Common use of Individual Performing Services Clause in Contracts

Individual Performing Services. (including address if different from No. 10 a) (Last name, first name, MI)   Amount of Payment: (check all that apply) $_ __________________________________ Actual Planned Type of Payment: (check all that apply) A. Retainer B. One-Time Fee C. Commission D. Contingency Fee E. Deferred F. Other: (specify)  _______________ Form of Payment: (check all that apply) A. Cash Nature ____________ B. In-kind (specify) Value _____________ Brief Description of services performed or to be performed and date(s) of service, including officer(s), employees, or members) contracted for payment indicated in Item 11 . (Attach Continuation Sheets if necessary) Continuation Sheets Attached: Yes No Information requested through this form is authorized by Title 31 U.S.C. Section 1352. The disclosure of lobbying activities is a material representation of fact upon which evidence was placed by the above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. The information will be reported to the Congress semiannually and will be available for public inspection. Any person who fails to file the required disclosures shall be subject to a civil penalty of no less than $10,000 and no more than $100,000 for each such failure. Signature: __________________________________ Print Name: ________________________________ Title: ______________________________________ Telephone Number: __________________________ Date: _______________________________________ Federal Use Only Authorized for Local Reproduction INSTRUCTIONS FOR COMPLETION OF DISCLOSURE OF LOBBYING ACTIVITIES FORM This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action or a material change in a previous filing, pursuant to Title 31 U.S.C. Section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Use a Continuation Sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget (OMB) for additional information. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. Identify the status of the covered Federal action. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered action. Enter the full name, address, city, state, and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include, but are not limited to, subcontracts, subgrants, and contract awards under grants. If the organization filing the report in Item 4 checks Subawardee, then enter the full name, address, city, state, and zip code of the prime Federal recipient. Include Congressional District, if known. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if know. For example: Department of Transportation, United States Coast Guard. Enter the Federal program name or description for the covered Federal action (Item1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. Enter the most appropriate Federal identifying number available for the Federal action identified in Item 1; e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency. Include prefixes; e.g., RFP-DE-90-001. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in Item 4 or Item 5. Enter the full name, address, city, state, and zip code of the lobbying entity engaged by the reporting entity identified in Item 4 to influence the covered Federal action. Enter the full name of the individual performing services, and include full address if different from 10a. Enter last name, first name, and middle initial (MI). Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (Item 4) to the lobbying entity (Item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. Check the appropriate item. Check all items that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. Check the appropriate box. Check all boxes that apply. If other, specify nature. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to perform, and the dates of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal officials or employees contacted or the officers, employees, or Members of Congress that were contacted. Check whether Continuation Sheets are enclosed. The certifying official shall sign and date the form; print his/her name, title, and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instructions, searching data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Xxxxxxxxxx, X.X. 00000. Meal Pattern Amount of Foodb Per Week (Minimum Per Day) Vegetables (cups)c,d 0 0 0 3¾ (¾) 3¾ (¾) 5 (1) Dark greenf 0 0 0 ½ ½ ½ Beans/peas (legumes)f 0 0 0 ½ ½ ½ Starchyf 0 0 0 ½ ½ ½ Otherf,g 0 0 0 ½ ½ ¾ Grains (oz eq)i 7-10 (1)j 8-10 (1)j 9-10 (1)j 8-9 (1) 8-10 (1) 10-12 (2) Meats/meat alternates (oz eq) 0k 0k 0k 8-10 (1) 9-10 (1) 10-12 (2) Fluid milk (cups)l 5 (1) 5 (1) 5 (1) 5 (1) 5 (1) 5 (1) Other Specifications: Daily Amount Based on the Average for a 5-Day Week Min-max calories (kcal)m,n,o 350-500 400-550 450-600 550-650 600-700 750-850 Saturated fat (% of total calories)n,o < 10 < 10 < 10 < 10 < 10 < 10 Sodium (mg)n, p < 430 < 470 < 500 < 640 < 710 < 740 Trans fatn,o Nutrition label or manufacturer specifications must indicate zero grams of trans fat per serving. In the SBP, the above age-grade groups are required beginning July 1, 2013 (SY 2013-14). In SY 2012-2013 only, schools may continue to use the meal pattern for grades K-12 (see § 220.23). Food items included in each food group and subgroup and amount equivalents. Minimum creditable serving is ⅛ cup. One quarter-cup of dried fruit counts as ½ cup of fruit; 1 cup of leafy greens counts as ½ cup of vegetables. No more than half of the fruit or vegetable offerings may be in the form of juice. All juice must be 100 percent full-strength. For breakfast, vegetables may be substituted for fruits, but the first two cups per week of any such substitution must be from the dark green, red/orange, beans and peas (legumes) or “Other vegetables” subgroups as defined in §210.10(c)(2)(iii). The fruit quantity requirement for the SBP (5 cups/week and a minimum of 1 cup/day) is effective July 1, 2014 (SY 2014-2015). Larger amounts of these vegetables may be served. This category consists of “Other vegetables” as defined in §210.10(c)(2)(iii)(E). For the purposes of the NSLP, “Other vegetables” requirement may be met with any additional amounts from the dark green, red/orange, and beans/peas (legumes) vegetable subgroups as defined in §210.10(c)(2)(iii). Any vegetable subgroup may be offered to meet the total weekly vegetable requirement. At least half of the grains offered must be whole grain-rich in the NSLP beginning July 1, 2012 (SY 2012-2013), and in the SBP beginning July 1, 2013 (SY 2013-2014). All grains must be whole grain-rich in both the NSLP and the SBP beginning July 1, 2014 (SY 2014-15). In the SBP, the grain ranges must be offered beginning July 1, 2013 (SY 2013-2014). There is no separate meat/meat alternate component in the SBP. Beginning July 1, 2013 (SY 2013-2014), schools may substitute 1 oz eq of meat/meat alternate for 1 oz eq of grains after the minimum daily grains requirement is met. Fluid milk must be low fat (1 percent milk fat or less, unflavored) or fat free (unflavored or flavored). The average daily amount of calories for a 5-day school week must be within the range (at least the minimum and no more than the maximum values). Discretionary sources of calories (solid fats and added sugars) may be added to the meal pattern if within the specifications for calories, saturated fat, trans fat, and sodium. Foods of minimal nutritional value and fluid milk with fat content greater than 1 percent milk fat are not allowed. In the SBP, calories and trans fat specifications take effect beginning July 1, 2013 (SY 2013-2014). Final sodium specifications are to be reached by SY 2022-2023 or July 1, 2022. Intermediate sodium specifications are established for SY 2014-2015 and 2017-2018. See required intermediate specifications in § 210.10(f)(3) for lunches and § 220.8(f)(3) for breakfasts. Attachment D (continued): MINIMUM FOOD SPECIFICATIONS Summer Food Service Program Meal Pattern Food Components Breakfast Lunch or Supper Snack1 (Choose two of the four) Milk Milk, fluid 1 cup (8 fl oz)2 1 cup (8 fl oz)3 1 cup (8 fl oz)2 Vegetables and/or Fruits Vegetable(s) and/or fruit(s), or full-strength vegetable or fruit juice ½ cup ¾ cup total4 ¾ cup An equivalent quantity of any combination of vegetables(s), fruit(s), and juice ½ cup (4 fl oz) ¾ cup (6 fl oz) Grains and Breads5 Bread 1 slice 1 slice 1 slice Cornbread, biscuits, rolls, muffins, etc. 1 serving 1 serving 1 serving Cold dry cereal ¾ cup or 1 oz6 ¾ cup or 1 oz6 Cooked pasta or noodle product ½ cup ½ cup ½ cup Cooked cereal or cereal grains or anequivalent quantity of any combination of grains/breads ½ cup ½ cup ½ cup Meat and Meat Alternates (Optional) Lean meat or poultry or fish or alternate protein product7 1 oz 2 oz 1 oz Cheese 1 oz 2 oz 1 oz Eggs ½ large egg 1 large egg ½ large egg Cooked dry beans or peas ¼ cup ½ cup ¼ cup Peanut butter or soynut butter or other nut or seed butters 2 tbsp 4 tbsp 2 tbsp Peanuts or soynuts or tree nuts or seeds, or yogurt, plain or sweetened and flavored 1 oz 1 oz= 50%8 1 oz An equivalent quantity of any combination of the above meat/meat alternates 4 oz or ½ cup 8 oz or 1 cup 4 oz or ½ cup For the purpose of this table, a cup means a standard measuring cup. Serve two food items. Each food item must be from a different food component. Juice may not be served when milk is served as the only other component. Shall be served as a beverage, or on cereal, or use part of it for each purpose. Shall be served as a beverage. Serve two or more kinds of vegetable(s) and or fruit(s) or a combination of both. Full-strength vegetable or fruit juice may be counted to meet not more than one-half of this requirement. All grain/bread items must be enriched or whole grain, made from enriched or whole-grain meal or flour, or if it is a cereal, the product must be whole-grain, enriched or fortified. Bran and germ are credited the same as enriched or whole grain meal or flour. Either volume (cup) or weight (oz) whichever is less. Must meet the requirements in Appendix A of the SFSP regulations. No more than 50 percent of the requirement shall be met with nuts or seeds. Nuts or seeds shall be combined with another meat/meat alternate to fulfill the requirement. When determining combinations, 1 oz of nuts or seeds is equal to 1 oz of cooked lean meat, poultry, or fish. Attachment D (continued): MINIMUM FOOD SPECIFICATIONS Infant Meal Pattern Requirements Child and Adult Care Food Program EFFECTIVE OCTOBER 1, 2021 Infants should be fed on demand when they show hunger signals Sponsors must offer to at least one reimbursable iron-fortified infant formula (IFIF) The tables below list minimum serving sizes to meet meal pattern requirements Breakfast, Lunch, and Supper: Food Components and Food Items Birth – 5 Months 6 – 11 Months Breast Milk1 or Iron-Fortified Infant Formula (IFIF)1,2 4-6 fl. oz. 6-8 fl. oz. Fruit or Vegetable3,4 or a combination of both 0-2 Tbsp. Iron-Fortified Infant Cereal (IFIC)5,6 or Meat/Meat Alternates (M/MA)3, including Meat, fish, poultry, whole eggs, cooked beans/peas, or Cheese, or Cottage Cheese, or Yogurt7 0 – ½ oz. eq. (0-4 Tbsp.) 0-4 Tbsp. 0-2 oz. 0-4 oz. or ½ cup 0-4 oz. or ½ cup Note: Iron-Fortified Infant Cereal (IFIC) is the only Grain item that is allowed at Breakfast, Lunch, and Supper. Infants that do not consume IFIC can be served a M/MA item instead. Snack: Food Components and Food Items Birth – 5 Months 6 – 11 Months Breast Milk1 or Iron-Fortified Infant Formula (IFIF) 1,2 4-6 fl. oz. 2-4 fl. oz. Fruit or Vegetable3,4 or a combination of both 0-2 Tbsp. Iron-Fortified Infant Cereal (IFIC) 5,6 or Breads, Crackers, or Ready-to-Eat (RTE) Cereals5,6,8 Bread, Tortilla, or Biscuit, or Waffle, Pancake, or English Muffin, or Savory Crackers, or Sweet Crackers, or RTE Cereals, Flakes or Rounds9, or RTE Cereals, Puffs9 0 – ½ oz. eq. (0-4 Tbsp.) 0 – ½ oz. eq. 14 grams 17 grams grams grams 7 grams or 4 Tbsp. or ¼ cup 7 grams or 5 Tbsp. or ⅓ cup Note: Breads, crackers, and RTE cereals are only allowed at Snack. M/MAs can be served as a bonus item only. 1 Breast milk or IFIF, or portions of both must be served. Serving breast milk, when available, is considered a best practice for infants from birth through 11 months.

