor State Summary Reflects Change in Formulation (Italic ) Billed by Distributor (EPDS approved by state agency) dditional Products Listed Correction SUMMRY END PRODUCT DT SCHEDULE Tyson Fee for Service System pproved Information Certified as ccurate from pproved EPDS (requires signature from agency that approved EPDS) Per Case s WBSCM WBSCM Description When pplicable: Minimum Percent Breading / CN Method Estimated Cases of Finished Product Per Truckload (Poultry Only) Lbs to Produce a Case (Meat Only) Guaranteed Percent For Finished Product (GMR) By Products Produced (none unless box is checked) Certification cceptance/pprov al Check for quick approval L 3522 FC Charbroiled Chicken Fajita Meat pprox % No Processor USD PPROVL: (Not applicable for State Summary) STTE GENCY PPROVL: Tyson Sales and Distribution, Inc. Name of Company USD, MS, LPS, Quality ssessment Division Name of pproving gency Name of pproving gency Contract Value Per Pound: (basis for paying for lost or damaged goods, and missed yields) Gail Ferguson - Dir Business Management Michelle Degenhart, ssistant to the Director $ Name and Title of uthorized Representative Name and Title of uthorized Representative Name and Title of uthorized Representative $ /06/ /06/2015 Signature Date Signed Signature Signature Date Signed *If by products are produced, provide value and method credit will be given Tyson Sales and Distribution, Inc.
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