60
Product Code Number Product Description Case Weight (lbs) Serving Size (oz) Pieces per Serving Svgs per Case Calories Calories From Fat % Cal From Fat Total Fat (g) Sat Fat (g) Trans Fat (g) Cholest (mg) Sodium (mg) Total Carbs (g) Dietary Fiber (g) Sugars (g) Protein (g) Vitamin A (% DV) Vitamin C (% DV) Calcium (% DV) Iron (%DV) CN Number (if applicable) Meat/ MA Credit Veg Credit Bread Svgs Credit 20210 Wild Mike's 10-Cut Pepperoni 32.94 5.5 1 90 370 160 43% 18 9 0 35 580 34 3 4 20 10 15 40 10 P.F.S. 2.00 1/8 cup 2.00 20211 Wild Mike's 10-Cut Cheese 32.88 5.49 1 90 360 150 42% 17 8 0 30 510 34 3 4 20 10 10 45 15 P.F.S. 2.00 1/8 cup 2.00 90700 Wild Mike's 10-Cut Pepperoni - No Pork 33.67 5.63 1 90 370 150 40% 18 9 0 35 580 34 3 4 20 10 15 40 15 P.F.S. 2.00 1/8 cup 2.00 20310 Wild Mike's 8-Cut Pepperoni 26.75 5.5 1 72 370 150 43% 18 9 0 35 580 34 3 4 20 10 15 40 10 P.F.S. 2.00 1/8 cup 2.00 20311 Wild Mike's 8-Cut Cheese 26.71 5.49 1 72 360 150 42% 17 8 0 30 510 34 3 4 20 10 10 45 15 P.F.S. 2.00 1/8 cup 2.00 90500 Wild Mike's IW Pepperoni 32.94 5.5 1 90 370 160 43% 18 9 0 35 580 34 3 4 20 10 15 40 10 P.F.S. 2.00 1/8 cup 2.00 90501 Wild Mike's IW Cheese 32.88 5.49 1 90 360 150 42% 17 8 0 30 510 34 3 4 20 10 10 45 15 P.F.S. 2.00 1/8 cup 2.00 15010 Wild Mike's Uncut Pepperoni 38.50 5.5 1 80 370 160 43% 18 9 0 35 580 34 3 4 20 10 15 40 10 P.F.S. 2.00 1/8 cup 2.00 15011 Wild Mike's Uncut Cheese 29.45 5.49 1 80 360 150 42% 17 8 0 30 510 34 3 4 20 10 10 45 15 P.F.S. 2.00 1/8 cup 2.00 80549 Wild Mike's 5" Deep Dish Pepperoni - No Pork 30.15 5.63 1 80 360 140 39% 167 7 0 35 570 34 3 4 20 10 15 40 15 P.F.S. 2.00 1/8 cup 2.00 80550 Wild Mike's 5" Deep Dish Cheese 29.45 5.49 1 80 360 150 42% 17 8 0 30 510 34 3 4 20 10 10 45 15 P.F.S. 2.00 1/8 cup 2.00 80649 Wild Mike's 5" IW Deep Dish Pepperoni - No Pork 30.15 5.63 1 80 360 140 39% 167 7 0 35 570 34 3 4 20 10 15 40 15 P.F.S. 2.00 1/8 cup 2.00 80650 Wild Mike's 5" IW Deep Dish Cheese 29.45 5.49 1 80 360 150 42% 17 8 0 30 510 34 3 4 20 10 10 45 15 P.F.S. 2.00 1/8 cup 2.00 90302 Wild Mike's Breakfast - No Pork 27.11 2.79 1 144 180 70 39% 8 3.5 0 15 320 17 2 2 9 4 6 15 6 P.F.S. 1.00 1/8 cup 1.00 90502 Wild Mike's IW Breakfast - No Pork 29.90 2.79 1 160 180 70 39% 8 3.5 0 15 320 17 2 2 9 4 6 15 6 P.F.S. 1.00 1/8 cup 1.00 00062 Wild Mike's 16" Cheesy Bottom Suggested 10 cut 33.12 24.9 1 20 190 50 26% 5 1.5 0 5 230 28 3 1 6 2 2 10 10 P.F.S. 2.00 1/8 cup 2.00 00063 Wild Mike's 16" Cheesy Bottom Suggested 8 cut 27.50 20.4 1 20 190 50 26% 6 1.5 0 5 240 28 3 1 7 2 2 10 10 P.F.S. 2.00 1/8 cup 2.00 00064 Wild Mike's 16" Cheesy Bottom Suggested 6 cut 25.85 15.9 1 24 200 60 30% 6 2 0 5 260 28 3 1 8 2 2 15 10 P.F.S. 2.00 1/8 cup 2.00 00071 Wild Mike's 8" x 12" Cheesy Bottom Suggested 6 cut 39.20 14.88 1 40 180 50 28% 5 1.5 0 5 230 28 3 1 6 2 2 10 10 P.F.S. 2.00 1/8 cup 2.00 11001 Wild Mike's Cheese Bread Stick 16.00 2 1 112 140 60 43% 6 2 0 15 270 15 1 1 7 6 0 10 4 P.F.S. 1.00 1.00 11002 Wild Mike's IW Cheese Bread Stick 16.00 2 1 112 140 60 43% 6 2 0 15 270 15 1 1 7 6 0 10 4 P.F.S. 1.00 1.00 11003 Wild Mike's Cheese Bites 17.00 1 1 240 70 30 43% 3 1 0 5 135 7 1 0 4 2 0 5 2 P.F.S. 0.50 0.50 Nutritional Information for S.A. Piazza & Assoc. LLC. School Year 2018 - 2019 For additional product information visit http://dese.mo.gov/divadm/food/Nutritional_Facts_Index.html S.A. Piazza

SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

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Page 1: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

Product

Code

Number

Product Description

Cas

e W

eig

ht

(lb

s)

Serv

ing

Size

(o

z)

Pie

ces

pe

r Se

rvin

g

Svgs

pe

r C

ase

Cal

ori

es

Cal

ori

es

Fro

m F

at

% C

al F

rom

Fat

Tota

l Fat

(g)

Sat

Fat

(g)

Tran

s Fa

t (g

)

Ch

ole

st (

mg)

Sod

ium

(m

g)

Tota

l Car

bs

(g)

Die

tary

Fib

er

(g)

Suga

rs (

g)

Pro

tein

(g)

Vit

am

in A

(%

DV

)

Vit

am

in C

(%

DV

)

Cal

ciu

m (

% D

V)

Iro

n (

%D

V)

CN Number

(if

applicable)

Meat/

MA

Credit

Veg

Credit

Bread

Svgs

Credit

20210 Wild Mike's 10-Cut Pepperoni 32.94 5.5 1 90 370 160 43% 18 9 0 35 580 34 3 4 20 10 15 40 10 P.F.S. 2.00 1/8 cup 2.00