Individual Performing Services. (including address if different from No. 10 a) (Last name, first name, MI)   Amount of Payment: (check all that apply) $_ __________________________________ Actual □ Planned □ Type of Payment: (check all that apply) □ A. Retainer □ B. One-Time Fee □ C. Commission □ D. Contingency Fee □ E. Deferred □ F. Other: (specify)  __________________ Form of Payment: (check all that apply) □ A. Cash Nature Nature____________ □ B. In-kind (specify) Value Value_____________ Brief Description of services performed or to be performed and date(s) of service, including officer(s), employees, or members) contracted for payment indicated in Item 11 . 11. (Attach Continuation Sheets if necessary) Continuation Sheets Attached: Yes □ No □ Information requested through this form is authorized by Title 31 U.S.C. Section 1352. The disclosure of lobbying activities is a material representation of fact upon which evidence was placed by the above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. The information will be reported to the Congress semiannually and will be available for public inspection. Any person who fails to file the required disclosures shall be subject to a civil penalty of no less than $10,000 and no more than $100,000 for each such failure. Signature: __________________________________ Print Name: Name: _________________________________ Title: Title: _______________________________________ Telephone Number: Number: __________________________ Date: Date: _______________________________________ Federal Use Only Authorized for Local Reproduction INSTRUCTIONS FOR COMPLETION OF DISCLOSURE OF LOBBYING ACTIVITIES FORM This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action or a material change in a previous filing, pursuant to Title 31 U.S.C. Section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Use a Continuation Sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget (OMB) for additional information. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. Identify the status of the covered Federal action. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered action. Enter the full name, address, city, state, and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include, but are not limited to, subcontracts, subgrants, and contract awards under grants. If the organization filing the report in Item 4 checks Subawardee, then enter the full name, address, city, state, and zip code of the prime Federal recipient. Include Congressional District, if known. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if know. For example: Department of Transportation, United States Coast Guard. Enter the Federal program name or description for the covered Federal action (Item1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. Enter the most appropriate Federal identifying number available for the Federal action identified in Item 1; e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency. Include prefixes; e.g., RFP-DE-90-001. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in Item 4 or Item 5. Enter the full name, address, city, state, and zip code of the lobbying entity engaged by the reporting entity identified in Item 4 to influence the covered Federal action. Enter the full name of the individual performing services, and include full address if different from 10a. Enter last name, first name, and middle initial (MI). Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (Item 4) to the lobbying entity (Item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. Check the appropriate item. Check all items that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. Check the appropriate box. Check all boxes that apply. If other, specify nature. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to perform, and the dates of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal officials or employees contacted or the officers, employees, or Members of Congress that were contacted. Check whether Continuation Sheets are enclosed. The certifying official shall sign and date the form; print his/her name, title, and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per responseATTACHMENT D: MINIMUM FOOD SPECIFICATIONS To be completed by Sponsor. HCNP does not approve, including time for reviewing instructionsevaluate or endorse specifications. Examples may include the following listed below. Meat/Seafood – All meats, searching data sourcesmeat products, gathering and maintaining the data neededpoultry products, and completing fish must be government-inspected. Beef, lamb, and reviewing veal shall be USDA Grade Choice or better. Pork shall be U.S. No.1 or U.S. No. 2 Poultry shall be U.S. Government Grade A Seafood to be top grade, frozen fish – must be a nationally distributed brand, packed under continuous inspection of the collection of informationUSDA Dairy Products – All dairy products must be government-inspected. Send comments regarding Fresh eggs, USDA Grade A or equivalent, 100 percent candled Frozen eggs, USDA – inspected Milk, pasteurized Grade A Fruits and Vegetables Fresh fruits and vegetables selected according to written specifications for freshness, quality, and color – U.S. Grade A Fancy Canned fruits and vegetables selected to requirements – U.S. Grade A Choice or Fancy (fruit to be packed in light syrup or natural juices) Frozen fruits and vegetables shall be U.S. Grade A Choice or better Baked Products Bread, rolls, cookies, pies, cakes, and puddings either prepared or baked on premises or purchased on a quality level commensurate with meeting USDA breakfast and lunch requirements, as applicable Staple Groceries Staple groceries to be a quality level commensurate with previously listed standards At a minimum, any proposed menu plans must comply with the burden estimate or any other aspect of collection of information, including suggestions Final Rule Nutrition Standards in the National School Lunch and School Breakfast Programs (see Exhibit A for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project meal pattern requirements). Attachment D (0348-0046), Xxxxxxxxxx, X.X. 00000. continued…): MINIMUM FOOD SPECIFICATIONS Meal Pattern Amount of Foodb Per Week (Minimum Per Day) Fruits (cups)c,d 5 (1)e 5 (1)e 5 (1)e 2½ (½) 2½ (½) 5 (1) Vegetables (cups)c,d 0 0 0 3¾ (¾) 3¾ (¾) 5 (1) Dark greenf 0 0 0 ½ ½ ½ Red/orangef 0 0 0 ¾ ¾ 1¼ Beans/peas (legumes)f 0 0 0 ½ ½ ½ Starchyf 0 0 0 ½ ½ ½ Otherf,g 0 0 0 ½ ½ ¾ Additional vegetable to reach totalh 0 0 0 1 1 1½ Grains (oz eq)i 7-10 (1)j 8-10 (1)j 9-10 (1)j 8-9 (1) 8-10 (1) 10-12 (2) Meats/meat alternates (oz eq) 0k 0k 0k 8-10 (1) 9-10 (1) 10-12 (2) Fluid milk (cups)l 5 (1) 5 (1) 5 (1) 5 (1) 5 (1) 5 (1) Other Specifications: Daily Amount Based on the Average for a 5-Day Week Min-max calories (kcal)m,n,o 350-500 400-550 450-600 550-650 600-700 750-850 Saturated fat (% of total calories)n,o < 10 < 10 < 10 < 10 < 10 < 10 Sodium (mg)n, p < 430 < 470 < 500 < 640 < 710 < 740 Trans fatn,o Nutrition label or manufacturer specifications must indicate zero grams of trans fat per serving. In the SBP, the above age-grade groups are required beginning July 1, 2013 (SY 2013-14). In SY 2012-2013 only, schools may continue to use the meal pattern for grades K-12 (see § 220.23). Food items included in each food group and subgroup and amount equivalents. Minimum creditable serving is ⅛ cup. One quarter-cup of dried fruit counts as ½ cup of fruit; 1 cup of leafy greens counts as ½ cup of vegetables. No more than half of the fruit or vegetable offerings may be in the form of juice. All juice must be 100 percent full-strength. For breakfast, vegetables may be substituted for fruits, but the first two cups per week of any such substitution must be from the dark green, red/orange, beans and peas (legumes) or “Other vegetables” subgroups as defined in §210.10(c)(2)(iii). The fruit quantity requirement for the SBP (5 cups/week and a minimum of 1 cup/day) is effective July 1, 2014 (SY 2014-2015). Larger amounts of these vegetables may be served. This category consists of “Other vegetables” as defined in §210.10(c)(2)(iii)(E). For the purposes of the NSLP, “Other vegetables” requirement may be met with any additional amounts from the dark green, red/orange, and beans/peas (legumes) vegetable subgroups as defined in §210.10(c)(2)(iii). Any vegetable subgroup may be offered to meet the total weekly vegetable requirement. At least half of the grains offered must be whole grain-rich in the NSLP beginning July 1, 2012 (SY 2012-2013), and in the SBP beginning July 1, 2013 (SY 2013-2014). All grains must be whole grain-rich in both the NSLP and the SBP beginning July 1, 2014 (SY 2014-15). In the SBP, the grain ranges must be offered beginning July 1, 2013 (SY 2013-2014). There is no separate meat/meat alternate component in the SBP. Beginning July 1, 2013 (SY 2013-2014), schools may substitute 1 oz eq of meat/meat alternate for 1 oz eq of grains after the minimum daily grains requirement is met. Fluid milk must be low fat (1 percent milk fat or less, unflavored) or fat free (unflavored or flavored). The average daily amount of calories for a 5-day school week must be within the range (at least the minimum and no more than the maximum values). Discretionary sources of calories (solid fats and added sugars) may be added to the meal pattern if within the specifications for calories, saturated fat, trans fat, and sodium. Foods of minimal nutritional value and fluid milk with fat content greater than 1 percent milk fat are not allowed. In the SBP, calories and trans fat specifications take effect beginning July 1, 2013 (SY 2013-2014). Final sodium specifications are to be reached by SY 2022-2023 or July 1, 2022. Intermediate sodium specifications are established for SY 2014-2015 and 2017-2018. See required intermediate specifications in § 210.10(f)(3) for lunches and § 220.8(f)(3) for breakfasts. Attachment D (continued…): MINIMUM FOOD SPECIFICATIONS Summer Food Service Program Meal Pattern Food Components Breakfast Lunch or Supper Snack1 (Choose two of the four) Milk Milk, fluid 1 cup (8 fl oz)2 1 cup (8 fl oz)3 1 cup (8 fl oz)2 Vegetables and/or Fruits Vegetable(s) and/or fruit(s), or full-strength vegetable or fruit juice ½ cup ¾ cup total4 ¾ cup An equivalent quantity of any combination of vegetables(s), fruit(s), and juice ½ cup (4 fl oz) ¾ cup (6 fl oz) Grains and Breads5 Bread 1 slice 1 slice 1 slice Cornbread, biscuits, rolls, muffins, etc. 1 serving 1 serving 1 serving Cold dry cereal ¾ cup or 1 oz6 ¾ cup or 1 oz6 Cooked pasta or noodle product ½ cup ½ cup ½ cup Cooked cereal or cereal grains or anequivalent quantity of any combination of grains/breads ½ cup ½ cup ½ cup Meat and Meat Alternates (Optional) Lean meat or poultry or fish or alternate protein product7 1 oz 2 oz 1 oz Cheese 1 oz 2 oz 1 oz Eggs ½ large egg 1 large egg ½ large egg Cooked dry beans or peas ¼ cup ½ cup ¼ cup Peanut butter or soynut butter or other nut or seed butters 2 tbsp 4 tbsp 2 tbsp Peanuts or soynuts or tree nuts or seeds, or yogurt, plain or sweetened and flavored 1 oz 1 oz= 50%8 1 oz An equivalent quantity of any combination of the above meat/meat alternates 4 oz or ½ cup 8 oz or 1 cup 4 oz or ½ cup For the purpose of this table, a cup means a standard measuring cup. Serve two food items. Each food item must be from a different food component. Juice may not be served when milk is served as the only other component. Shall be served as a beverage, or on cereal, or use part of it for each purpose. Shall be served as a beverage. Serve two or more kinds of vegetable(s) and or fruit(s) or a combination of both. Full-strength vegetable or fruit juice may be counted to meet not more than one-half of this requirement. All grain/bread items must be enriched or whole grain, made from enriched or whole-grain meal or flour, or if it is a cereal, the product must be whole-grain, enriched or fortified. Bran and germ are credited the same as enriched or whole grain meal or flour. Either volume (cup) or weight (oz) whichever is less. Must meet the requirements in Appendix A of the SFSP regulations. No more than 50 percent of the requirement shall be met with nuts or seeds. Nuts or seeds shall be combined with another meat/meat alternate to fulfill the requirement. When determining combinations, 1 oz of nuts or seeds is equal to 1 oz of cooked lean meat, poultry, or fish. Attachment D (continued…): MINIMUM FOOD SPECIFICATIONS Infant Meal Pattern Requirements Child and Adult Care Food Program EFFECTIVE OCTOBER 1, 2021 Infants should be fed on demand when they show hunger signals Sponsors must offer to at least one reimbursable iron-fortified infant formula (IFIF) The tables below list minimum serving sizes to meet meal pattern requirements Breakfast, Lunch, and Supper: Food Components and Food Items Birth – 5 Months 6 – 11 Months Breast Milk1 or Iron-Fortified Infant Formula (IFIF)1,2 4-6 fl. oz. 6-8 fl. oz. Fruit or Vegetable3,4 or a combination of both 0-2 Tbsp. Iron-Fortified Infant Cereal (IFIC)5,6 or Meat/Meat Alternates (M/MA)3, including Meat, fish, poultry, whole eggs, cooked beans/peas, or Cheese, or Cottage Cheese, or Yogurt7 0 – ½ oz. eq. (0-4 Tbsp.) 0-4 Tbsp. 0-2 oz. 0-4 oz. or ½ cup 0-4 oz. or ½ cup Note: Iron-Fortified Infant Cereal (IFIC) is the only Grain item that is allowed at Breakfast, Lunch, and Supper. Infants that do not consume IFIC can be served a M/MA item instead. Snack: Food Components and Food Items Birth – 5 Months 6 – 11 Months Breast Milk1 or Iron-Fortified Infant Formula (IFIF) 1,2 4-6 fl. oz. 2-4 fl. oz. Fruit or Vegetable3,4 or a combination of both 0-2 Tbsp. Iron-Fortified Infant Cereal (IFIC) 5,6 or Breads, Crackers, or Ready-to-Eat (RTE) Cereals5,6,8 Bread, Tortilla, or Biscuit, or Waffle, Pancake, or English Muffin, or Savory Crackers, or Sweet Crackers, or RTE Cereals, Flakes or Rounds9, or RTE Cereals, Puffs9 0 – ½ oz. eq. (0-4 Tbsp.) 0 – ½ oz. eq. 14 grams 17 grams grams grams 7 grams or 4 Tbsp. or ¼ cup 7 grams or 5 Tbsp. or ⅓ cup Note: Breads, crackers, and RTE cereals are only allowed at Snack. M/MAs can be served as a bonus item only. 1 Breast milk or IFIF, or portions of both must be served. Serving breast milk, when available, is considered a best practice for infants from birth through 11 months.SPECIFICATIONS

