Dated: 5/4/2016

Child Nutrition Meal Pattern Contribution

Product: Grilled, Whole Bean, Brown Rice & Mozzarella Cheese burrito Code: 9747-2 Pack: 72 Count

Product Formulation Sheet: Whole Grains

Grams of Creditable Gram Standard of Description of Credible Grain Ingredient Grain Ingredient per Creditable Grain per oz Creditable Amount Portion equivalent (16g or 28g)

Whole Grain Wheat Tortilla 50.0 28.0 1.79 Group B

Wholegrain Brown Rice Parboiled Long Grain Rice 6.2 25.0 0.248

Total Creditable Amount: 2.0 This product meets the Whole-Grain Rich Criteria and does not contain non-creditable grains.

Product Formulation Sheet: Meat/Meat Alternate

Ounces per Raw Description of Credible Ingredient per Food Creditable Portion of Creditable Multiply FBG Yield/Purchase Unit Buying Guide (FBG) Amount Ingredient

Beans, Pinto, Dehydrated 1.04 X 1.3125 1.365 Cheese American, Cheddar, Mozzarella or Swiss. Natural or 0.67 X 1.0000 0.670 Processed. Total Creditable M/MA Amount: 2.00

Ingredients:

Filling: Water, Dehydrated Pinto Beans , Mozzarella Cheese (Cultured Pasteurized milk, contains less than 2% of salt and enzymes), Sauce (Water, Tomato Paste, Spices, Vinegar), Corn Oil, Tortilla: Whole Wheat Flour, Enriched Wheat Flour (Wheat Flour, Vitamin Enrichment (Niacin, Iron, Thiamine , Folic Acid), Water, Brown Rice, Canola Oil, Sugar, Baking Soda

Packaging and Storage Information: Store at 0 degrees

Allergen Statement: Contains wheat, milk

I certify that the above information is true and correct.

Signature: Date RJ Hill, Director 5/4/2016 Date Effective: 5/4/2016 Product Code: 9747-2 Description: Grilled Burrito. Whole Pinto Bean, Brown Rice, Mozzarella Cheese with Mexican Spices INGREDIENTS: Filling: Water, Dehydrated Pinto Beans , Mozzarella Cheese (Cultured Pasteurized milk, contains less than 2% of salt and enzymes), Sauce (Water, Tomato Paste, Spices, Vinegar), Corn Oil, Packaging Type: Individually Wrapped Tortilla: Whole Wheat Flour, Enriched Wheat Flour (Wheat Flour, Vitamin Enrichment (Niacin, Iron, Thiamine , Folic Acid), Water, Brown Rice, Canola Oil, Sugar, Baking Soda. Frozen Shelf Life: 365 days from pkg date Contains: Wheat, Milk. Case Gross Weight: 30.2 lbs Case Dimensions: 19"x14"x5" HEATING INSTRUCTIONS - Fully Cooked Burrito Case Cube: 0.81 Do not overheat as filling will become watery. Method Temp Convection Oven Conventional Oven Servings / Case: 72 Thawed 350°F 8-10 min 12-15 min Product Net Wt: 6.7 oz Frozen 350°F 12-15 min 18-20 min Pallet Height: 6 Instructions: For best results, thaw to 40°F, prior to heating. Arrange Pallet Tie: 9 burritos on oven sheet. Bake at temperatures shown until internal temperature reaches 140°F . Improper heating or overcooking tends to Case Net Wt: 32.2 lbs dry burritos or cause to blow up. Microwave - Not Recommended: Thawed 1 min; Frozen 1 1/2 - 2 min. Allow burrito to rest for 3 minutes before eating.

Nutrition Facts Serving Size: 1 Burrito Servings per Container: 72 Each whole grain bean & cheese filled, grilled burrito Amount per Serving provides 2.00 oz. equivalent meat/meat alternate and Calories 400 Calories from Fat 124 2.00 oz servings bread/grain alternate for the Child % Daily Value* Nutrition Meal Pattern Requirements. Total Fat 14g 22% Saturated Fat 0g Trans Fat 0g Simplified Ingredient List: Cholesterol 10mg 3% Pinto Beans: Sodium 500mg 21% Water Total Carbohydrate 53g 18% Dehydrated Whole Pinto Beans Dietary Fiber 8g 32% Mozzarella Cheese Sugars 4g Brown Rice Protein 16g Taco Sauce: Vitamin A 2% Vitamin C 0% Tomato Paste Calcium 15% Iron 30% Spices *Percent Daily Values are based on a 2,000 calorie diet. Your daily Vinegar values be higher or lower depending on your calorie needs. Tortilla: Calories: 2,000 2,500 Whole Wheat Flour Total Fat Less than 65g 80g Enriched Wheat Flour Sat Fat Less than 20g 25g Vegetable Oil Cholesterol Less than 300mg 300mg Sugar Sodium Less than 2,400mg 2,400mg Baking Soda Total Carbohydrate 300g 375g Salt Fiber 25g 30g Calories per gram: Fat 9 Carbohydrate 4 Protein 4