20211 Wild Mike's 10-Cut Cheese 32.88 5.49 1 90 360 150 42% 17 8 0 30 510 34 3 4 20 10 10 45 15 P.F.S. 2.00 1/8 cup 2.00

90700 Wild Mike's 10-Cut Pepperoni - No Pork 33.67 5.63 1 90 370 150 40% 18 9 0 35 580 34 3 4 20 10 15 40 15 P.F.S. 2.00 1/8 cup 2.00

20310 Wild Mike's 8-Cut Pepperoni 26.75 5.5 1 72 370 150 43% 18 9 0 35 580 34 3 4 20 10 15 40 10 P.F.S. 2.00 1/8 cup 2.00

20311 Wild Mike's 8-Cut Cheese 26.71 5.49 1 72 360 150 42% 17 8 0 30 510 34 3 4 20 10 10 45 15 P.F.S. 2.00 1/8 cup 2.00

90500 Wild Mike's IW Pepperoni 32.94 5.5 1 90 370 160 43% 18 9 0 35 580 34 3 4 20 10 15 40 10 P.F.S. 2.00 1/8 cup 2.00

90501 Wild Mike's IW Cheese 32.88 5.49 1 90 360 150 42% 17 8 0 30 510 34 3 4 20 10 10 45 15 P.F.S. 2.00 1/8 cup 2.00

15010 Wild Mike's Uncut Pepperoni 38.50 5.5 1 80 370 160 43% 18 9 0 35 580 34 3 4 20 10 15 40 10 P.F.S. 2.00 1/8 cup 2.00

15011 Wild Mike's Uncut Cheese 29.45 5.49 1 80 360 150 42% 17 8 0 30 510 34 3 4 20 10 10 45 15 P.F.S. 2.00 1/8 cup 2.00

80549 Wild Mike's 5" Deep Dish Pepperoni - No Pork 30.15 5.63 1 80 360 140 39% 167 7 0 35 570 34 3 4 20 10 15 40 15 P.F.S. 2.00 1/8 cup 2.00

80550 Wild Mike's 5" Deep Dish Cheese 29.45 5.49 1 80 360 150 42% 17 8 0 30 510 34 3 4 20 10 10 45 15 P.F.S. 2.00 1/8 cup 2.00

80649 Wild Mike's 5" IW Deep Dish Pepperoni - No Pork 30.15 5.63 1 80 360 140 39% 167 7 0 35 570 34 3 4 20 10 15 40 15 P.F.S. 2.00 1/8 cup 2.00

80650 Wild Mike's 5" IW Deep Dish Cheese 29.45 5.49 1 80 360 150 42% 17 8 0 30 510 34 3 4 20 10 10 45 15 P.F.S. 2.00 1/8 cup 2.00

90302 Wild Mike's Breakfast - No Pork 27.11 2.79 1 144 180 70 39% 8 3.5 0 15 320 17 2 2 9 4 6 15 6 P.F.S. 1.00 1/8 cup 1.00

90502 Wild Mike's IW Breakfast - No Pork 29.90 2.79 1 160 180 70 39% 8 3.5 0 15 320 17 2 2 9 4 6 15 6 P.F.S. 1.00 1/8 cup 1.00

00062 Wild Mike's 16" Cheesy Bottom Suggested 10 cut 33.12 24.9 1 20 190 50 26% 5 1.5 0 5 230 28 3 1 6 2 2 10 10 P.F.S. 2.00 1/8 cup 2.00

00063 Wild Mike's 16" Cheesy Bottom Suggested 8 cut 27.50 20.4 1 20 190 50 26% 6 1.5 0 5 240 28 3 1 7 2 2 10 10 P.F.S. 2.00 1/8 cup 2.00

00064 Wild Mike's 16" Cheesy Bottom Suggested 6 cut 25.85 15.9 1 24 200 60 30% 6 2 0 5 260 28 3 1 8 2 2 15 10 P.F.S. 2.00 1/8 cup 2.00

00071 Wild Mike's 8" x 12" Cheesy Bottom Suggested 6 cut 39.20 14.88 1 40 180 50 28% 5 1.5 0 5 230 28 3 1 6 2 2 10 10 P.F.S. 2.00 1/8 cup 2.00

11001 Wild Mike's Cheese Bread Stick 16.00 2 1 112 140 60 43% 6 2 0 15 270 15 1 1 7 6 0 10 4 P.F.S. 1.00 1.00

11002 Wild Mike's IW Cheese Bread Stick 16.00 2 1 112 140 60 43% 6 2 0 15 270 15 1 1 7 6 0 10 4 P.F.S. 1.00 1.0011003 Wild Mike's Cheese Bites 17.00 1 1 240 70 30 43% 3 1 0 5 135 7 1 0 4 2 0 5 2 P.F.S. 0.50 0.50

Nutritional Information for S.A. Piazza & Assoc. LLC.School Year 2018 - 2019

For additional product information visit http://dese.mo.gov/divadm/food/Nutritional_Facts_Index.html

S.A. Piazza

Page 2: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 16” Cheesy Bottom Crust Sugg. 8-Cut Code No.: 00063 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 20/20.40oz

I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____(Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)

II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: _3.67___(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditablegrains may not credit towards the grain requirements for school meals.)

III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and SchoolBreakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cerealgrains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of graincomponent based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group Huses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____

Description of Creditable Grain Ingredient*

Grams of Creditable Grain Ingredient per Portion1

A

Gram Standard of Creditable Grain per oz equivalent

(16g or 28g)2

B

Creditable Amount A ÷ B

Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976

Total Creditable GRAIN Amount3 2.24 *Creditable grains are whole-grain meal/flour and enriched meal/flour.1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must beconverted to grams.2Standard grams of creditable grains from the corresponding Group in Exhibit A.3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.

Total weight (per portion) of product as purchased 2.55oz Total contribution of product (per portion) 2.0oz equivalent

I certify that the above information is true and correct and that a 2.55oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123Printed Name Date Phone Number�

������������

_______________________________________________ _____ ____________________________________________________________________________Signature

Page 3: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 16” Cheesy Bottom Crust Sugg. 8-Cut Code No.: 00063 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 20/20.40oz

I. Meat/Meat AlternatePlease fill out the chart below to determine the creditable amount of Meat/Meat Alternate

Description of Creditable Ingredients Per Food Buying

Guide (FBG)

Ounces Per Raw Portion of Creditable

Ingredient

Multiply FBG Yield/Servings Per Unit

CreditableAmount*

Mozzarella .31 X 1 .31XX

A. Total Creditable M/MMA Amount1 .31*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information.

II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, youmust provide documentation as described in Attachment A for each APP used.

Description of APP, Manufacturer’s Name, and Code Number

Ounces Dry APP Per Portion

Multiply % of Protein As-

Is*

Dived by 18**

CreditableAmountAPP***

B. Total Creditable APP Amount1

C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz)*Percent of Protein As-Is is provided on the attached APP documentation.**18 is the percent of protein when fully hydrated.***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18.1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meatequivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (TotalCreditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.