Individual Performing Services. (including address if different from No. 10 a) (Last name, first name, MI)   Amount of Payment: (check all that apply) $_ __________________________________ Actual □ Planned □ Type of Payment: (check all that apply) □ A. Retainer □ B. One-Time Fee □ C. Commission □ D. Contingency Fee □ E. Deferred □ F. Other: (specify)  __________________ Form of Payment: (check all that apply) □ A. Cash Nature Nature____________ □ B. In-kind (specify) Value Value_____________ Brief Description of services performed or to be performed and date(s) of service, including officer(s), employees, or members) contracted for payment indicated in Item 11 . 11. (Attach Continuation Sheets if necessary) Continuation Sheets Attached: Yes □ No □ Information requested through this form is authorized by Title 31 U.S.C. Section 1352. The disclosure of lobbying activities is a material representation of fact upon which evidence was placed by the above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. The information will be reported to the Congress semiannually and will be available for public inspection. Any person who fails to file the required disclosures shall be subject to a civil penalty of no less than $10,000 and no more than $100,000 for each such failure. Signature: __________________________________ Print Name: Name: _________________________________ Title: Title: _______________________________________ Telephone Number: Number: __________________________ Date: Date: _______________________________________ Federal Use Only Authorized for Local Reproduction INSTRUCTIONS FOR COMPLETION OF DISCLOSURE OF LOBBYING ACTIVITIES FORM This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action or a material change in a previous filing, pursuant to Title 31 U.S.C. Section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Use a Continuation Sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget (OMB) for additional information. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. Identify the status of the covered Federal action. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered action. Enter the full name, address, city, state, and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include, but are not limited to, subcontracts, subgrants, and contract awards under grants. If the organization filing the report in Item 4 checks Subawardee, then enter the full name, address, city, state, and zip code of the prime Federal recipient. Include Congressional District, if known. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if know. For example: Department of Transportation, United States Coast Guard. Enter the Federal program name or description for the covered Federal action (Item1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. Enter the most appropriate Federal identifying number available for the Federal action identified in Item 1; e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency. Include prefixes; e.g., RFP-DE-90-001. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in Item 4 or Item 5. Enter the full name, address, city, state, and zip code of the lobbying entity engaged by the reporting entity identified in Item 4 to influence the covered Federal action. Enter the full name of the individual performing services, and include full address if different from 10a. Enter last name, first name, and middle initial (MI). Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (Item 4) to the lobbying entity (Item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. Check the appropriate item. Check all items that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. Check the appropriate box. Check all boxes that apply. If other, specify nature. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to perform, and the dates of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal officials or employees contacted or the officers, employees, or Members of Congress that were contacted. Check whether Continuation Sheets are enclosed. The certifying official shall sign and date the form; print his/her name, title, and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instructions, searching data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), XxxxxxxxxxWashington, X.X. 00000D.C. 20503. Meal Pattern Amount ATTACHMENT Z: PROPOSAL SUMMARY FIXED PRICE PROTOTYPE CONTRACT Nonprofit School Food Service This document contains a proposal for the furnishing of Foodb Per Week (Minimum Per Day) Vegetables (cups)c,d 0 0 0 3¾ (¾) 3¾ (¾) 5 (1) Dark greenf 0 0 0 ½ ½ ½ Beans/peas (legumes)f 0 0 0 ½ ½ ½ Starchyf 0 0 0 ½ ½ ½ Otherf,g 0 0 0 ½ ½ ¾ Grains (oz eq)i 7-10 (1)j 8-10 (1)j 9-10 (1)j 8-9 (1) 8-10 (1) 10-12 (2) Meats/meat alternates (oz eq) 0k 0k 0k 8-10 (1) 9-10 (1) 10-12 (2) Fluid milk (cups)l 5 (1) 5 (1) 5 (1) 5 (1) 5 (1) 5 (1) Other Specifications: Daily Amount Based on management services for the Average for a 5-Day Week Min-max calories (kcal)m,n,o 350-500 400-550 450-600 550-650 600-700 750-850 Saturated fat (% of total calories)n,o < 10 < 10 < 10 < 10 < 10 < 10 Sodium (mg)n, p < 430 < 470 < 500 < 640 < 710 < 740 Trans fatn,o Nutrition label or manufacturer specifications must indicate zero grams of trans fat per serving. In the SBP, the above age-grade groups are required beginning July 1, 2013 (SY 2013-14). In SY 2012-2013 only, schools may continue to use the meal pattern for grades K-12 (see § 220.23). Food items included in each food group and subgroup and amount equivalents. Minimum creditable serving is ⅛ cup. One quarter-cup of dried fruit counts as ½ cup of fruit; 1 cup of leafy greens counts as ½ cup of vegetables. No more than half operation of the fruit or vegetable offerings may be in nonprofit food service programs and sets forth the form of juiceterms and conditions applicable to the proposed procurement. All juice must be 100 percent full-strength. For breakfastUpon acceptance, vegetables may be substituted for fruits, but this document shall constitute the first two cups per week of any such substitution must be from contract between the dark green, red/orange, beans offeror and peas (legumes) or “Other vegetables” subgroups as defined in §210.10(c)(2)(iii)the school food authority. The fruit quantity requirement for the SBP (5 cups/week and a minimum offeror shall not plead misunderstanding or deception because of 1 cup/day) is effective July 1such estimate of quantities, 2014 (SY 2014-2015). Larger amounts of these vegetables may be served. This category consists of “Other vegetables” as defined in §210.10(c)(2)(iii)(E). For the purposes or of the NSLPcharacter, “Other vegetables” requirement may be met with any additional amounts from the dark greenlocation, red/orange, and beans/peas (legumes) vegetable subgroups as defined in §210.10(c)(2)(iii). Any vegetable subgroup may be offered to meet the total weekly vegetable requirement. At least half of the grains offered must be whole grain-rich in the NSLP beginning July 1, 2012 (SY 2012-2013), and in the SBP beginning July 1, 2013 (SY 2013-2014). All grains must be whole grain-rich in both the NSLP and the SBP beginning July 1, 2014 (SY 2014-15). In the SBP, the grain ranges must be offered beginning July 1, 2013 (SY 2013-2014). There is no separate meat/meat alternate component in the SBP. Beginning July 1, 2013 (SY 2013-2014), schools may substitute 1 oz eq of meat/meat alternate for 1 oz eq of grains after the minimum daily grains requirement is met. Fluid milk must be low fat (1 percent milk fat or less, unflavored) or fat free (unflavored or flavored). The average daily amount of calories for a 5-day school week must be within the range (at least the minimum and no more than the maximum values). Discretionary sources of calories (solid fats and added sugars) may be added other conditions pertaining to the meal pattern if within the specifications for calories, saturated fat, trans fat, and sodium. Foods of minimal nutritional value and fluid milk with fat content greater than 1 percent milk fat are not allowed. In the SBP, calories and trans fat specifications take effect beginning July 1, 2013 (SY 2013-2014). Final sodium specifications are to be reached by SY 2022-2023 or July 1, 2022. Intermediate sodium specifications are established for SY 2014-2015 and 2017-2018. See required intermediate specifications in § 210.10(f)(3) for lunches and § 220.8(f)(3) for breakfasts. Attachment D (continued): MINIMUM FOOD SPECIFICATIONS Summer Food Service Program Meal Pattern Food Components Breakfast Lunch or Supper Snack1 (Choose two of the four) Milk Milk, fluid 1 cup (8 fl oz)2 1 cup (8 fl oz)3 1 cup (8 fl oz)2 Vegetables and/or Fruits Vegetable(s) and/or fruit(s), or full-strength vegetable or fruit juice ½ cup ¾ cup total4 ¾ cup An equivalent quantity of any combination of vegetables(s), fruit(s), and juice ½ cup (4 fl oz) ¾ cup (6 fl oz) Grains and Breads5 Bread 1 slice 1 slice 1 slice Cornbread, biscuits, rolls, muffins, etc. 1 serving 1 serving 1 serving Cold dry cereal ¾ cup or 1 oz6 ¾ cup or 1 oz6 Cooked pasta or noodle product ½ cup ½ cup ½ cup Cooked cereal or cereal grains or anequivalent quantity of any combination of grains/breads ½ cup ½ cup ½ cup Meat and Meat Alternates (Optional) Lean meat or poultry or fish or alternate protein product7 1 oz 2 oz 1 oz Cheese 1 oz 2 oz 1 oz Eggs ½ large egg 1 large egg ½ large egg Cooked dry beans or peas ¼ cup ½ cup ¼ cup Peanut butter or soynut butter or other nut or seed butters 2 tbsp 4 tbsp 2 tbsp Peanuts or soynuts or tree nuts or seeds, or yogurt, plain or sweetened and flavored 1 oz 1 oz= 50%8 1 oz An equivalent quantity of any combination of the above meat/meat alternates 4 oz or ½ cup 8 oz or 1 cup 4 oz or ½ cup For the purpose of this table, a cup means a standard measuring cup. Serve two food items. Each food item must be from a different food component. Juice may not be served when milk is served as the only other component. Shall be served as a beverage, or on cereal, or use part of it for each purpose. Shall be served as a beverage. Serve two or more kinds of vegetable(s) and or fruit(s) or a combination of both. Full-strength vegetable or fruit juice may be counted to meet not more than one-half of this requirement. All grain/bread items must be enriched or whole grain, made from enriched or whole-grain meal or flour, or if it is a cereal, the product must be whole-grain, enriched or fortified. Bran and germ are credited the same as enriched or whole grain meal or flour. Either volume (cup) or weight (oz) whichever is less. Must meet the requirements in Appendix A of the SFSP regulations. No more than 50 percent of the requirement shall be met with nuts or seeds. Nuts or seeds shall be combined with another meat/meat alternate to fulfill the requirement. When determining combinations, 1 oz of nuts or seeds is equal to 1 oz of cooked lean meat, poultry, or fish. Attachment D (continued): MINIMUM FOOD SPECIFICATIONS Infant Meal Pattern Requirements Child and Adult Care Food Program EFFECTIVE OCTOBER 1, 2021 Infants should be fed on demand when they show hunger signals Sponsors must offer to at least one reimbursable iron-fortified infant formula (IFIF) The tables below list minimum serving sizes to meet meal pattern requirements Breakfast, Lunch, and Supper: Food Components and Food Items Birth – 5 Months 6 – 11 Months Breast Milk1 or Iron-Fortified Infant Formula (IFIF)1,2 4-6 fl. oz. 6-8 fl. oz. Fruit or Vegetable3,4 or a combination of both 0-2 Tbsp. Iron-Fortified Infant Cereal (IFIC)5,6 or Meat/Meat Alternates (M/MA)3, including Meat, fish, poultry, whole eggs, cooked beans/peas, or Cheese, or Cottage Cheese, or Yogurt7 0 – ½ oz. eq. (0-4 Tbspproposal.) 0-4 Tbsp. 0-2 oz. 0-4 oz. or ½ cup 0-4 oz. or ½ cup Note: Iron-Fortified Infant Cereal (IFIC) is the only Grain item that is allowed at Breakfast, Lunch, and Supper. Infants that do not consume IFIC can be served a M/MA item instead. Snack: Food Components and Food Items Birth – 5 Months 6 – 11 Months Breast Milk1 or Iron-Fortified Infant Formula (IFIF) 1,2 4-6 fl. oz. 2-4 fl. oz. Fruit or Vegetable3,4 or a combination of both 0-2 Tbsp. Iron-Fortified Infant Cereal (IFIC) 5,6 or Breads, Crackers, or Ready-to-Eat (RTE) Cereals5,6,8 Bread, Tortilla, or Biscuit, or Waffle, Pancake, or English Muffin, or Savory Crackers, or Sweet Crackers, or RTE Cereals, Flakes or Rounds9, or RTE Cereals, Puffs9 0 – ½ oz. eq. (0-4 Tbsp.) 0 – ½ oz. eq. 14 grams 17 grams grams grams 7 grams or 4 Tbsp. or ¼ cup 7 grams or 5 Tbsp. or ⅓ cup Note: Breads, crackers, and RTE cereals are only allowed at Snack. M/MAs can be served as a bonus item only. 1 Breast milk or IFIF, or portions of both must be served. Serving breast milk, when available, is considered a best practice for infants from birth through 11 months.

