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 2154-928 FC CN Whole Grain Breaded Chicken Pattie Fritter 30.80 150 3.29 100103 2155-928 FC CN Whole Grain Chicken Chunk Fritters 28.35 144 3.15 100103 2241-928 FC CN Whole Grain Spicy Homestyle Pep Popcorn Chicken Fritters 28.90 120 3.85 100103 2940-928 FC CN Whole Grain HomeStyle Popcorn Chicken Fritter 30.00 124 3.85 100103 3731-928 FC CN Whole Grain Breaded Chicken Patties 26.25 105 4.00 100103 3732-928 CN FC Whole Grain Breaded Chicken Chunks 26.42 107 3.95 100103 3857-928 FC CN Whole Grain Krisp n Krunchy Chicken Pattie Fritters 31.05 144 3.45 100103 CHICKEN - NTURL PROPORTION 14.65 No $0.9491 $13.90 8.79 No $0.9491 $8.34 5.86 No $0.9491 $5.56 13.48 No $0.9491 $12.79 8.09 No $0.9491 $7.68 5.39 No $0.9491 $5.11 24.24 No $0.9491 $23.01 14.54 No $0.9491 $13.80 9.70 No $0.9491 $9.21 25.17 No $0.9491 $23.89 15.10 No $0.9491 $14.33 10.07 No $0.9491 $9.56 27.84 No $0.9491 $26.42 16.70 No $0.9491 $15.85 11.14 No $0.9491 $10.57 28.02 No $0.9491 $26.59 16.81 No $0.9491 $15.95 11.21 No $0.9491 $10.64 19.19 No $0.9491 $18.21 11.51 No $0.9491 $10.92 Tyson Sales and Distribution, Inc. 01/27/2015 Page 1 of 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 3859-928 5567-928 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 31.86 144 3.54 100103 30.28 150 3.23 100103 5778-928 FC CN Whole Grain HomeStyle Breakfast Chicken Pattie 20.00 200 1.60 100103 16477-928 FC CN Whole Grain Breaded Chicken Pattie 30.60 144 3.40 100103 16478-928 FC CN Whole Grain Breaded Chicken Nuggets 30.60 144 3.40 100103 22830 FC Diced Chicken, Low Sodium 10.00 70 2.30 100103 25560-928 FC Boneless Skinless Low Sodium ll Natural Pulled Dark & White Chicken Meat 10.00 73 2.20 100103 70304-928 FC CN Whole Grain Golden Crispy Chicken Pattie Fritters 32.82 150 3.49 100103 70305-928 FC CN Whole Grain Golden Crispy Chicken Pattie Fritters 32.82 150 3.49 100103 7.68 No $0.9491 $7.29 19.66 No $0.9491 $18.66 11.80 No $0.9491 $11.20 7.86 No $0.9491 $7.46 26.79 No $0.9491 $25.43 16.07 No $0.9491 $15.26 10.72 No $0.9491 $10.17 13.26 No $0.9491 $12.59 7.96 No $0.9491 $7.55 5.30 No $0.9491 $5.04 16.09 No $0.9491 $15.27 9.65 No $0.9491 $9.16 6.44 No $0.9491 $6.12 16.09 No $0.9491 $15.27 9.65 No $0.9491 $9.16 6.44 No $0.9491 $6.12 14.22 No $0.9491 $13.50 8.53 No $0.9491 $8.10 5.69 No $0.9491 $5.40 14.21 No $0.9491 $13.49 4.97 No $0.9491 $4.72 9.24 No $0.9491 $8.77 Tyson Sales and Distribution, Inc. 01/27/2015 Page 2 of 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 70314-928 FC CN Whole Grain Hot & Spicy Chicken Pattie Fritters 32.82 150 3.49 100103 70334-928 70335-928 70344-928 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 31.86 150 3.39 100103 30.17 142 3.40 100103 31.86 150 3.39 100103 70364-928 FC CN Whole Grain Golden Crispy Chicken Chunk Fritters 32.81 150 3.45 100103 14.94 No $0.9491 $14.18 8.96 No $0.9491 $8.51 5.98 No $0.9491 $5.67 14.15 No $0.9491 $13.43 8.49 No $0.9491 $8.06 5.66 No $0.9491 $5.37 14.94 No $0.9491 $14.18 8.96 No $0.9491 $8.51 5.98 No $0.9491 $5.67 70366-928 FC CN Whole Grain Golden Crispy Chicken Rings 34.84 150 3.70 100103 70367-928 FC CN Whole Grain Golden Crispy Chicken Stick Fritters 31.50 150 3.36 100103 70368-928 FC CN Whole Grain Golden Crispy Popcorn Chicken Fitters 32.79 159 3.30 100103 31.01 No $0.9491 $29.43 18.61 No $0.9491 $17.66 12.40 No $0.9491 $11.77 14.77 No $0.9491 $14.02 8.86 No $0.9491 $8.41 5.91 No $0.9491 $5.61 15.37 No $0.9491 $14.59 9.22 No $0.9491 $8.75 Tyson Sales and Distribution, Inc. 01/27/2015 Page 3 of 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 70374-928 FC CN Whole Grain Hot & Spicy Chicken Chunk Fritters 32.81 150 3.45 100103 70377-928 FC CN Whole Grain Hot & Spicy Chicken Stick Fritters 31.50 150 3.36 100103 70378-928 FC CN Whole Grain Hot & Spicy Popcorn Chicken 32.79 159 3.30 100103 14.77 No $0.9491 $14.02 8.86 No $0.9491 $8.41 5.91 No $0.9491 $5.61 15.37 No $0.9491 $14.59 9.22 No $0.9491 $8.75 15476-928 FC CN Glazed Chicken Breast Pattie 30.45 174 2.80 100103 15489-928 FC CN ll Natural Whole Grain Breaded Chicken Chunk 29.57 114 4.15 100103 21045-328 FC Chicken Slices (chicken white meat) 12.00 54 3.50 100103 21122-928 FC CN Sweet sian Style Glazed Whole Grain Breaded Chicken Breast Chunks 28.50 84 5.43 100103 21422-928 FC Whole Grain Breaded Chicken Breast Chunk Fritters 10.00 31 5.10 100103 22178 FC CN Whole Grain Battered Chicken Breast Chunk Fritters 23.12 100 3.70 100103 25838-328 FC Mini Chicken Sandwiches Whole Grain Breast Filets on Buns Twin Pack 23.73 60 6.33 100103 25839-328 FC Whole Grain Chicken Breast Filets on Biscuits 25.00 100 4.00 100103 38300-928 FC Grilled Chicken Breast Filet 10.00 54 3.00 100103 38350-928 FC Grilled Chicken Breast Filet 10.00 54 3.00 100103 70300-928 FC CN Whole Grain Golden Crispy Breaded Chicken Breast Filets (Whole Muscle) 30.00 120 4.00 100103 70302-928 FC CN Whole Grain Golden Crispy Breaded Chicken Breast Filet 30.94 132 3.75 100103 70303-928 FC CN Whole Grain Homestyle Chicken Breast Filets 30.00 240 2.00 100103 CHICKEN - WHITE 34.46 No $0.9491 $32.70 27.60 No $0.9491 $26.19 7.18 No $0.9491 $6.82 21.09 No $0.9491 $20.02 9.40 No $0.9491 $8.92 17.81 No $0.9491 $16.91 15.92 No $0.9491 $15.11 13.27 No $0.9491 $12.60 11.75 No $0.9491 $11.16 11.45 No $0.9491 $10.86 30.90 No $0.9491 $29.33 33.74 No $0.9491 $32.02 31.84 No $0.9491 $30.21 Tyson Sales and Distribution, Inc. 01/27/2015 Page 4 of 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 70312-928 FC CN Whole Grain Hot & Spicy Breaded Breast Filet 30.90 132 3.75 100103 70320-928 FC CN Glazed, Grilled Chicken Breast Filets (Whole Muscle) 31.25 200 2.50 100103 70322-928 FC CN Glazed Grilled Chicken Breast Filets 30.39 220 2.21 100103 70324-928 FC CN Hot & Spicy Glazed Chicken Breast Filets 30.84 210 2.35 100103 70332-928 FC CN Whole Grain Breaded Golden Crispy Chicken Tenderloins 30.99 126 3.93 100103 70342-928 FC CN Whole Grain Breaded Hot & Spicy Chicken Tenderloins 30.99 126 3.93 100103 70352-928 FC CN Glazed Grilled Chicken Breast Tenders 30.71 210 2.34 100103 70362-928 FC CN Whole Grain Golden Crispy Breaded Chicken Breast Chunks 30.00 126 3.80 100103 70372-928 FC CN Whole Grain Breaded Hot & Spicy Breaded Chicken Breast Chunks 30.00 126 3.80 100103 70382-928 FC CN Glazed Grilled Chicken Breast Chunks 30.64 228 2.15 100103 70383-928 FC CN Peruvian Chicken Breast Chunks 30.24 168 2.88 100103 70387-928 FC CN Coated Chicken Breast Chunks 30.37 162 3.00 100103 4621-928 FC Fajita Chicken Dark Meat Strips 30.00 160 3.00 100103 16702-928 FC Boneless, Skinless Chicken Dark Meat 30.00 168 2.85 100103 17443-928 FC Chicken Sausage Pattie 30.07 354 1.36 100103 18186-328 FC Chicken Sausage Patties with Biscuits 20.99 100 3.36 100103 19777 FC Chicken Meatball 10.00 61 2.62 100103 19957-328 FC Chicken Taco Meat 