Total weight (per portion) of product as purchased 2.55 oz Total creditable amount of product (per portion) .31 oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)

I certify that the above information is true and correct and that a _2.55____ ounce serving of the above product (ready for serving) contains _.31____ ounces of equivalent meat/meat alternate when prepared per directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123Printed Name Date Phone Number�

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _Signature

������������

Page 4: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

15815 SE Piazza Avenue,

Clackamas, OR 97015

Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com

ITEM CODE:

00063

Wild Mike’s 16” Cheesy Bottom Crust Suggested 8-Cut

Wild Mike’s is an ultra-premium product that

features both high quality and quantity ingredients.

Our products do not contain:

• L-Cysteine

• Calcium Propionate

• BHA-BHT

• sodium nitrates

• sodium benzoate

Page 5: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

Per the Child Nutrition Meal Pattern Requirements, Each serving provides:

Baking Instructions: (once pizza is created)

Wild Mike’s 16” Cheesy Bottom Crust Suggested 8-Cut

Item Code: 00063

Description:

Per the Child Nutrition Meal Pattern Requirements, Each serving provides:

Baking Instructions: (once pizza is created)

Wild Mike’s Pizza (00063) is a 51% whole grain crust (Suggested 8-Cut.) This

crust is par-baked and full of flavor!

• Meat/Meat Alternate equivalent = .31 • Bread Alternate equivalent = 2

Preheat oven to 325 degrees. Place pizza on baking sheet.

Frozen: Bake 13-15 minutes

Thawed: Bake 11-13 minutes

Due to oven variances, times and temperatures may require adjustments.

15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com

Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.

Manufacturer:

Page 6: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s Cheese Breadstick – BULK & IW Code No.: 11001 & 11002 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 112/2.0oz

I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)

II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: .33(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)

III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____

Description of Creditable Grain Ingredient*

Grams of Creditable Grain Ingredient per Portion1

A

Gram Standard of Creditable Grain per oz equivalent

(16g or 28g)2

B

Creditable Amount A ÷ B

Whole Wheat Flour 8.16 16 .51 Enriched Wheat Flour 7.84 16 .49

Total Creditable GRAIN Amount3 1

*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.

Total weight (per portion) of product as purchased 2.0oz Total contribution of product (per portion) 1.0oz equivalent

I certify that the above information is true and correct and that a 2.0oz portion of this product (ready for serving) provides 1.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

________________________________________________________________________________________________________________________________Signature

Page 7: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s Cheese Breadstick – BULK & IW Code No.: 11001 & 11002 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 112/2.0oz

I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate

Description of Creditable Ingredients Per Food Buying

Guide (FBG)

Ounces Per Raw Portion of Creditable

Ingredient

Multiply FBG Yield/Servings Per Unit

CreditableAmount*

Mozzarella 1.0 X 1 1.0 X X

A. Total Creditable M/MMA Amount1 1.0 *Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.

Description of APP, Manufacturer’s Name, and Code Number

Ounces Dry APP Per Portion

Multiply % of Protein As-

Is*

Dived by 18**

CreditableAmountAPP***

B. Total Creditable APP Amount1

C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.

Total weight (per portion) of product as purchased 2.0oz Total creditable amount of product (per portion) 1.0oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)

I certify that the above information is true and correct and that a _2.0____ ounce serving of the above product (ready for serving) contains __1.0___ ounces of equivalent meat/meat alternate when prepared per directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _Signature

Page 8: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

15815 SE Piazza Avenue,

Clackamas, OR 97015

Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com

ITEM CODe:

11001

11002

Wild Mike’s Cheese Bread Stick Bulk/I.W.

Wild Mike’s is an ultra-premium product that

features both high quality and quantity ingredients.

Our products do not contain:

• L-Cysteine

• Calcium Propionate

• BHA-BHT

• sodium nitrates

• sodium benzoate

Page 9: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

Wild Mike’s Cheese Bread Stick Bulk/I.W.

Item Code: 11001/11002

Description:

Per the Child Nutrition Meal Pattern Requirements, Each serving provides:

Baking Instructions:

Wild Mike’s premium quality Cheese Breadsticks (11001/11002) are fresh baked

with 51% Whole Grain Rich flour and filled with tasty mozzarella cheese the

kids are sure to love!

• Meat/Meat Alternate equivalent = 1 • Bread Alternate equivalent = 1

Preheat oven to 350 degrees. Place frozen breadsticks on baking sheet.

Bake 6-8 minutes.

Let stand 1-2 minutes befroe serving due to cheesy filling being hot.

Due to oven variances, times and temperatures may require adjustments.

15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com

Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.

Manufacturer:

Page 10: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s Cheese Bites – BULK Code No.: 11003 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 240/1.0oz

I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____(Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)

II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: .165(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditablegrains may not credit towards the grain requirements for school meals.)

III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and SchoolBreakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cerealgrains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of graincomponent based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group Huses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____

Description of Creditable Grain Ingredient*

Grams of Creditable Grain Ingredient per Portion1

A

Gram Standard of Creditable Grain per oz equivalent

(16g or 28g)2

B

Creditable Amount A ÷ B

Whole Wheat Flour 4.08 16 .255 Enriched Wheat Flour 3.92 16 .245

Total Creditable GRAINS Amount3 .50*Creditable grains are whole-grain meal/flour and enriched meal/flour.1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must beconverted to grams.2Standard grams of creditable grains from the corresponding Group in Exhibit A.3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.

Total weight (per portion) of product as purchased 1.0oz Total contribution of product (per portion) .5oz equivalent

I certify that the above information is true and correct and that a 1.0oz portion of this product (ready for serving) provides .5oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123Printed Name Date Phone Number�

________________________________________________________________________________________________________________________________Signature

Page 11: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s Cheese Bites – BULK Code No.: 11003 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 240/1.0oz

I. Meat/Meat AlternatePlease fill out the chart below to determine the creditable amount of Meat/Meat Alternate

Description of Creditable Ingredients Per Food Buying

Guide (FBG)

Ounces Per Raw Portion of Creditable

Ingredient

Multiply FBG Yield/Servings Per Unit

CreditableAmount*

Mozzarella .50 X 1 .50XX

A. Total Creditable M/MMA Amount1 .50*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information.

II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, youmust provide documentation as described in Attachment A for each APP used.

Description of APP, Manufacturer’s Name, and Code Number

Ounces Dry APP Per Portion

Multiply % of Protein As-

Is*

Dived by 18**

CreditableAmountAPP***

B. Total Creditable APP Amount1

C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz)*Percent of Protein As-Is is provided on the attached APP documentation.**18 is the percent of protein when fully hydrated.***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18.1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meatequivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (TotalCreditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.

Total weight (per portion) of product as purchased 1.0oz Total creditable amount of product (per portion) .50 oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)

I certify that the above information is true and correct and that a __1.0___ ounce serving of the above product (ready for serving) contains __.50___ ounces of equivalent meat/meat alternate when prepared per directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123Printed Name Date Phone Number�

_______________________________________________________________________________________________________________________________________Signature

Page 12: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

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Page 13: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s Maple Bread Stick – BULK & IW Code No.: 11004 & 11005 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 112/1.4oz

I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)

II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: .33(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)

III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____

Description of Creditable Grain Ingredient*

Grams of Creditable Grain Ingredient per Portion1

A

Gram Standard of Creditable Grain per oz equivalent

(16g or 28g)2

B

Creditable Amount A ÷ B

Whole Wheat Flour 8.16 16 .51 Enriched Wheat Flour 7.84 16 .49

Total Creditable GRAINS Amount3 1

*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.