Individual Performing Services. (including address if different from No. 10 a) (Last name, first name, MI)   Amount of Payment: (check all that apply) $_ __________________________________ Actual □ Planned □ Type of Payment: (check all that apply) □ A. Retainer □ B. One-Time Fee □ C. Commission □ D. Contingency Fee □ E. Deferred □ F. Other: (specify)  __________________ Form of Paymentpayment: (check all that apply) □ A. Cash Nature Nature____________ □ B. In-kind (specify) Value Value_____________ Brief Description of services performed or to be performed and date(s) of service, including officer(s), employees, or members) contracted for payment indicated in Item 11 . 11. (Attach Continuation Sheets if necessary) Continuation Sheets Attached: Yes □ No □ Information requested through this form is authorized by Title 31 U.S.C. Section 1352. The disclosure of lobbying activities is a material representation of fact upon which evidence was placed by the above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. The information will be reported to the Congress semiannually and will be available for public inspection. Any person who fails to file the required disclosures shall be subject to a civil penalty of no less than $10,000 and no more than $100,000 for each such failure. Signature: __________________________________ Print Name: Name: _________________________________ Title: Title: _______________________________________ Telephone Number: Number: __________________________ Date: Date: _______________________________________ Federal Use Only Authorized for Local Reproduction INSTRUCTIONS FOR COMPLETION OF DISCLOSURE OF LOBBYING ACTIVITIES FORM This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action or a material change in a previous filing, pursuant to Title 31 U.S.C. Section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Use a Continuation Sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget (OMB) for additional information. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. Identify the status of the covered Federal action. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered action. Enter the full name, address, city, state, and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include, but are not limited to, subcontracts, subgrants, and contract awards under grants. If the organization filing the report in Item 4 checks Subawardee, then enter the full name, address, city, state, and zip code of the prime Federal recipient. Include Congressional District, if known. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if know. For example: Department of Transportation, United States Coast Guard. Enter the Federal program name or description for the covered Federal action (Item1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. Enter the most appropriate Federal identifying number available for the Federal action identified in Item 1; e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency. Include prefixes; e.g., RFP-DE-90-001. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in Item 4 or Item 5. Enter the full name, address, city, state, and zip code of the lobbying entity engaged by the reporting entity identified in Item 4 to influence the covered Federal action. Enter the full name of the individual performing services, and include full address if different from 10a. Enter last name, first name, and middle initial (MI). Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (Item 4) to the lobbying entity (Item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. Check the appropriate item. Check all items that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. Check the appropriate box. Check all boxes that apply. If other, specify nature. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to perform, and the dates of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal officials or employees contacted or the officers, employees, or Members of Congress that were contacted. Check whether Continuation Sheets are enclosed. The certifying official shall sign and date the form; print his/her name, title, and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instructions, searching data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Xxxxxxxxxx, X.X. 00000. Meal Pattern Amount of Foodb Per Week (Minimum Per Day) Vegetables (cups)c,d 0 0 0 3¾ (¾) 3¾ (¾) 5 (1) Dark greenf 0 0 0 ½ ½ ½ Beans/peas (legumes)f 0 0 0 ½ ½ ½ Starchyf 0 0 0 ½ ½ ½ Otherf,g 0 0 0 ½ ½ ¾ Grains (oz eq)i 7-10 (1)j 8-10 (1)j 9-10 (1)j 8-9 (1) 8-10 (1) 10-12 (2) Meats/meat alternates (oz eq) 0k 0k 0k 8-10 (1) 9-10 (1) 10-12 (2) Fluid milk (cups)l 5 (1) 5 (1) 5 (1) 5 (1) 5 (1) 5 (1) Other Specifications: Daily Amount Based on the Average for a 5-Day Week Min-max calories (kcal)m,n,o 350-500 400-550 450-600 550-650 600-700 750-850 Saturated fat (% of total calories)n,o < 10 < 10 < 10 < 10 < 10 < 10 Sodium (mg)n, p < 430 < 470 < 500 < 640 < 710 < 740 Trans fatn,o Nutrition label or manufacturer specifications must indicate zero grams of trans fat per serving. In the SBP, the above age-grade groups are required beginning July 1, 2013 (SY 2013-14). In SY 2012-2013 only, schools may continue to use the meal pattern for grades K-12 (see § 220.23). Food items included in each food group and subgroup and amount equivalents. Minimum creditable serving is ⅛ cup. One quarter-cup of dried fruit counts as ½ cup of fruit; 1 cup of leafy greens counts as ½ cup of vegetables. No more than half of the fruit or vegetable offerings may be in the form of juice. All juice must be 100 percent full-strength. For breakfast, vegetables may be substituted for fruits, but the first two cups per week of any such substitution must be from the dark green, red/orange, beans and peas (legumes) or “Other vegetables” subgroups as defined in §210.10(c)(2)(iii). The fruit quantity requirement for the SBP (5 cups/week and a minimum of 1 cup/day) is effective July 1, 2014 (SY 2014-2015). Larger amounts of these vegetables may be served. This category consists of “Other vegetables” as defined in §210.10(c)(2)(iii)(E). For the purposes of the NSLP, “Other vegetables” requirement may be met with any additional amounts from the dark green, red/orange, and beans/peas (legumes) vegetable subgroups as defined in §210.10(c)(2)(iii). Any vegetable subgroup may be offered to meet the total weekly vegetable requirement. At least half of the grains offered must be whole grain-rich in the NSLP beginning July 1, 2012 (SY 2012-2013), and in the SBP beginning July 1, 2013 (SY 2013-2014). All grains must be whole grain-rich in both the NSLP and the SBP beginning July 1, 2014 (SY 2014-15). In the SBP, the grain ranges must be offered beginning July 1, 2013 (SY 2013-2014). There is no separate meat/meat alternate component in the SBP. Beginning July 1, 2013 (SY 2013-2014), schools may substitute 1 oz eq of meat/meat alternate for 1 oz eq of grains after the minimum daily grains requirement is met. Fluid milk must be low fat (1 percent milk fat or less, unflavored) or fat free (unflavored or flavored). The average daily amount of calories for a 5-day school week must be within the range (at least the minimum and no more than the maximum values). Discretionary sources of calories (solid fats and added sugars) may be added to the meal pattern if within the specifications for calories, saturated fat, trans fat, and sodium. Foods of minimal nutritional value and fluid milk with fat content greater than 1 percent milk fat are not allowed. In the SBP, calories and trans fat specifications take effect beginning July 1, 2013 (SY 2013-2014). Final sodium specifications are to be reached by SY 2022-2023 or July 1, 2022. Intermediate sodium specifications are established for SY 2014-2015 and 2017-2018. See required intermediate specifications in § 210.10(f)(3) for lunches and § 220.8(f)(3) for breakfasts. Attachment D (continued): MINIMUM FOOD SPECIFICATIONS Summer Food Service Program Meal Pattern Food Components Breakfast Lunch or Supper Snack1 (Choose two of the four) Milk Milk, fluid 1 cup (8 fl oz)2 1 cup (8 fl oz)3 1 cup (8 fl oz)2 Vegetables and/or Fruits Vegetable(s) and/or fruit(s), or full-strength vegetable or fruit juice ½ cup ¾ cup total4 ¾ cup An equivalent quantity of any combination of vegetables(s), fruit(s), and juice ½ cup (4 fl oz) ¾ cup (6 fl oz) Grains and Breads5 Bread 1 slice 1 slice 1 slice Cornbread, biscuits, rolls, muffins, etc. 1 serving 1 serving 1 serving Cold dry cereal ¾ cup or 1 oz6 ¾ cup or 1 oz6 Cooked pasta or noodle product ½ cup ½ cup ½ cup Cooked cereal or cereal grains or anequivalent quantity of any combination of grains/breads ½ cup ½ cup ½ cup Meat and Meat Alternates (Optional) Lean meat or poultry or fish or alternate protein product7 1 oz 2 oz 1 oz Cheese 1 oz 2 oz 1 oz Eggs ½ large egg 1 large egg ½ large egg Cooked dry beans or peas ¼ cup ½ cup ¼ cup Peanut butter or soynut butter or other nut or seed butters 2 tbsp 4 tbsp 2 tbsp Peanuts or soynuts or tree nuts or seeds, or yogurt, plain or sweetened and flavored 1 oz 1 oz= 50%8 1 oz An equivalent quantity of any combination of the above meat/meat alternates 4 oz or ½ cup 8 oz or 1 cup 4 oz or ½ cup For the purpose of this table, a cup means a standard measuring cup. Serve two food items. Each food item must be from a different food component. Juice may not be served when milk is served as the only other component. Shall be served as a beverage, or on cereal, or use part of it for each purpose. Shall be served as a beverage. Serve two or more kinds of vegetable(s) and or fruit(s) or a combination of both. Full-strength vegetable or fruit juice may be counted to meet not more than one-half of this requirement. All grain/bread items must be enriched or whole grain, made from enriched or whole-grain meal or flour, or if it is a cereal, the product must be whole-grain, enriched or fortified. Bran and germ are credited the same as enriched or whole grain meal or flour. Either volume (cup) or weight (oz) whichever is less. Must meet the requirements in Appendix A of the SFSP regulations. No more than 50 percent of the requirement shall be met with nuts or seeds. Nuts or seeds shall be combined with another meat/meat alternate to fulfill the requirement. When determining combinations, 1 oz of nuts or seeds is equal to 1 oz of cooked lean meat, poultry, or fish. Attachment D (continued): MINIMUM FOOD SPECIFICATIONS Infant Meal Pattern Requirements Child and Adult Care Food Program EFFECTIVE OCTOBER 1, 2021 Infants should be fed on demand when they show hunger signals Sponsors must offer to at least one reimbursable iron-fortified infant formula (IFIF) The tables below list minimum serving sizes to meet meal pattern requirements Breakfast, Lunch, and Supper: Food Components and Food Items Birth – 5 Months 6 – 11 Months Breast Milk1 or Iron-Fortified Infant Formula (IFIF)1,2 4-6 fl. oz. 6-8 fl. oz. Fruit or Vegetable3,4 or a combination of both 0-2 Tbsp. Iron-Fortified Infant Cereal (IFIC)5,6 or Meat/Meat Alternates (M/MA)3, including Meat, fish, poultry, whole eggs, cooked beans/peas, or Cheese, or Cottage Cheese, or Yogurt7 0 – ½ oz. eq. (0-4 Tbsp.) 0-4 Tbsp. 0-2 oz. 0-4 oz. or ½ cup 0-4 oz. or ½ cup Note: Iron-Fortified Infant Cereal (IFIC) is the only Grain item that is allowed at Breakfast, Lunch, and Supper. Infants that do not consume IFIC can be served a M/MA item instead. Snack: Food Components and Food Items Birth – 5 Months 6 – 11 Months Breast Milk1 or Iron-Fortified Infant Formula (IFIF) 1,2 4-6 fl. oz. 2-4 fl. oz. Fruit or Vegetable3,4 or a combination of both 0-2 Tbsp. Iron-Fortified Infant Cereal (IFIC) 5,6 or Breads, Crackers, or Ready-to-Eat (RTE) Cereals5,6,8 Bread, Tortilla, or Biscuit, or Waffle, Pancake, or English Muffin, or Savory Crackers, or Sweet Crackers, or RTE Cereals, Flakes or Rounds9, or RTE Cereals, Puffs9 0 – ½ oz. eq. (0-4 Tbsp.) 0 – ½ oz. eq. 14 grams 17 grams grams grams 7 grams or 4 Tbsp. or ¼ cup 7 grams or 5 Tbsp. or ⅓ cup Note: Breads, crackers, and RTE cereals are only allowed at Snack. M/MAs can be served as a bonus item only. 1 Breast milk or IFIF, or portions of both must be served. Serving breast milk, when available, is considered a best practice for infants from birth through 11 months.