20.13 107 3.00 100103 20980-328 FC Sliced Chicken Ham 12.00 54 3.50 100103 21026-928 FC Chicken & Vegetable Protein Crumbles CN 30.00 240 2.00 100103 21048-328 Chicken Sausage Pattie with egg, cheese, & pancakes 27.56 100 4.41 100103 22187-928 CN Diced Chicken Peponi 20.00 320 1.00 100103 22188-928 CN Sliced Chicken Peponi 20.00 320 1.00 100103 23987-928 FC WG Chicken Chili Crispito 15.53 72 3.45 100103 24313-928 FC CN Chicken Sausage Pattie 30.00 353 1.36 100103 CHICKEN - DRK 33.74 No $0.9491 $32.02 39.03 No $0.9491 $37.04 40.78 No $0.9491 $38.71 41.34 No $0.9491 $39.24 34.29 No $0.9491 $32.55 34.29 No $0.9491 $32.55 41.18 No $0.9491 $39.09 32.74 No $0.9491 $31.07 32.74 No $0.9491 $31.07 41.59 No $0.9491 $39.47 37.90 No $0.9491 $35.98 41.92 No $0.9491 $39.79 45.84 No $0.9491 $43.51 45.84 No $0.9491 $43.51 44.75 No $0.9491 $42.47 12.64 No $0.9491 $12.00 11.13 No $0.9491 $10.56 27.93 No $0.9491 $26.51 17.29 No $0.9491 $16.40 27.88 No $0.9491 $26.46 12.64 No $0.9491 $12.00 29.23 No $0.9491 $27.74 29.23 No $0.9491 $27.74 10.80 No $0.9491 $10.25 44.62 No $0.9491 $42.35 Tyson Sales and Distribution, Inc. 01/27/2015 Page 5 of 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 24841-928 FC Breaded Chicken Sausgae Pattie Bites 30.45 156 3.12 100103 24450-928 FC Whole Grain Breaded Dark Meat Chicken Chunks 30.16 125 3.86 100103 25837-328 FC Chicken Sausage Pattie, Egg White Pattie, & Cheese on Maple Flavored Pancakes 27.88 100 4.46 100103 83860-928 FC CN Dark Chicken Patties 30.00 240 2.00 100103 6285-328 Fully Cooked CN 3.0 oz Preminum Beef Burger 16.87 90 3.00 100155 Red Meat 26.74 No $0.9491 $25.38 39.17 No $0.9491 $37.18 12.63 No $0.9491 $11.99 45.56 No $0.9491 $43.24 25.38 No $2.7776 $70.50 7356-328 Fully Cooked CN Beef Meatball.5 oz. 10.13 65 2.50 100155 7359-328 Fully Cooked Beef Taco Meat 20.32 120 2.70 100155 7360-328 Fully Cooked CN Beef Meatball.5 oz. 10.13 54 3.00 100155 7361-328 Fully Cooked CN Beef Meatball.75 oz. 10.13 54 3.00 100155 7362-328 Fully Cooked CN Beef Meatball 1.0 oz. 10.13 54 3.00 100155 9779-328 Fully Cooked CN Beef Burger 2.0 oz. 15.00 120 2.00 100155 11246-328 Fully Cooked CN Sloppy Joe 20.06 102 3.15 100155 11786-328 Fully Cooked Ground Beef Crumbles 40.00 304 2.10 100155 11978-328 Fully Cooked CN Beef Crumbles Soy dded 40.00 290 2.20 100155 13024-328 Fully Cooked Beef Taco Meat 30.09 181 2.66 100155 21511-328 FC Breaded Beef Pattie 30.00 139 3.45 100155 24724-328 FC Breaded Beef Fingers 30.21 136 3.54 100155 25104-328 FC Beef Taco Meat - Soy added 20.32 120 2.70 100155 80254-328 CN Charbroil w/soy 15.75 126 2.00 100155 8.04 No $2.7776 $22.33 20.55 No $2.7776 $57.08 9.44 No $2.7776 $26.22 9.44 No $2.7776 $26.22 9.49 No $2.7776 $26.36 22.57 No $2.7776 $62.69 17.33 No $2.7776 $48.14 58.81 No $2.7776 $163.35 39.89 No $2.7776 $110.80 30.65 No $2.7776 $85.13 17.10 No $2.7776 $47.50 16.71 No $2.7776 $46.41 12.30 No $2.7776 $34.16 16.73 No $2.7776 $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
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
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 39.93 pprox 228 2.80 100103 415 46.03% 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 100173 $1.8627 Name and Title of uthorized Representative Name and Title of uthorized Representative Name and Title of uthorized Representative 100103 $0.9491 01/06/2015 01/06/2015 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.