Total weight (per portion) of product as purchased 1.4oz Total contribution of product (per portion) 1.0oz equivalent

I certify that the above information is true and correct and that a 1.4oz portion of this product (ready for serving) provides 1.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

_________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________Signature

Page 14: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 16” Cheesy Bottom Pepperoni Pizza - UNCUT Code No.: 15010 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 80/5.50oz

I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)

II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)

III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____

Description of Creditable Grain Ingredient*

Grams of Creditable Grain Ingredient per Portion1

A

Gram Standard of Creditable Grain per oz equivalent

(16g or 28g)2

B

Creditable Amount A ÷ B

Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976

Total Creditable GRAINS Amount3 2.24

*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.

Total weight (per portion) of product as purchased 5.50oz Total contribution of product (per portion) 2.0oz equivalent

I certify that the above information is true and correct and that a 5.50oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

________________________________________________________________________________________________________________________________Signature

Page 15: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 16” Cheesy Bottom Pepperoni Pizza - UNCUT Code No.: 15010 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 80/5.50oz

I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate

Description of Creditable Ingredients Per Food Buying

Guide (FBG)

Ounces Per Raw Portion of Creditable

Ingredient

Multiply FBG Yield/Servings Per Unit

CreditableAmount*

80%-Mozz, 15%-Provolone, 1.74 X 1 1.74 2.6% Romano, 2.4% Parm. XPepperoni – Beef & Pork .2745 X .94843 .2603

A. Total Creditable M/MMA Amount1 2.0003 *Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.

Description of APP, Manufacturer’s Name, and Code Number

Ounces Dry APP Per Portion

Multiply % of Protein As-

Is*

Dived by 18**

CreditableAmountAPP***

B. Total Creditable APP Amount1

C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.

Total weight (per portion) of product as purchased 5.50oz Total creditable amount of product (per portion) 2.00 oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)

I certify that the above information is true and correct and that a _5.50____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared per directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature

Page 16: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

15815 SE Piazza Avenue,

Clackamas, OR 97015

Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com

ITEM CODE:

15010

Wild Mike’s Uncut, Pepperoni, cheesy Bottom Crust

Wild Mike’s is an ultra-premium product that

features both high quality and quantity ingredients.

Our products do not contain:

• L-Cysteine

• Calcium Propionate

• BHA-BHT

• sodium nitrates

• sodium benzoate

Page 17: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

Wild Mike’s Uncut, Pepperoni, cheesy bottom Crust

Item Code: 15010

Description:

Per the Child Nutrition Meal Pattern Requirements, Each serving provides:

Baking Instructions:

Students are now able to indulge in the same great taste of Wild Mike’s

while in school! Wild Mike’s Pizza (15010) is on a 51% whole grain cheesy

bottom crust, uncut (suggested 8-cut.) Contains Mozzarella, Provolone,

Romano and Parmesan cheese.

• Meat/Meat Alternate equivalent = 2 • Bread Alternate equivalent = 2

• Vegatable equivalent = 1/8 Cup

Preheat oven to 325 degrees. Place pizza on baking sheet.

Frozen: Bake 13-15 minutes

Thawed: Bake 11-13 minutes

Due to oven variances, times and temperatures may require adjustments.

15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com

Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.

Manufacturer:

Page 18: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 16” Cheesy Bottom Cheese Pizza – UNCUT Code No.: 15011 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 80/5.49oz

I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)

II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)

III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____

Description of Creditable Grain Ingredient*

Grams of Creditable Grain Ingredient per Portion1

A

Gram Standard of Creditable Grain per oz equivalent

(16g or 28g)2

B

Creditable Amount A ÷ B

Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976

Total Creditable GRAINS Amount3 2.24

*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.

Total weight (per portion) of product as purchased 5.49oz Total contribution of product (per portion) 2.0oz equivalent

I certify that the above information is true and correct and that a 5.49oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

_______________________________________________ _____ ____________________________________________________________________________Signature

Page 19: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 16” Cheesy Bottom Cheese Pizza – UNCUT Code No.: 15011 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 80/5.49oz

I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate

Description of Creditable Ingredients Per Food Buying

Guide (FBG)

Ounces Per Raw Portion of Creditable

Ingredient

Multiply FBG Yield/Servings Per Unit

CreditableAmount*

80%-Mozz, 15%-Provolone, 2.00 X 1 2.00 2.6% Romano, 2.4% Parm. X

X A. Total Creditable M/MMA Amount1 2.00

*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.

Description of APP, Manufacturer’s Name, and Code Number

Ounces Dry APP Per Portion

Multiply % of Protein As-

Is*

Dived by 18**

CreditableAmountAPP***

B. Total Creditable APP Amount1

C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.

Total weight (per portion) of product as purchased 5.49 oz Total creditable amount of product (per portion) 2.00 oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)

I certify that the above information is true and correct and that a _5.49____ ounce serving of the above product (ready for serving) contains __2.00___ ounces of equivalent meat/meat alternate when prepared per directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

__________________________________________________________________________________________________________________________ __Signature

Page 20: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

15815 SE Piazza Avenue,

Clackamas, OR 97015

Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com

ITEM CODE:

15011

Wild Mike’s Uncut, 4-cheese, Cheesy bottom Crust

Wild Mike’s is an ultra-premium product that

features both high quality and quantity ingredients.

Our products do not contain:

• L-Cysteine

• Calcium Propionate

• BHA-BHT

• sodium nitrates

• sodium benzoate

Page 21: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

Wild Mike’s Uncut, 4-cheese, Cheesy bottom Crust

Item Code: 15011

Description:

Per the Child Nutrition Meal Pattern Requirements, Each serving provides:

Baking Instructions:

Students are now able to indulge in the same great taste of Wild Mike’s

while in school! Wild Mike’s Pizza (15011) is on a 51% whole grain Firebaked

crust, uncut (suggested 8-cut.) Contains Mozzarella, Provolone, Romano

and Parmesan cheese

• Meat/Meat Alternate equivalent = 2 • Bread Alternate equivalent = 2

• Vegatable equivalent = 1/8 Cup

Preheat oven to 325 degrees. Place pizza on baking sheet.

Frozen: Bake 13-15 minutes

Thawed: Bake 11-13 minutes

Due to oven variances, times and temperatures may require adjustments.

15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com

Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.

Manufacturer:

Page 22: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 16” Cheesy Bottom Pepperoni Pizza – 10-Cut Code No.: 20210 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.50oz

I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)

II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)

III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____

Description of Creditable Grain Ingredient*

Grams of Creditable Grain Ingredient per Portion1

A

Gram Standard of Creditable Grain per oz equivalent

(16g or 28g)2

B

Creditable Amount A ÷ B

Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976

Total Creditable GRAINS Amount3 2.24

*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.