Individual Performing Services. (including address if different from No. 10 a) (Last name, first name, MI)   Amount of Payment: (check all that apply) $_ __________________________________ Actual □ Planned □ Type of Payment: (check all that apply) □ A. Retainer □ B. One-Time Fee □ C. Commission □ D. Contingency Fee □ E. Deferred □ F. Other: (specify)  __________________ Form of Paymentpayment: (check all that apply) □ A. Cash Nature Nature____________ □ B. In-kind (specify) Value Value_____________ Brief Description of services performed or to be performed and date(s) of service, including officer(s), employees, or members) contracted for payment indicated in Item 11 . 11. (Attach Continuation Sheets if necessary) Continuation Sheets Attached: Yes □ No □ Information requested through this form is authorized by Title 31 U.S.C. Section 1352. The disclosure of lobbying activities is a material representation of fact upon which evidence was placed by the above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. The information will be reported to the Congress semiannually and will be available for public inspection. Any person who fails to file the required disclosures shall be subject to a civil penalty of no less than $10,000 and no more than $100,000 for each such failure. Signature: __________________________________ Print Name: Name: _________________________________ Title: Title: _______________________________________ Telephone Number: Number: __________________________ Date: Date: _______________________________________ Federal Use Only Authorized for Local Reproduction INSTRUCTIONS FOR COMPLETION OF DISCLOSURE OF LOBBYING ACTIVITIES FORM This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action or a material change in a previous filing, pursuant to Title 31 U.S.C. Section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Use a Continuation Sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget (OMB) for additional information. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. Identify the status of the covered Federal action. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered action. Enter the full name, address, city, state, and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include, but are not limited to, subcontracts, subgrants, and contract awards under grants. If the organization filing the report in Item 4 checks Subawardee, then enter the full name, address, city, state, and zip code of the prime Federal recipient. Include Congressional District, if known. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if know. For example: Department of Transportation, United States Coast Guard. Enter the Federal program name or description for the covered Federal action (Item1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. Enter the most appropriate Federal identifying number available for the Federal action identified in Item 1; e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency. Include prefixes; e.g., RFP-DE-90-001. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in Item 4 or Item 5. Enter the full name, address, city, state, and zip code of the lobbying entity engaged by the reporting entity identified in Item 4 to influence the covered Federal action. Enter the full name of the individual performing services, and include full address if different from 10a. Enter last name, first name, and middle initial (MI). Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (Item 4) to the lobbying entity (Item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. Check the appropriate item. Check all items that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. Check the appropriate box. Check all boxes that apply. If other, specify nature. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to perform, and the dates of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal officials or employees contacted or the officers, employees, or Members of Congress that were contacted. Check whether Continuation Sheets are enclosed. The certifying official shall sign and date the form; print his/her name, title, and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instructions, searching data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), XxxxxxxxxxWashington, X.X. 00000D.C. 20503. Meal Pattern Amount of Foodb Per Week (Minimum Per Day) Vegetables (cups)c,d 0 0 0 3¾ (¾) 3¾ (¾) 5 (1) Dark greenf 0 0 0 ½ ½ ½ Beans/peas (legumes)f 0 0 0 ½ ½ ½ Starchyf 0 0 0 ½ ½ ½ Otherf,g 0 0 0 ½ ½ ¾ Grains (oz eq)i 7-10 (1)j 8-10 (1)j 9-10 (1)j 8-9 (1) 8-10 (1) 10-12 (2) Meats/meat alternates (oz eq) 0k 0k 0k 8-10 (1) 9-10 (1) 10-12 (2) Fluid milk (cups)l 5 (1) 5 (1) 5 (1) 5 (1) 5 (1) 5 (1) Other Specifications: Daily Amount Based on the Average for a 5-Day Week Min-max calories (kcal)m,n,o 350-500 400-550 450-600 550-650 600-700 750-850 Saturated fat (% of total calories)n,o < 10 < 10 < 10 < 10 < 10 < 10 Sodium (mg)n, p < 430 < 470 < 500 < 640 < 710 < 740 Trans fatn,o Nutrition label or manufacturer specifications must indicate zero grams of trans fat per serving. In the SBP, the above age-1 List grade groups are required beginning July 1, 2013 (SY 2013-14). In SY 2012-2013 only, schools may continue that have access to use the meal pattern for grades K-12 (see § 220.23). Food items included in each food group and subgroup and amount equivalents. Minimum creditable serving is ⅛ cup. One quarter-cup of dried fruit counts as ½ cup of fruit; 1 cup of leafy greens counts as ½ cup of vegetables. No more than half of the fruit service 2 Indicate if site or vegetable offerings may be in the form of juice. All juice must be 100 percent full-strength. For breakfast, vegetables may be substituted for fruits, but the first two cups per week of any such substitution must be from the dark green, red/orange, beans and peas (legumes) or “Other vegetables” subgroups as defined in §210.10(c)(2)(iii). The fruit quantity requirement for the SBP (5 cups/week and a minimum of 1 cup/day) is effective July 1, 2014 (SY 2014-2015). Larger amounts of these vegetables may be served. This category consists of “Other vegetables” as defined in §210.10(c)(2)(iii)(E). For the purposes of the NSLP, “Other vegetables” requirement may be met with any additional amounts from the dark green, red/orange, and beans/peas (legumes) vegetable subgroups as defined in §210.10(c)(2)(iii). Any vegetable subgroup may be offered to meet the total weekly vegetable requirement. At least half of the grains offered must be whole grain-rich in the NSLP beginning July 1, 2012 (SY 2012-2013), and in the SBP beginning July 1, 2013 (SY 2013-2014). All grains must be whole grain-rich in both the NSLP and the SBP beginning July 1, 2014 (SY 2014-15). In the SBP, the grain ranges must be offered beginning July 1, 2013 (SY 2013-2014). There is no separate meat/meat alternate component in the SBP. Beginning July 1, 2013 (SY 2013-2014), schools may substitute 1 oz eq of meat/meat alternate for 1 oz eq of grains after the minimum daily grains requirement is met. Fluid milk must be low fat (1 percent milk fat or less, unflavored) or fat free (unflavored or flavored). The average daily amount of calories for a 5-day school week must be within the range (at least the minimum and no more than the maximum values). Discretionary sources of calories (solid fats and added sugars) may be added to the meal pattern if within the specifications for calories, saturated fat, trans fat, and sodium. Foods of minimal nutritional value and fluid milk with fat content greater than 1 percent milk fat are not allowed. In the SBP, calories and trans fat specifications take effect beginning July 1, 2013 (SY 2013-2014). Final sodium specifications are to be reached by SY 2022-2023 or July 1, 2022. Intermediate sodium specifications are established for SY 2014-2015 and 2017-2018. See required intermediate specifications in § 210.10(f)(3) for lunches and § 220.8(f)(3) for breakfasts. Attachment D (continued): MINIMUM FOOD SPECIFICATIONS Summer Food Service Program Meal Pattern Food Components Breakfast Lunch or Supper Snack1 (Choose two of the four) Milk Milk, fluid 1 cup (8 fl oz)2 1 cup (8 fl oz)3 1 cup (8 fl oz)2 Vegetables and/or Fruits Vegetable(s) and/or fruit(s), or full-strength vegetable or fruit juice ½ cup ¾ cup total4 ¾ cup An equivalent quantity of any combination of vegetables(s), fruit(s), and juice ½ cup (4 fl oz) ¾ cup (6 fl oz) Grains and Breads5 Bread 1 slice 1 slice 1 slice Cornbread, biscuits, rolls, muffins, etc. 1 serving 1 serving 1 serving Cold dry cereal ¾ cup or 1 oz6 ¾ cup or 1 oz6 Cooked pasta or noodle product ½ cup ½ cup ½ cup Cooked cereal or cereal grains or anequivalent quantity of any combination of grains/breads ½ cup ½ cup ½ cup Meat and Meat Alternates (Optional) Lean meat or poultry or fish or alternate protein product7 1 oz 2 oz 1 oz Cheese 1 oz 2 oz 1 oz Eggs ½ large egg 1 large egg ½ large egg Cooked dry beans or peas ¼ cup ½ cup ¼ cup Peanut butter or soynut butter or other nut or seed butters 2 tbsp 4 tbsp 2 tbsp Peanuts or soynuts or tree nuts or seeds, or yogurt, plain or sweetened and flavored 1 oz 1 oz= 50%8 1 oz An equivalent quantity of any combination of the above meat/meat alternates 4 oz or ½ cup 8 oz or 1 cup 4 oz or ½ cup For the purpose of this table, a cup means a standard measuring cup. Serve two food items. Each food item must be from a different food component. Juice may not be served when milk is served as the only other component. Shall be served as a beverage, or prepares meals on cereal, or use part of it for each purpose. Shall be served as a beverage. Serve two or more kinds of vegetable(s) and or fruit(s) or a combination of both. Full-strength vegetable or fruit juice may be counted to meet not more than one-half of this requirement. All grain/bread items must be enriched or whole grain, made from enriched or whole-grain meal or flour, site or if it is a cereal, the product must be wholemeals are satellite sent in bulk or pre-grain, enriched or fortified. Bran and germ are credited the same as enriched or whole grain meal or flour. Either volume (cup) or weight (oz) whichever is less. Must meet the requirements in Appendix A of the SFSP regulations. No more than 50 percent of the requirement shall be met with nuts or seeds. Nuts or seeds shall be combined with another meat/meat alternate to fulfill the requirement. When determining combinations, 1 oz of nuts or seeds is equal to 1 oz of cooked lean meat, poultry, or fish. Attachment D (continued): MINIMUM FOOD SPECIFICATIONS Infant Meal Pattern Requirements Child and Adult Care Food Program EFFECTIVE OCTOBER 1, 2021 Infants should be fed on demand when they show hunger signals Sponsors must offer to at least one reimbursable iron-fortified infant formula (IFIF) The tables below list minimum serving sizes to meet meal pattern requirements Breakfast, Lunch, and Supper: Food Components and Food Items Birth – 5 Months 6 – 11 Months Breast Milk1 or Iron-Fortified Infant Formula (IFIF)1,2 4-6 fl. oz. 6-8 fl. oz. Fruit or Vegetable3,4 or a combination of both 0-2 Tbsp. Iron-Fortified Infant Cereal (IFIC)5,6 or Meat/Meat Alternates (M/MA)3, including Meat, fish, poultry, whole eggs, cooked beans/peas, or Cheese, or Cottage Cheese, or Yogurt7 0 – ½ oz. eq. (0-4 Tbspplated.) 0-4 Tbsp. 0-2 oz. 0-4 oz. or ½ cup 0-4 oz. or ½ cup Note: Iron-Fortified Infant Cereal (IFIC) is the only Grain item that is allowed at Breakfast, Lunch, and Supper. Infants that do not consume IFIC can be served a M/MA item instead. Snack: Food Components and Food Items Birth – 5 Months 6 – 11 Months Breast Milk1 or Iron-Fortified Infant Formula (IFIF) 1,2 4-6 fl. oz. 2-4 fl. oz. Fruit or Vegetable3,4 or a combination of both 0-2 Tbsp. Iron-Fortified Infant Cereal (IFIC) 5,6 or Breads, Crackers, or Ready-to-Eat (RTE) Cereals5,6,8 Bread, Tortilla, or Biscuit, or Waffle, Pancake, or English Muffin, or Savory Crackers, or Sweet Crackers, or RTE Cereals, Flakes or Rounds9, or RTE Cereals, Puffs9 0 – ½ oz. eq. (0-4 Tbsp.) 0 – ½ oz. eq. 14 grams 17 grams grams grams 7 grams or 4 Tbsp. or ¼ cup 7 grams or 5 Tbsp. or ⅓ cup Note: Breads, crackers, and RTE cereals are only allowed at Snack. M/MAs can be served as a bonus item only. 1 Breast milk or IFIF, or portions of both must be served. Serving breast milk, when available, is considered a best practice for infants from birth through 11 months.