Total weight (per portion) of product as purchased 5.50oz Total contribution of product (per portion) 2.0oz equivalent

I certify that the above information is true and correct and that a 5.49oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

_________________________________________________________________________________________________________________ ___Signature

Page 23: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 16” Cheesy Bottom Pepperoni Pizza – 10-Cut Code No.: 20210 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.50oz

I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate

Description of Creditable Ingredients Per Food Buying

Guide (FBG)

Ounces Per Raw Portion of Creditable

Ingredient

Multiply FBG Yield/Servings Per Unit

CreditableAmount*

80%-Mozz, 15%-Provolone, 1.74 X 1 1.74 2.6% Romano, 2.4% Parm. XPepperoni – Beef & Pork .2745 X .94843 .2603

A. Total Creditable M/MMA Amount1 2.0003 *Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.

Description of APP, Manufacturer’s Name, and Code Number

Ounces Dry APP Per Portion

Multiply % of Protein As-

Is*

Dived by 18**

CreditableAmountAPP***

B. Total Creditable APP Amount1

C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.

Total weight (per portion) of product as purchased 5.50oz Total creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)

I certify that the above information is true and correct and that a __5.50___ ounce serving of the above product (ready for serving) contains __2.00___ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature

Page 24: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

15815 SE Piazza Avenue,

Clackamas, OR 97015

Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com

ITEM CODE:

20210

Wild Mike’s 10-Cut, Pepperoni,

Cheesy Bottom “Pre-cut”

Wild Mike’s is an ultra-premium product that

features both high quality and quantity ingredients.

Our products do not contain:

• L-Cysteine

• Calcium Propionate

• BHA-BHT

• sodium nitrates

• sodium benzoate

Page 25: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

Wild Mike’s 10-Cut, Pepperoni, Cheesy Bottom “Pre-cut”

Item Code: 20210

Description:

Per the Child Nutrition Meal Pattern Requirements, Each serving provides:

Baking Instructions:

Students are now able to indulge in the same great taste of Wild Mike’s

while in school! Wild Mike’s Pizza (20210) is on a 51% whole grain crust and

pre-cut into 10 slices containing Mozzarella, Provolone, Romano and

Parmesan cheese.

• Meat/Meat Alternate equivalent = 2 • Bread Alternate equivalent = 2

• Vegatable equivalent = 1/8 Cup

Preheat oven to 325 degrees. Place pizza on baking sheet.

Frozen: Bake 13-15 minutes

Thawed: Bake 11-13 minutes

Due to oven variances, times and temperatures may require adjustments.

15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com

Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.

Manufacturer:

Page 26: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 16” Cheesy Bottom Cheese Pizza – 10-Cut Code No.: 20211 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.49oz

I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)

II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)

III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____

Description of Creditable Grain Ingredient*

Grams of Creditable Grain Ingredient per Portion1

A

Gram Standard of Creditable Grain per oz equivalent

(16g or 28g)2

B

Creditable Amount A ÷ B

Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976

Total Creditable GRAIN Amount3 2.24

*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.

Total weight (per portion) of product as purchased 5.49oz Total contribution of product (per portion) 2.0oz equivalent

I certify that the above information is true and correct and that a 5.49oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

___________________________________________________________________________________________________________ ____Signature

Page 27: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 16” Cheesy Bottom Cheese Pizza – 10-Cut Code No.: 20211 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.49oz

I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate

Description of Creditable Ingredients Per Food Buying

Guide (FBG)

Ounces Per Raw Portion of Creditable

Ingredient

Multiply FBG Yield/Servings Per Unit

CreditableAmount*

80%-Mozz, 15%-Provolone, 2.00 X 1 2.00 2.6% Romano, 2.4% Parm. X

X A. Total Creditable M/MMA Amount1 2.00

*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.

Description of APP, Manufacturer’s Name, and Code Number

Ounces Dry APP Per Portion

Multiply % of Protein As-

Is*

Dived by 18**

CreditableAmountAPP***

B. Total Creditable APP Amount1

C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.

Total weight (per portion) of product as purchased 5.49oz Total creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)

I certify that the above information is true and correct and that a _5.49____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

_______________________________________________________________________________________________________________________________________________ __Signature

Page 28: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

15815 SE Piazza Avenue,

Clackamas, OR 97015

Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com

ITEM CODE:

20211

Wild Mike’s 10-Cut, 4-Cheese,

Cheesy Bottom “Pre-cut”

Wild Mike’s is an ultra-premium product that

features both high quality and quantity ingredients.

Our products do not contain:

• L-Cysteine

• Calcium Propionate

• BHA-BHT

• sodium nitrates

• sodium benzoate

Page 29: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

Wild Mike’s 10-Cut, 4-Cheese, Cheesy Bottom “Pre-cut”

Item Code: 20211

Description:

Per the Child Nutrition Meal Pattern Requirements, Each serving provides:

Baking Instructions:

Students are now able to indulge in the same great taste of Wild Mike’s

while in school! Wild Mike’s Pizza (20211) is on a 51% whole grain crust and

pre-cut into 10 slices containing Mozzarella, Provolone, Romano and

Parmesan cheese.

• Meat/Meat Alternate equivalent = 2 • Bread Alternate equivalent = 2

• Vegatable equivalent = 1/8 Cup

Preheat oven to 325 degrees. Place pizza on baking sheet.

Frozen: Bake 13-15 minutes

Thawed: Bake 11-13 minutes

Due to oven variances, times and temperatures may require adjustments.

15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com

Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.

Manufacturer:

Page 30: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 16” Cheesy Bottom Pepperoni Pizza – 8-Cut Code No.: 20310 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: /5.50oz

I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____(Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)

II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditablegrains may not credit towards the grain requirements for school meals.)

III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and SchoolBreakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cerealgrains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of graincomponent based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group Huses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____

Description of Creditable Grain Ingredient*

Grams of Creditable Grain Ingredient per Portion1

A

Gram Standard of Creditable Grain per oz equivalent

(16g or 28g)2

B

Creditable Amount A ÷ B

Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976

Total Creditable GRAINS Amount3 2.24 *Creditable grains are whole-grain meal/flour and enriched meal/flour.1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must beconverted to grams.2Standard grams of creditable grains from the corresponding Group in Exhibit A.3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.

Total weight (per portion) of product as purchased 5.50oz Total contribution of product (per portion) 2.0oz equivalent

I certify that the above information is true and correct and that a 5.50oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123Printed Name Date Phone Number�

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature

Page 31: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 16” Cheesy Bottom Pepperoni Pizza – 8-Cut Code No.: 20310 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 72/5.50oz

I. Meat/Meat AlternatePlease fill out the chart below to determine the creditable amount of Meat/Meat Alternate

Description of Creditable Ingredients Per Food Buying

Guide (FBG)

Ounces Per Raw Portion of Creditable

Ingredient

Multiply FBG Yield/Servings Per Unit

CreditableAmount*

80%-Mozz, 15%-Provolone, 1.74 X 1 1.74 2.6% Romano, 2.4% Parm. XPepperoni – Beef & Pork .2745 X .94843 .2603

A. Total Creditable M/MMA Amount1 2.0003 *Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information.

II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, youmust provide documentation as described in Attachment A for each APP used.

Description of APP, Manufacturer’s Name, and Code Number

Ounces Dry APP Per Portion

Multiply % of Protein As-

Is*

Dived by 18**

CreditableAmountAPP***

B. Total Creditable APP Amount1

C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz)*Percent of Protein As-Is is provided on the attached APP documentation.**18 is the percent of protein when fully hydrated.***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18.�1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat�equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total�Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.

Total weight (per portion) of product as purchased 5.50ozTotal creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)

I certify that the above information is true and correct and that a _5.��____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123Printed Name Date Phone Number�

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature

Page 32: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

15815 SE Piazza Avenue,

Clackamas, OR 97015

Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com

ITEM CODE:

20310

Wild Mike’s 8-Cut, Pepperoni,

Cheesy Bottom “Pre-cut”

Wild Mike’s is an ultra-premium product that

features both high quality and quantity ingredients.

Our products do not contain:

• L-Cysteine

• Calcium Propionate

• BHA-BHT

• sodium nitrates

• sodium benzoate

Page 33: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

Wild Mike’s 8-Cut, Pepperoni, Cheesy Bottom “Pre-cut”

Item Code: 20310

Description:

Per the Child Nutrition Meal Pattern Requirements, Each serving provides:

Baking Instructions:

Students are now able to indulge in the same great taste of Wild Mike’s

while in school! Wild Mike’s Pizza (20310) is on a 51% whole grain crust

and pre-cut into 8 slices containing Mozzarella, Provolone, Romano and

Parmesan cheese.

• Meat/Meat Alternate equivalent = 2 • Bread Alternate equivalent = 2

• Vegatable equivalent = 1/8 Cup

Preheat oven to 325 degrees. Place pizza on baking sheet.

Frozen: Bake 13-15 minutes

Thawed: Bake 11-13 minutes

Due to oven variances, times and temperatures may require adjustments.

15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com

Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.

Manufacturer:

18g 28%

Updated: 9/07/2017

Page 34: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 16” Cheesy Bottom Cheese Pizza – 8-Cut Code No.: 20311 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: �5.49oz

I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____(Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)

II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditablegrains may not credit towards the grain requirements for school meals.)

III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and SchoolBreakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cerealgrains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of graincomponent based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group Huses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____

Description of Creditable Grain Ingredient*

Grams of Creditable Grain Ingredient per Portion1

A

Gram Standard of Creditable Grain per oz equivalent

(16g or 28g)2

B

Creditable Amount A ÷ B

Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976

Total Creditable GRAINS Amount3 2.24 *Creditable grains are whole-grain meal/flour and enriched meal/flour.1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must beconverted to grams.2Standard grams of creditable grains from the corresponding Group in Exhibit A.3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.

Total weight (per portion) of product as purchased 5.49oz Total contribution of product (per portion) 2.0oz equivalent

I certify that the above information is true and correct and that a 5.49oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123Printed Name Date Phone Number�

_______________________________________________________________________________________________________________________________ ___Signature

Page 35: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 16” Cheesy Bottom Cheese Pizza – 8-Cut Code No.: 20311 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 72/5.49oz

I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate

Description of Creditable Ingredients Per Food Buying

Guide (FBG)

Ounces Per Raw Portion of Creditable

Ingredient

Multiply FBG Yield/Servings Per Unit

CreditableAmount*

80%-Mozz, 15%-Provolone, 2.00 X 1 2.00 2.6% Romano, 2.4% Parm. X

X A. Total Creditable M/MMA Amount1 2.00

*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.

Description of APP, Manufacturer’s Name, and Code Number

Ounces Dry APP Per Portion

Multiply % of Protein As-

Is*

Dived by 18**

CreditableAmountAPP***

B. Total Creditable APP Amount1

C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.

Total weight (per portion) of product as purchased 5.49oz Total creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)

I certify that the above information is true and correct and that a _5.49____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature

Page 36: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

15815 SE Piazza Avenue,

Clackamas, OR 97015

Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com

ITEM CODE:

20311

Wild Mike’s 8-Cut, 4-cheese,

Cheesy Bottom, “Pre-cut”

Wild Mike’s is an ultra-premium product that

features both high quality and quantity ingredients.

Our products do not contain:

• L-Cysteine

• Calcium Propionate

• BHA-BHT

• sodium nitrates

• sodium benzoate

Page 37: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

Wild Mike’s 8-Cut, 4-cheese, Cheesy Bottom, “Pre-cut”

Item Code: 20311

Description:

Per the Child Nutrition Meal Pattern Requirements, Each serving provides:

Baking Instructions:

Students are now able to indulge in the same great taste of Wild Mike’s

while in school! Wild Mike’s Pizza (20311) is on a 51% whole grain crust and

pre-cut into 8 slices containing Mozzarella, Provolone, Romano and

Parmesan cheese.

• Meat/Meat Alternate equivalent = 2 • Bread Alternate equivalent = 2

• Vegatable equivalent = 1/8 Cup

Preheat oven to 325 degrees. Place pizza on baking sheet.

Frozen: Bake 13-15 minutes

Thawed: Bake 11-13 minutes

Due to oven variances, times and temperatures may require adjustments.

15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com

Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.

Manufacturer:

Page 38: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 16” Cheesy Bottom Pepperoni Pizza – 8-Cut – No Pork Code No.: 20312 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 72/5.63oz

I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)

II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)

III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____

Description of Creditable Grain Ingredient*

Grams of Creditable Grain Ingredient per Portion1

A

Gram Standard of Creditable Grain per oz equivalent

(16g or 28g)2

B

Creditable Amount A ÷ B

Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976

Total Creditable GRAINS Amount3 2.24

*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.

Total weight (per portion) of product as purchased 5.63oz Total contribution of product (per portion) 2.0oz equivalent

I certify that the above information is true and correct and that a 5.63oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature

Page 39: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 16” Cheesy Bottom Cheese Pizza – 8-Cut – NO PORK Code No.: 20312 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 72/5.63oz

I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate

Description of Creditable Ingredients Per Food Buying

Guide (FBG)

Ounces Per Raw Portion of Creditable

Ingredient

Multiply FBG Yield/Servings Per Unit

CreditableAmount*

80%-Mozz, 15%-Provolone, 1.74 X 1 1.74 2.6% Romano, 2.4% Parm. X

All Beef Pepperoni – 30% Fat .404 X .70 .2828 A. Total Creditable M/MMA Amount1 2.0228

*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.

Description of APP, Manufacturer’s Name, and Code Number

Ounces Dry APP Per Portion

Multiply % of Protein As-

Is*

Dived by 18**

CreditableAmountAPP***

B. Total Creditable APP Amount1

C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.