Individual Performing Services. (including address if different from No. 10 a) (Last name, first name, MI)   Amount of Payment: (check all that apply) $_ __________________________________ Actual □ Planned □ Type of Payment: (check all that apply) □ A. Retainer □ B. One-Time Fee □ C. Commission □ D. Contingency Fee □ E. Deferred □ F. Other: (specify)  __________________ Form of Payment: (check all that apply) □ A. Cash Nature Nature____________ □ B. In-kind (specify) Value Value_____________ Brief Description of services performed or to be performed and date(s) of service, including officer(s), employees, or members) contracted for payment indicated in Item 11 . 11. (Attach Continuation Sheets if necessary) Continuation Sheets Attached: Yes □ No □ Information requested through this form is authorized by Title 31 U.S.C. Section 1352. The disclosure of lobbying activities is a material representation of fact upon which evidence was placed by the above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. The information will be reported to the Congress semiannually and will be available for public inspection. Any person who fails to file the required disclosures shall be subject to a civil penalty of no less than $10,000 and no more than $100,000 for each such failure. Signature: __________________________________ Print Name: Name: _________________________________ Title: Title: _______________________________________ Telephone Number: Number: __________________________ Date: Date: _______________________________________ Federal Use Only Authorized for Local Reproduction INSTRUCTIONS FOR COMPLETION OF DISCLOSURE OF LOBBYING ACTIVITIES FORM This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action or a material change in a previous filing, pursuant to Title 31 U.S.C. Section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Use a Continuation Sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget (OMB) for additional information. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. Identify the status of the covered Federal action. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered action. Enter the full name, address, city, state, and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include, but are not limited to, subcontracts, subgrants, and contract awards under grants. If the organization filing the report in Item 4 checks Subawardee, then enter the full name, address, city, state, and zip code of the prime Federal recipient. Include Congressional District, if known. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if know. For example: Department of Transportation, United States Coast Guard. Enter the Federal program name or description for the covered Federal action (Item1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. Enter the most appropriate Federal identifying number available for the Federal action identified in Item 1; e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency. Include prefixes; e.g., RFP-DE-90-001. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in Item 4 or Item 5. Enter the full name, address, city, state, and zip code of the lobbying entity engaged by the reporting entity identified in Item 4 to influence the covered Federal action. Enter the full name of the individual performing services, and include full address if different from 10a. Enter last name, first name, and middle initial (MI). Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (Item 4) to the lobbying entity (Item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. Check the appropriate item. Check all items that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. Check the appropriate box. Check all boxes that apply. If other, specify nature. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to perform, and the dates of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal officials or employees contacted or the officers, employees, or Members of Congress that were contacted. Check whether Continuation Sheets are enclosed. The certifying official shall sign and date the form; print his/her name, title, and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instructions, searching data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Xxxxxxxxxx, X.X. 00000. ATTACHMENT D: MINIMUM FOOD SPECIFICATIONS To be completed by Sponsor. ODE does not approve, evaluate or endorse specifications. Examples may include the following listed below. Meat/Seafood – All meats, meat products, poultry products, and fish must be government-inspected. Beef, lamb, and veal shall be USDA Grade Choice or better. Pork shall be U.S. No.1 or U.S. No. 2 Poultry shall be U.S. Government Grade A Seafood to be top grade, frozen fish – must be a nationally distributed brand, packed under continuous inspection of the USDA Dairy Products – All dairy products must be government-inspected. Fresh eggs, USDA Grade A or equivalent, 100 percent candled Frozen eggs, USDA – inspected Milk, pasteurized Grade A Fruits and Vegetables Fresh fruits and vegetables selected according to written specifications for freshness, quality, and color – U.S. Grade A Fancy Canned fruits and vegetables selected to requirements – U.S. Grade A Choice or Fancy (fruit to be packed in light syrup or natural juices) Frozen fruits and vegetables shall be U.S. Grade A Choice or better Baked Products Bread, rolls, cookies, pies, cakes, and puddings either prepared or baked on premises or purchased on a quality level commensurate with meeting USDA breakfast and lunch requirements, as applicable Staple Groceries Staple groceries to be a quality level commensurate with previously listed standards At a minimum, any proposed menu plans must comply with the Final Rule Nutrition Standards in the National School Lunch and School Breakfast Programs (see Exhibit A for meal pattern requirements). Attachment D (continued…): MINIMUM FOOD SPECIFICATIONS Meal Pattern Amount of Foodb Per Week (Minimum Per Day) Fruits (cups)c,d 5 (1)e 5 (1)e 5 (1)e 2½ (½) 2½ (½) 5 (1) Vegetables (cups)c,d 0 0 0 3¾ (¾) 3¾ (¾) 5 (1) Dark greenf 0 0 0 ½ ½ ½ Beans/peas (legumes)f 0 0 0 ½ ½ ½ Starchyf 0 0 0 ½ ½ ½ Otherf,g 0 0 0 ½ ½ ¾ Grains (oz eq)i 7-10 (1)j 8-10 (1)j 9-10 (1)j 8-9 (1) 8-10 (1) 10-12 (2) Meats/meat alternates (oz eq) 0k 0k 0k 8-10 (1) 9-10 (1) 10-12 (2) Fluid milk (cups)l 5 (1) 5 (1) 5 (1) 5 (1) 5 (1) 5 (1) Other Specifications: Daily Amount Based on the Average for a 5-Day Week Min-max calories (kcal)m,n,o 350-500 400-550 450-600 550-650 600-700 750-850 Saturated fat (% of total calories)n,o < 10 < 10 < 10 < 10 < 10 < 10 Sodium (mg)n, p < 430 < 470 < 500 < 640 < 710 < 740 Trans fatn,o Nutrition label or manufacturer specifications must indicate zero grams of trans fat per serving. In the SBP, the above age-grade groups are required beginning July 1, 2013 (SY 2013-14). In SY 2012-2013 only, schools may continue to use the meal pattern for grades K-12 (see § 220.23). Food items included in each food group and subgroup and amount equivalents. Minimum creditable serving is ⅛ cup. One quarter-cup of dried fruit counts as ½ cup of fruit; 1 cup of leafy greens counts as ½ cup of vegetables. No more than half of the fruit or vegetable offerings may be in the form of juice. All juice must be 100 percent full-strength. For breakfast, vegetables may be substituted for fruits, but the first two cups per week of any such substitution must be from the dark green, red/orange, beans and peas (legumes) or “Other vegetables” subgroups as defined in §210.10(c)(2)(iii). The fruit quantity requirement for the SBP (5 cups/week and a minimum of 1 cup/day) is effective July 1, 2014 (SY 2014-2015). Larger amounts of these vegetables may be served. This category consists of “Other vegetables” as defined in §210.10(c)(2)(iii)(E). For the purposes of the NSLP, “Other vegetables” requirement may be met with any additional amounts from the dark green, red/orange, and beans/peas (legumes) vegetable subgroups as defined in §210.10(c)(2)(iii). Any vegetable subgroup may be offered to meet the total weekly vegetable requirement. At least half of the grains offered must be whole grain-rich in the NSLP beginning July 1, 2012 (SY 2012-2013), and in the SBP beginning July 1, 2013 (SY 2013-2014). All grains must be whole grain-rich in both the NSLP and the SBP beginning July 1, 2014 (SY 2014-15). In the SBP, the grain ranges must be offered beginning July 1, 2013 (SY 2013-2014). There is no separate meat/meat alternate component in the SBP. Beginning July 1, 2013 (SY 2013-2014), schools may substitute 1 oz eq of meat/meat alternate for 1 oz eq of grains after the minimum daily grains requirement is met. Fluid milk must be low fat (1 percent milk fat or less, unflavored) or fat free (unflavored or flavored). The average daily amount of calories for a 5-day school week must be within the range (at least the minimum and no more than the maximum values). Discretionary sources of calories (solid fats and added sugars) may be added to the meal pattern if within the specifications for calories, saturated fat, trans fat, and sodium. Foods of minimal nutritional value and fluid milk with fat content greater than 1 percent milk fat are not allowed. In the SBP, calories and trans fat specifications take effect beginning July 1, 2013 (SY 2013-2014). Final sodium specifications are to be reached by SY 2022-2023 or July 1, 2022. Intermediate sodium specifications are established for SY 2014-2015 and 2017-2018. See required intermediate specifications in § 210.10(f)(3) for lunches and § 220.8(f)(3) for breakfasts. Attachment D (continued…): MINIMUM FOOD SPECIFICATIONS Summer Food Service Program Meal Pattern Food Components Breakfast Lunch or Supper Snack1 (Choose two of the four) Milk Milk, fluid 1 cup (8 fl oz)2 1 cup (8 fl oz)3 1 cup (8 fl oz)2 Vegetables and/or Fruits Vegetable(s) and/or fruit(s), or full-strength vegetable or fruit juice ½ cup ¾ cup total4 ¾ cup An equivalent quantity of any combination of vegetables(s), fruit(s), and juice ½ cup (4 fl oz) ¾ cup (6 fl oz) Grains and Breads5 Bread 1 slice 1 slice 1 slice Cornbread, biscuits, rolls, muffins, etc. 1 serving 1 serving 1 serving Cold dry cereal ¾ cup or 1 oz6 ¾ cup or 1 oz6 Cooked pasta or noodle product ½ cup ½ cup ½ cup Cooked cereal or cereal grains or anequivalent quantity of any combination of grains/breads ½ cup ½ cup ½ cup Meat and Meat Alternates (Optional) Lean meat or poultry or fish or alternate protein product7 1 oz 2 oz 1 oz Cheese 1 oz 2 oz 1 oz Eggs ½ large egg 1 large egg ½ large egg Cooked dry beans or peas ¼ cup ½ cup ¼ cup Peanut butter or soynut butter or other nut or seed butters 2 tbsp 4 tbsp 2 tbsp Peanuts or soynuts or tree nuts or seeds, or yogurt, plain or sweetened and flavored 1 oz 1 oz= 50%8 1 oz An equivalent quantity of any combination of the above meat/meat alternates 4 oz or ½ cup 8 oz or 1 cup 4 oz or ½ cup For the purpose of this table, a cup means a standard measuring cup. Serve two food items. Each food item must be from a different food component. Juice may not be served when milk is served as the only other component. Shall be served as a beverage, or on cereal, or use part of it for each purpose. Shall be served as a beverage. Serve two or more kinds of vegetable(s) and or fruit(s) or a combination of both. Full-strength vegetable or fruit juice may be counted to meet not more than one-half of this requirement. All grain/bread items must be enriched or whole grain, made from enriched or whole-grain meal or flour, or if it is a cereal, the product must be whole-grain, enriched or fortified. Bran and germ are credited the same as enriched or whole grain meal or flour. Either volume (cup) or weight (oz) whichever is less. Must meet the requirements in Appendix A of the SFSP regulations. No more than 50 percent of the requirement shall be met with nuts or seeds. Nuts or seeds shall be combined with another meat/meat alternate to fulfill the requirement. When determining combinations, 1 oz of nuts or seeds is equal to 1 oz of cooked lean meat, poultry, or fish. Attachment D (continued…): MINIMUM FOOD SPECIFICATIONS Infant Meal Pattern Requirements Child and Adult Care Food Program EFFECTIVE OCTOBER 1, 2021 Infants should be fed on demand when they show hunger signals Sponsors must offer to at least one reimbursable iron-fortified infant formula (IFIF) The tables below list minimum serving sizes to meet meal pattern requirements Breakfast, Lunch, and Supper: Food Components and Food Items Birth – 5 Months 6 – 11 Months Breast Milk1 or Iron-Fortified Infant Formula (IFIF)1,2 4-6 fl. oz. 6-8 fl. oz. Fruit or Vegetable3,4 or a combination of both 0-2 Tbsp. Iron-Fortified Infant Cereal (IFIC)5,6 or Meat/Meat Alternates (M/MA)3, including Meat, fish, poultry, whole eggs, cooked beans/peas, or Cheese, or Cottage Cheese, or Yogurt7 0 – ½ oz. eq. (0-4 Tbsp.) 0-4 Tbsp. 0-2 oz. 0-4 oz. or ½ cup 0-4 oz. or ½ cup Note: Iron-Fortified Infant Cereal (IFIC) is the only Grain item that is allowed at Breakfast, Lunch, and Supper. Infants that do not consume IFIC can be served a M/MA item instead. Snack: Food Components and Food Items Birth – 5 Months 6 – 11 Months Breast Milk1 or Iron-Fortified Infant Formula (IFIF) 1,2 4-6 fl. oz. 2-4 fl. oz. Fruit or Vegetable3,4 or a combination of both 0-2 Tbsp. Iron-Fortified Infant Cereal (IFIC) 5,6 or Breads, Crackers, or Ready-to-Eat (RTE) Cereals5,6,8 Bread, Tortilla, or Biscuit, or Waffle, Pancake, or English Muffin, or Savory Crackers, or Sweet Crackers, or RTE Cereals, Flakes or Rounds9, or RTE Cereals, Puffs9 0 – ½ oz. eq. (0-4 Tbsp.) 0 – ½ oz. eq. 14 grams 17 grams grams grams 7 grams or 4 Tbsp. or ¼ cup 7 grams or 5 Tbsp. or ⅓ cup Note: Breads, crackers, and RTE cereals are only allowed at Snack. M/MAs can be served as a bonus item only. 1 Breast milk or IFIF, or portions of both must be served. Serving breast milk, when available, is considered a best practice for infants from birth through 11 months.SPECIFICATIONS