Total weight (per portion) of product as purchased 5.63oz Total creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)

I certify that the above information is true and correct and that a _5.63____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _Signature

Page 40: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

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Page 41: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 5” Deep Dish Pepperoni Pizza – No Pork – BULK & IW Code No.: 80549 & 80649 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 80/5.63oz

I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)

II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)

III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____

Description of Creditable Grain Ingredient*

Grams of Creditable Grain Ingredient per Portion1

A

Gram Standard of Creditable Grain per oz equivalent

(16g or 28g)2

B

Creditable Amount A ÷ B

Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976

Total Creditable GRAINS Amount3 2.24

*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.

Total weight (per portion) of product as purchased 5.63oz Total contribution of product (per portion) 2.0oz equivalent

I certify that the above information is true and correct and that a 5.63oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

_______________________________________________ _____ ____________________________________________________________________________Signature

Page 42: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 5” Deep Dish Pepperoni Pizza – No Pork – BULK & IW Code No.: 80549 & 80649 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 80/5.63oz

I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate

Description of Creditable Ingredients Per Food Buying

Guide (FBG)

Ounces Per Raw Portion of Creditable

Ingredient

Multiply FBG Yield/Servings Per Unit

CreditableAmount*

80%-Mozz, 15%-Provolone, 1.74 X 1 1.74 2.6% Romano, 2.4% Parm. X

All Beed Pepperoni – 30% Fat .404 X .70 .2828 A. Total Creditable M/MMA Amount1 2.0228

*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.

Description of APP, Manufacturer’s Name, and Code Number

Ounces Dry APP Per Portion

Multiply % of Protein As-

Is*

Dived by 18**

CreditableAmountAPP***

B. Total Creditable APP Amount1

C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.

Total weight (per portion) of product as purchased 5.63oz Total creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)

I certify that the above information is true and correct and that a _5.63____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

___________________________________________________ _______________________________________________________________ __________________________________________ ________________________________________________________________________________________________________________________________________________ _Signature

Page 43: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

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Page 44: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 5” Deep Dish Cheese Pizza – BULK & IW Code No.: 80550 & 80650 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 80/5.49oz

I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)

II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)

III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____

Description of Creditable Grain Ingredient*

Grams of Creditable Grain Ingredient per Portion1

A

Gram Standard of Creditable Grain per oz equivalent

(16g or 28g)2

B

Creditable Amount A ÷ B

Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976

Total Creditable GRAINS Amount3 2.24

*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.

Total weight (per portion) of product as purchased 5.49oz Total contribution of product (per portion) 2.0oz equivalent

I certify that the above information is true and correct and that a 5.49oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

___________________________________________________________________________________________________________ ____Signature

Page 45: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 5” Deep Dish Cheese Pizza – BULK & IW Code No.: 80550 & 80650 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 80/5.49oz

I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate

Description of Creditable Ingredients Per Food Buying

Guide (FBG)

Ounces Per Raw Portion of Creditable

Ingredient

Multiply FBG Yield/Servings Per Unit

CreditableAmount*

80%-Mozz, 15%-Provolone, 2.00 X 1 2.00 2.6% Romano, 2.4% Parm. X

X A. Total Creditable M/MMA Amount1 2.00

*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.

Description of APP, Manufacturer’s Name, and Code Number

Ounces Dry APP Per Portion

Multiply % of Protein As-

Is*

Dived by 18**

CreditableAmountAPP***

B. Total Creditable APP Amount1

C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.

Total weight (per portion) of product as purchased 5.49oz Total creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)

I certify that the above information is true and correct and that a _5.49____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _Signature

Page 46: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

15815 SE Piazza Avenue,

Clackamas, OR 97015

Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com

ITEM CODE:

80550

80650

Wild Mike’s 5” Deep Dish Cheese Bulk/I.W.

Wild Mike’s is an ultra-premium product that

features both high quality and quantity ingredients.

Our products do not contain:

• L-Cysteine

• Calcium Propionate

• BHA-BHT

• sodium nitrates

• sodium benzoate

Page 47: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

Wild Mike’s 5” Deep Dish Cheese Bulk/I.w

Item Code: 80550/80650

Description:

Per the Child Nutrition Meal Pattern Requirements, Each serving provides:

Baking Instructions:

Students are now able to indulge in the same great taste of Wild Mike’s

while in school! Wild Mike’s Pizza (80550/80650) is on a 51% whole grain 5”

Deep Dish Crust. Contains Mozzarella, Provolone, Romano and Parmesan

cheese.

• Meat/Meat Alternate equivalent = 2 • Bread Alternate equivalent = 2

• Vegatable equivalent = 1/8 Cup

Preheat oven to 325 degrees. Place pizza on baking sheet.

Frozen: Bake 13-15 minutes

Thawed: Bake 11-13 minutes

Due to oven variances, times and temperatures may require adjustments.

15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com

Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.

Manufacturer:

Page 48: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s Breakfast Pizza – No Pork – BULK & IW Code No.: 90302 & 90502 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 144/2.79oz & 160/2.79oz

I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)

II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 18.35(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)

III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____

Description of Creditable Grain Ingredient*

Grams of Creditable Grain Ingredient per Portion1

A

Gram Standard of Creditable Grain per oz equivalent

(16g or 28g)2

B

Creditable Amount A ÷ B

Whole Wheat Flour 9.1392 16 .5712 Enriched Wheat Flour 8.7808 16 .5488

Total Creditable GRAINS Amount3 1.12

*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.

Total weight (per portion) of product as purchased 2.79oz Total contribution of product (per portion) 1.0oz equivalent

I certify that the above information is true and correct and that a 2.79oz portion of this product (ready for serving) provides 1.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

_______________________________________________ _____ ____________________________________________________________________________Signature

Page 49: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s Breakfast Pizza – No Pork – BULK & IW Code No.: 90302 & 90502 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 144/2.79oz & 160/2.79oz

I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate

Description of Creditable Ingredients Per Food Buying

Guide (FBG)

Ounces Per Raw Portion of Creditable

Ingredient

Multiply FBG Yield/Servings Per Unit

CreditableAmount*

80%-Mozz, 15%-Provolone, .70841 X 1 .70841 2.6% Romano, 2.4% Parm. X

Beef Topping (Sausage) .344 X .848125 .291755 A. Total Creditable M/MMA Amount1 1.000165

*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.

Description of APP, Manufacturer’s Name, and Code Number

Ounces Dry APP Per Portion

Multiply % of Protein As-

Is*

Dived by 18**

CreditableAmountAPP***

B. Total Creditable APP Amount1

C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.

Total weight (per portion) of product as purchased 2.79oz Total creditable amount of product (per portion) 1.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)

I certify that the above information is true and correct and that a _2.79____ ounce serving of the above product (ready for serving) contains _1.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

__________________________________________________________________________________________________________________________ __Signature

Page 50: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

15815 SE Piazza Avenue,

Clackamas, OR 97015

Phone (503) 657-3123 • Fax (503) 657-1784 • www.sapiazza.com

ITEM CODE:

90302

90502

Wild Mike’s Breakfast (No Pork) Breakfast Pizza Bulk/I.w.

Wild Mike’s is an ultra-premium product that

features both high quality and quantity ingredients.

Our products do not contain:

• L-Cysteine

• Calcium Propionate

• BHA-BHT

• sodium nitrates

• sodium benzoate

Page 51: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

Wild Mike’s Breakfast (No Pork) Breakfast Pizza Bulk/I.W.