Individual Performing Services. (including address if different from No. 10 a) (Last name, first name, MI)   Amount of Payment: (check all that apply) $_ __________________________________ Actual Planned Type of Payment: (check all that apply) A. Retainer B. One-Time Fee C. Commission D. Contingency Fee E. Deferred F. Other: (specify)  _______________ Form of Payment: (check all that apply) A. Cash Nature ____________ B. In-kind (specify) Value _____________ Brief Description of services performed or to be performed and date(s) of service, including officer(s), employees, or members) contracted for payment indicated in Item 11 . (Attach Continuation Sheets if necessary) Continuation Sheets Attached: Yes No Information requested through this form is authorized by Title 31 U.S.C. Section 1352. The disclosure of lobbying activities is a material representation of fact upon which evidence was placed by the above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. The information will be reported to the Congress semiannually and will be available for public inspection. Any person who fails to file the required disclosures shall be subject to a civil penalty of no less than $10,000 and no more than $100,000 for each such failure. Signature: __________________________________ Print Name: ________________________________ Title: ______________________________________ Telephone Number: __________________________ Date: _______________________________________ Federal Use Only Authorized for Local Reproduction INSTRUCTIONS FOR COMPLETION OF DISCLOSURE OF LOBBYING ACTIVITIES FORM This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action or a material change in a previous filing, pursuant to Title 31 U.S.C. Section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Use a Continuation Sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget (OMB) for additional information. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. Identify the status of the covered Federal action. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered action. Enter the full name, address, city, state, and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include, but are not limited to, subcontracts, subgrants, and contract awards under grants. If the organization filing the report in Item 4 checks Subawardee, then enter the full name, address, city, state, and zip code of the prime Federal recipient. Include Congressional District, if known. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if know. For example: Department of Transportation, United States Coast Guard. Enter the Federal program name or description for the covered Federal action (Item1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. Enter the most appropriate Federal identifying number available for the Federal action identified in Item 1; e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency. Include prefixes; e.g., RFP-DE-90-001. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in Item 4 or Item 5. Enter the full name, address, city, state, and zip code of the lobbying entity engaged by the reporting entity identified in Item 4 to influence the covered Federal action. Enter the full name of the individual performing services, and include full address if different from 10a. Enter last name, first name, and middle initial (MI). Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (Item 4) to the lobbying entity (Item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. Check the appropriate item. Check all items that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. Check the appropriate box. Check all boxes that apply. If other, specify nature. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to perform, and the dates of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal officials or employees contacted or the officers, employees, or Members of Congress that were contacted. Check whether Continuation Sheets are enclosed. The certifying official shall sign and date the form; print his/her name, title, and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instructions, searching data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Xxxxxxxxxx, X.X. 00000. Meal Pattern Amount of Foodb Per Week (Minimum Per Day) Vegetables (cups)c,d 0 0 0 3¾ (¾) 3¾ (¾) 5 (1) Dark greenf 0 0 0 ½ ½ ½ Beans/peas (legumes)f 0 0 0 ½ ½ ½ Starchyf 0 0 0 ½ ½ ½ Otherf,g 0 0 0 ½ ½ ¾ Grains (oz eq)i 7-10 (1)j 8-10 (1)j 9-10 (1)j 8-9 (1) 8-10 (1) 10-12 (2) Meats/meat alternates (oz eq) 0k 0k 0k 8-10 (1) 9-10 (1) 10-12 (2) Fluid milk (cups)l 5 (1) 5 (1) 5 (1) 5 (1) 5 (1) 5 (1) Other Specifications: Daily Amount Based on the Average for a 5-Day Week Min-max calories (kcal)m,n,o 350-500 400-550 450-600 550-650 600-700 750-850 Saturated fat (% of total calories)n,o < 10 < 10 < 10 < 10 < 10 < 10 Sodium (mg)n, p < 430 < 470 < 500 < 640 < 710 < 740 Trans fatn,o Nutrition label or manufacturer specifications must indicate zero grams of trans fat per serving. In the SBP, the above age-grade groups are required beginning July 1, 2013 (SY 2013-14). In SY 2012-2013 only, schools may continue to use the meal pattern for grades K-12 (see § 220.23). Food items included in each food group and subgroup and amount equivalents. Minimum creditable serving is ⅛ cup. One quarter-cup of dried fruit counts as ½ cup of fruit; 1 cup of leafy greens counts as ½ cup of vegetables. No more than half of the fruit or vegetable offerings may be in the form of juice. All juice must be 100 percent full-strength. For breakfast, vegetables may be substituted for fruits, but the first two cups per week of any such substitution must be from the dark green, red/orange, beans and peas (legumes) or “Other vegetables” subgroups as defined in §210.10(c)(2)(iii). The fruit quantity requirement for the SBP (5 cups/week and a minimum of 1 cup/day) is effective July 1, 2014 (SY 2014-2015). Larger amounts of these vegetables may be served. This category consists of “Other vegetables” as defined in §210.10(c)(2)(iii)(E). For the purposes of the NSLP, “Other vegetables” requirement may be met with any additional amounts from the dark green, red/orange, and beans/peas (legumes) vegetable subgroups as defined in §210.10(c)(2)(iii). Any vegetable subgroup may be offered to meet the total weekly vegetable requirement. At least half of the grains offered must be whole grain-rich in the NSLP beginning July 1, 2012 (SY 2012-2013), and in the SBP beginning July 1, 2013 (SY 2013-2014). All grains must be whole grain-rich in both the NSLP and the SBP beginning July 1, 2014 (SY 2014-15). In the SBP, the grain ranges must be offered beginning July 1, 2013 (SY 2013-2014). There is no separate meat/meat alternate component in the SBP. Beginning July 1, 2013 (SY 2013-2014), schools may substitute 1 oz eq of meat/meat alternate for 1 oz eq of grains after the minimum daily grains requirement is met. Fluid milk must be low fat (1 percent milk fat or less, unflavored) or fat free (unflavored or flavored). The average daily amount of calories for a 5-day school week must be within the range (at least the minimum and no more than the maximum values). Discretionary sources of calories (solid fats and added sugars) may be added to the meal pattern if within the specifications for calories, saturated fat, trans fat, and sodium. Foods of minimal nutritional value and fluid milk with fat content greater than 1 percent milk fat are not allowed. In the SBP, calories and trans fat specifications take effect beginning July 1, 2013 (SY 2013-2014). Final sodium specifications are to be reached by SY 2022-2023 or July 1, 2022. Intermediate sodium specifications are established for SY 2014-2015 and 2017-2018. See required intermediate specifications in § 210.10(f)(3) for lunches and § 220.8(f)(3) for breakfasts. Attachment D (continued): MINIMUM FOOD SPECIFICATIONS Summer Food Service Program Meal Pattern Food Components Breakfast Lunch or Supper Snack1 (Choose two of the four) Milk Milk, fluid 1 cup (8 fl oz)2 1 cup (8 fl oz)3 1 cup (8 fl oz)2 Vegetables and/or Fruits Vegetable(s) and/or fruit(s), or full-strength vegetable or fruit juice ½ cup ¾ cup total4 ¾ cup An equivalent quantity of any combination of vegetables(s), fruit(s), and juice ½ cup (4 fl oz) ¾ cup (6 fl oz) Grains and Breads5 Bread 1 slice 1 slice 1 slice Cornbread, biscuits, rolls, muffins, etc. 1 serving 1 serving 1 serving Cold dry cereal ¾ cup or 1 oz6 ¾ cup or 1 oz6 Cooked pasta or noodle product ½ cup ½ cup ½ cup Cooked cereal or cereal grains or anequivalent quantity of any combination of grains/breads ½ cup ½ cup ½ cup Meat and Meat Alternates (Optional) Lean meat or poultry or fish or alternate protein product7 1 oz 2 oz 1 oz Cheese 1 oz 2 oz 1 oz Eggs ½ large egg 1 large egg ½ large egg Cooked dry beans or peas ¼ cup ½ cup ¼ cup Peanut butter or soynut butter or other nut or seed butters 2 tbsp 4 tbsp 2 tbsp Peanuts or soynuts or tree nuts or seeds, or yogurt, plain or sweetened and flavored 1 oz 1 oz= 50%8 1 oz An equivalent quantity of any combination of the above meat/meat alternates 4 oz or ½ cup 8 oz or 1 cup 4 oz or ½ cup For the purpose of this table, a cup means a standard measuring cup. Serve two food items. Each food item must be from a different food component. Juice may not be served when milk is served as the only other component. Shall be served as a beverage, or on cereal, or use part of it for each purpose. Shall be served as a beverage. Serve two or more kinds of vegetable(s) and or fruit(s) or a combination of both. Full-strength vegetable or fruit juice may be counted to meet not more than one-half of this requirement. All grain/bread items must be enriched or whole grain, made from enriched or whole-grain meal or flour, or if it is a cereal, the product must be whole-grain, enriched or fortified. Bran Xxxx and germ are credited the same as enriched or whole grain meal or flour. Either volume (cup) or weight (oz) whichever is less. Must meet the requirements in Appendix A of the SFSP regulations. No more than 50 percent of the requirement shall be met with nuts or seeds. Nuts or seeds shall be combined with another meat/meat alternate to fulfill the requirement. When determining combinations, 1 oz of nuts or seeds is equal to 1 oz of cooked lean meat, poultry, or fish. Attachment D (continued): MINIMUM FOOD SPECIFICATIONS Infant Meal Pattern Requirements Child and Adult Care Food Program EFFECTIVE OCTOBER 1, 2021 Infants should be fed on demand when they show hunger signals Sponsors must offer to at least one reimbursable iron-fortified infant formula (IFIF) The tables below list minimum serving sizes to meet meal pattern requirements Breakfast, Lunch, and Supper: Food Components and Food Items Birth – 5 Months 6 – 11 Months Breast Milk1 or Iron-Fortified Infant Formula (IFIF)1,2 4-6 fl. oz. 6-8 fl. oz. Fruit or Vegetable3,4 or a combination of both 0-2 Tbsp. Iron-Fortified Infant Cereal (IFIC)5,6 or Meat/Meat Alternates (M/MA)3, including Meat, fish, poultry, whole eggs, cooked beans/peas, or Cheese, or Cottage Cheese, or Yogurt7 0 – ½ oz. eq. (0-4 Tbsp.) 0-4 Tbsp. 0-2 oz. 0-4 oz. or ½ cup 0-4 oz. or ½ cup Note: Iron-Fortified Infant Cereal (IFIC) is the only Grain item that is allowed at Breakfast, Lunch, and Supper. Infants that do not consume IFIC can be served a M/MA item instead. Snack: Food Components and Food Items Birth – 5 Months 6 – 11 Months Breast Milk1 or Iron-Fortified Infant Formula (IFIF) 1,2 4-6 fl. oz. 2-4 fl. oz. Fruit or Vegetable3,4 or a combination of both 0-2 Tbsp. Iron-Fortified Infant Cereal (IFIC) 5,6 or Breads, Crackers, or Ready-to-Eat (RTE) Cereals5,6,8 Bread, Tortilla, or Biscuit, or Waffle, Pancake, or English Muffin, or Savory Crackers, or Sweet Crackers, or RTE Cereals, Flakes or Rounds9, or RTE Cereals, Puffs9 0 – ½ oz. eq. (0-4 Tbsp.) 0 – ½ oz. eq. 14 grams 17 grams grams grams 7 grams or 4 Tbsp. or ¼ cup 7 grams or 5 Tbsp. or ⅓ cup Note: Breads, crackers, and RTE cereals are only allowed at Snack. M/MAs can be served as a bonus item only. 1 Breast milk or IFIF, or portions of both must be served. Serving breast milk, when available, is considered a best practice for infants from birth through 11 months.

Individual Performing Services. (including address if different from No. 10 a) (Last name, first name, MI)   Amount of Payment: (check all that apply) $_ __________________________________ Actual □ Planned □ Type of Payment: (check all that apply) □ A. Retainer □ B. One-Time Fee □ C. Commission □ D. Contingency Fee □ E. Deferred □ F. Other: (specify)  __________________ Form of Payment: (check all that apply) □ A. Cash Nature Nature____________ □ B. In-kind (specify) Value Value_____________ Brief Description of services performed or to be performed and date(s) of service, including officer(s), employees, or members) contracted for payment indicated in Item 11 . 11. (Attach Continuation Sheets if necessary) Continuation Sheets Attached: Yes □ No □ Information requested through this form is authorized by Title 31 U.S.C. Section 1352. The disclosure of lobbying activities is a material representation of fact upon which evidence was placed by the above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. The information will be reported to the Congress semiannually and will be available for public inspection. Any person who fails to file the required disclosures shall be subject to a civil penalty of no less than $10,000 and no more than $100,000 for each such failure. Signature: __________________________________ Print Name: Name: _________________________________ Title: Title: _______________________________________ Telephone Number: Number: __________________________ Date: Date: _______________________________________ Federal Use Only Authorized for Local Reproduction INSTRUCTIONS FOR COMPLETION OF DISCLOSURE OF LOBBYING ACTIVITIES FORM This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action or a material change in a previous filing, pursuant to Title 31 U.S.C. Section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Use a Continuation Sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget (OMB) for additional information. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. Identify the status of the covered Federal action. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered action. Enter the full name, address, city, state, and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include, but are not limited to, subcontracts, subgrants, and contract awards under grants. If the organization filing the report in Item 4 checks Subawardee, then enter the full name, address, city, state, and zip code of the prime Federal recipient. Include Congressional District, if known. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if know. For example: Department of Transportation, United States Coast Guard. Enter the Federal program name or description for the covered Federal action (Item1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. Enter the most appropriate Federal identifying number available for the Federal action identified in Item 1; e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency. Include prefixes; e.g., RFP-DE-90-001. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in Item 4 or Item 5. Enter the full name, address, city, state, and zip code of the lobbying entity engaged by the reporting entity identified in Item 4 to influence the covered Federal action. Enter the full name of the individual performing services, and include full address if different from 10a. Enter last name, first name, and middle initial (MI). Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (Item 4) to the lobbying entity (Item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. Check the appropriate item. Check all items that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. Check the appropriate box. Check all boxes that apply. If other, specify nature. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to perform, and the dates of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal officials or employees contacted or the officers, employees, or Members of Congress that were contacted. Check whether Continuation Sheets are enclosed. The certifying official shall sign and date the form; print his/her name, title, and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instructions, searching data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), XxxxxxxxxxWashington, X.X. 00000D.C. 20503. ATTACHMENT D: MINIMUM FOOD SPECIFICATIONS To be completed by Sponsor. ODE does not approve, evaluate or endorse specifications. Examples may include the following listed below. Meat/Seafood – All meats, meat products, poultry products, and fish must be government-inspected. Beef, lamb, and veal shall be USDA Grade Choice or better. Pork shall be U.S. No.1 or U.S. No. 2 Poultry shall be U.S. Government Grade A Seafood to be top grade, frozen fish – must be a nationally distributed brand, packed under continuous inspection of the USDA Dairy Products – All dairy products must be government-inspected. Fresh eggs, USDA Grade A or equivalent, 100 percent candled Frozen eggs, USDA – inspected Milk, pasteurized Grade A Fruits and Vegetables Fresh fruits and vegetables selected according to written specifications for freshness, quality, and color – U.S. Grade A Fancy Canned fruits and vegetables selected to requirements – U.S. Grade A Choice or Fancy (fruit to be packed in light syrup or natural juices) Frozen fruits and vegetables shall be U.S. Grade A Choice or better Baked Products Bread, rolls, cookies, pies, cakes, and puddings either prepared or baked on premises or purchased on a quality level commensurate with meeting USDA breakfast and lunch requirements, as applicable Staple Groceries Staple groceries to be a quality level commensurate with previously listed standards At a minimum, any proposed menu plans must comply with the Final Rule Nutrition Standards in the National School Lunch and School Breakfast Programs (see Exhibit A for meal pattern requirements). Attachment D (continued…): MINIMUM FOOD SPECIFICATIONS Meal Pattern Amount of Foodb Per Week (Minimum Per Day) Fruits (cups)c,d 5 (1)e 5 (1)e 5 (1)e 2½ (½) 2½ (½) 5 (1) Vegetables (cups)c,d 0 0 0 3¾ (¾) 3¾ (¾) 5 (1) Dark greenf 0 0 0 ½ ½ ½ Beans/peas (legumes)f 0 0 0 ½ ½ ½ Starchyf 0 0 0 ½ ½ ½ Otherf,g 0 0 0 ½ ½ ¾ Grains (oz eq)i 7-10 (1)j 8-10 (1)j 9-10 (1)j 8-9 (1) 8-10 (1) 10-12 (2) Meats/meat alternates (oz eq) 0k 0k 0k 8-10 (1) 9-10 (1) 10-12 (2) Fluid milk (cups)l 5 (1) 5 (1) 5 (1) 5 (1) 5 (1) 5 (1) Other Specifications: Daily Amount Based on the Average for a 5-Day Week Min-max calories (kcal)m,n,o 350-500 400-550 450-600 550-650 600-700 750-850 Saturated fat (% of total calories)n,o < 10 < 10 < 10 < 10 < 10 < 10 Sodium (mg)n, p < 430 < 470 < 500 < 640 < 710 < 740 Trans fatn,o Nutrition label or manufacturer specifications must indicate zero grams of trans fat per serving. In the SBP, the above age-grade groups are required beginning July 1, 2013 (SY 2013-14). In SY 2012-2013 only, schools may continue to use the meal pattern for grades K-12 (see § 220.23). Food items included in each food group and subgroup and amount equivalents. Minimum creditable serving is ⅛ cup. One quarter-cup of dried fruit counts as ½ cup of fruit; 1 cup of leafy greens counts as ½ cup of vegetables. No more than half of the fruit or vegetable offerings may be in the form of juice. All juice must be 100 percent full-strength. For breakfast, vegetables may be substituted for fruits, but the first two cups per week of any such substitution must be from the dark green, red/orange, beans and peas (legumes) or “Other vegetables” subgroups as defined in §210.10(c)(2)(iii). The fruit quantity requirement for the SBP (5 cups/week and a minimum of 1 cup/day) is effective July 1, 2014 (SY 2014-2015). Larger amounts of these vegetables may be served. This category consists of “Other vegetables” as defined in §210.10(c)(2)(iii)(E). For the purposes of the NSLP, “Other vegetables” requirement may be met with any additional amounts from the dark green, red/orange, and beans/peas (legumes) vegetable subgroups as defined in §210.10(c)(2)(iii). Any vegetable subgroup may be offered to meet the total weekly vegetable requirement. At least half of the grains offered must be whole grain-rich in the NSLP beginning July 1, 2012 (SY 2012-2013), and in the SBP beginning July 1, 2013 (SY 2013-2014). All grains must be whole grain-rich in both the NSLP and the SBP beginning July 1, 2014 (SY 2014-15). In the SBP, the grain ranges must be offered beginning July 1, 2013 (SY 2013-2014). There is no separate meat/meat alternate component in the SBP. Beginning July 1, 2013 (SY 2013-2014), schools may substitute 1 oz eq of meat/meat alternate for 1 oz eq of grains after the minimum daily grains requirement is met. Fluid milk must be low fat (1 percent milk fat or less, unflavored) or fat free (unflavored or flavored). The average daily amount of calories for a 5-day school week must be within the range (at least the minimum and no more than the maximum values). Discretionary sources of calories (solid fats and added sugars) may be added to the meal pattern if within the specifications for calories, saturated fat, trans fat, and sodium. Foods of minimal nutritional value and fluid milk with fat content greater than 1 percent milk fat are not allowed. In the SBP, calories and trans fat specifications take effect beginning July 1, 2013 (SY 2013-2014). Final sodium specifications are to be reached by SY 2022-2023 or July 1, 2022. Intermediate sodium specifications are established for SY 2014-2015 and 2017-2018. See required intermediate specifications in § 210.10(f)(3) for lunches and § 220.8(f)(3) for breakfasts. Attachment D (continued…): MINIMUM FOOD SPECIFICATIONS Summer Food Service Program Meal Pattern Food Components Breakfast Lunch or Supper Snack1 (Choose two of the four) Milk Milk, fluid 1 cup (8 fl oz)2 1 cup (8 fl oz)3 1 cup (8 fl oz)2 Vegetables and/or Fruits Vegetable(s) and/or fruit(s), or full-strength vegetable or fruit juice ½ cup ¾ cup total4 ¾ cup An equivalent quantity of any combination of vegetables(s), fruit(s), and juice ½ cup (4 fl oz) ¾ cup (6 fl oz) Grains and Breads5 Bread 1 slice 1 slice 1 slice Cornbread, biscuits, rolls, muffins, etc. 1 serving 1 serving 1 serving Cold dry cereal ¾ cup or 1 oz6 ¾ cup or 1 oz6 Cooked pasta or noodle product ½ cup ½ cup ½ cup Cooked cereal or cereal grains or anequivalent quantity of any combination of grains/breads ½ cup ½ cup ½ cup Meat and Meat Alternates (Optional) Lean meat or poultry or fish or alternate protein product7 1 oz 2 oz 1 oz Cheese 1 oz 2 oz 1 oz Eggs ½ large egg 1 large egg ½ large egg Cooked dry beans or peas ¼ cup ½ cup ¼ cup Peanut butter or soynut butter or other nut or seed butters 2 tbsp 4 tbsp 2 tbsp Peanuts or soynuts or tree nuts or seeds, or yogurt, plain or sweetened and flavored 1 oz 1 oz= 50%8 1 oz An equivalent quantity of any combination of the above meat/meat alternates 4 oz or ½ cup 8 oz or 1 cup 4 oz or ½ cup For the purpose of this table, a cup means a standard measuring cup. Serve two food items. Each food item must be from a different food component. Juice may not be served when milk is served as the only other component. Shall be served as a beverage, or on cereal, or use part of it for each purpose. Shall be served as a beverage. Serve two or more kinds of vegetable(s) and or fruit(s) or a combination of both. Full-strength vegetable or fruit juice may be counted to meet not more than one-half of this requirement. All grain/bread items must be enriched or whole grain, made from enriched or whole-grain meal or flour, or if it is a cereal, the product must be whole-grain, enriched or fortified. Bran Xxxx and germ are credited the same as enriched or whole grain meal or flour. Either volume (cup) or weight (oz) whichever is less. Must meet the requirements in Appendix A of the SFSP regulations. No more than 50 percent of the requirement shall be met with nuts or seeds. Nuts or seeds shall be combined with another meat/meat alternate to fulfill the requirement. When determining combinations, 1 oz of nuts or seeds is equal to 1 oz of cooked lean meat, poultry, or fish. Attachment D (continued…): MINIMUM FOOD SPECIFICATIONS Infant Meal Pattern Requirements Child and Adult Care Food Program EFFECTIVE OCTOBER 1, 2021 Infants should be fed on demand when they show hunger signals Sponsors must offer to at least one reimbursable iron-fortified infant formula (IFIF) The tables below list minimum serving sizes to meet meal pattern requirements Breakfast, Lunch, and Supper: Food Components and Food Items Birth – 5 Months 6 – 11 Months Breast Milk1 or Iron-Fortified Infant Formula (IFIF)1,2 4-6 fl. oz. 6-8 fl. oz. Fruit or Vegetable3,4 or a combination of both 0-2 Tbsp. Iron-Fortified Infant Cereal (IFIC)5,6 or Meat/Meat Alternates (M/MA)3, including Meat, fish, poultry, whole eggs, cooked beans/peas, or Cheese, or Cottage Cheese, or Yogurt7 0 – ½ oz. eq. (0-4 Tbsp.) 0-4 Tbsp. 0-2 oz. 0-4 oz. or ½ cup 0-4 oz. or ½ cup Note: Iron-Fortified Infant Cereal (IFIC) is the only Grain item that is allowed at Breakfast, Lunch, and Supper. Infants that do not consume IFIC can be served a M/MA item instead. Snack: Food Components and Food Items Birth – 5 Months 6 – 11 Months Breast Milk1 or Iron-Fortified Infant Formula (IFIF) 1,2 4-6 fl. oz. 2-4 fl. oz. Fruit or Vegetable3,4 or a combination of both 0-2 Tbsp. Iron-Fortified Infant Cereal (IFIC) 5,6 or Breads, Crackers, or Ready-to-Eat (RTE) Cereals5,6,8 Bread, Tortilla, or Biscuit, or Waffle, Pancake, or English Muffin, or Savory Crackers, or Sweet Crackers, or RTE Cereals, Flakes or Rounds9, or RTE Cereals, Puffs9 0 – ½ oz. eq. (0-4 Tbsp.) 0 – ½ oz. eq. 14 grams 17 grams grams grams 7 grams or 4 Tbsp. or ¼ cup 7 grams or 5 Tbsp. or ⅓ cup Note: Breads, crackers, and RTE cereals are only allowed at Snack. M/MAs can be served as a bonus item only. 1 Breast milk or IFIF, or portions of both must be served. Serving breast milk, when available, is considered a best practice for infants from birth through 11 months.SPECIFICATIONS