Item Codes: 90302/90502

Description:

Per the Child Nutrition Meal Pattern Requirements, Each serving provides:

Baking Instructions:

Wild Mike’s Pizza (90302) is on a 51% whole grain Crust (8-Cut) with a red

sauce and No Pork, beef sausage topping. A great start to the students day!

• Meat/Meat Alternate equivalent = 1 • Bread Alternate equivalent = 1

• Vegatable equivalent = 1/8 Cup

Preheat oven to 325 degrees. Place pizza on baking sheet.

Frozen: Bake 13-15 minutes

Thawed: Bake 11-13 minutes

Due to oven variances, times and temperatures may require adjustments.

15815 SE Piazza Avenue, PO Box 1603, Clackamas, OR 97015p: 503-657-3123 f: 503-657-1784 www.sapiazza.com

Information contained in this document is believed to be accurate and offered in good faith for the benefit of the customer. Nutrition data is calculated and offered for informational purposes; some variation can occur depending on several factors. This document may contain proprietary confidential, trade secret or privilege information. Any unauthorized review, use, disclosure or distribution is prohibited and may be a violation of law.

Manufacturer:

Updated: 9/01/2017

Page 52: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s Cheesy Bottom Single Slice Pepperoni Pizza – IW Code No.: 90500 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.50oz

I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)

II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)

III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____

Description of Creditable Grain Ingredient*

Grams of Creditable Grain Ingredient per Portion1

A

Gram Standard of Creditable Grain per oz equivalent

(16g or 28g)2

B

Creditable Amount A ÷ B

Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976

Total Creditable GRAINS Amount3 2.24

*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.

Total weight (per portion) of product as purchased 5.50oz Total contribution of product (per portion) 2.0oz equivalent

I certify that the above information is true and correct and that a 5.50oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

_____________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature

Page 53: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s Cheesy Bottom Single Slice Pepperoni Pizza – IW Code No.: 90500 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.50oz

I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate

Description of Creditable Ingredients Per Food Buying

Guide (FBG)

Ounces Per Raw Portion of Creditable

Ingredient

Multiply FBG Yield/Servings Per Unit

CreditableAmount*

80%-Mozz, 15%-Provolone, 1.74 X 1 1.74 2.6% Romano, 2.4% Parm. XPepperoni – Beef & Pork .2745 X .9483 .2603

A. Total Creditable M/MMA Amount1 2.0003 *Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.

Description of APP, Manufacturer’s Name, and Code Number

Ounces Dry APP Per Portion

Multiply % of Protein As-

Is*

Dived by 18**

CreditableAmountAPP***

B. Total Creditable APP Amount1

C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.

Total weight (per portion) of product as purchased 5.50oz Total creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)

I certify that the above information is true and correct and that a _5.50____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature

Page 54: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

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Page 55: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s Cheesy Bottom Single Slice Cheese Pizza – IW Code No.: 90501 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.49oz

I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)

II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)

III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____

Description of Creditable Grain Ingredient*

Grams of Creditable Grain Ingredient per Portion1

A

Gram Standard of Creditable Grain per oz equivalent

(16g or 28g)2

B

Creditable Amount A ÷ B

Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976

Total Creditable GRAINS Amount3 2.24

*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.

Total weight (per portion) of product as purchased 5.49oz Total contribution of product (per portion) 2.0oz equivalent

I certify that the above information is true and correct and that a 5.49oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

________________________________________________________________________________________________________________________________Signature

Page 56: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s Cheesy Bottom Single Slice Cheese Pizza – IW Code No.: 90501 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.49oz

I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate

Description of Creditable Ingredients Per Food Buying

Guide (FBG)

Ounces Per Raw Portion of Creditable

Ingredient

Multiply FBG Yield/Servings Per Unit

CreditableAmount*

80%-Mozz, 15%-Provolone, 2.00 X 1 2.00 2.6% Romano, 2.4% Parm. X

X A. Total Creditable M/MMA Amount1 2.00

*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.

Description of APP, Manufacturer’s Name, and Code Number

Ounces Dry APP Per Portion

Multiply % of Protein As-

Is*

Dived by 18**

CreditableAmountAPP***

B. Total Creditable APP Amount1

C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.

Total weight (per portion) of product as purchased 5.49oz Total creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)

I certify that the above information is true and correct and that a _5.49____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

_______________________________________________________________________________________________________________________________________Signature

Page 57: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

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Page 58: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 16” Cheesy Bottom Pepperoni Pizza – No Pork – 10-Cut Code No.: 90700 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.63oz

I. Does the product meet the Whole Grain-Rich Criteria: Yes _X___ No ____ (Refer to SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program.)

II. Does the product contain non- creditable grains: Yes __X__ No ____ How many grams: 3.67(Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.)

III. Use Policy Memorandum SP 30-2012 Grain Requirements for the National School Lunch Program and School Breakfast Program: Exhibit A to determine if the product fits into Groups A-G (baked goods), Group H (cereal grains) or Group I (RTE breakfast cereals). (Different methodologies are applied to calculate servings of grain component based on creditable grains. Groups A-G use the standard of 16grams creditable grain per oz eq; Group H uses the standard of 28grams creditable grain per oz eq; and Group I is reported by volume or weight.)Indicate to which Exhibit A Group (A-I) the Product Belongs: ____

Description of Creditable Grain Ingredient*

Grams of Creditable Grain Ingredient per Portion1

A

Gram Standard of Creditable Grain per oz equivalent

(16g or 28g)2

B

Creditable Amount A ÷ B

Whole Wheat Flour 18.2784 16 1.1424 Enriched Wheat Flour 17.5616 16 1.0976

Total Creditable GRAINS Amount3 2.24

*Creditable grains are whole-grain meal/flour and enriched meal/flour. 1(Serving size) X (% of creditable grain in formula). Please be aware that serving sizes other than grams must be converted to grams. 2Standard grams of creditable grains from the corresponding Group in Exhibit A. 3Total Creditable Amount must be rounded down to the nearest quarter (0.25) oz eq. Do not round up.

Total weight (per portion) of product as purchased 5.63oz Total contribution of product (per portion) 2.0oz equivalent

I certify that the above information is true and correct and that a 5.63oz portion of this product (ready for serving) provides 2.0oz equivalent Grains. I further certify that non-creditable grains are not above 0.24 oz eq. per portion. Products with more than 0.24 oz equivalent or 3.99 grams for Groups A-G or 6.99 grams for Group H of non-creditable grains may not credit towards the grain requirements for school meals.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________ ____________________________________________________________________________________________________________________________________________________Signature

Page 59: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

�Child Nutrition Program operators should include a copy of the label from the purchased product carton in addition to the following information on letterhead signed by an official company representative.

Product Name: Wild Mike’s 16” Cheesy Bottom Pepperoni Pizza – No Pork – 10-Cut Code No.: 90700 Manufacturer: S.A. Piazza & Associates, LLC Case/Pack/Count/Portion/Size: 90/5.63oz

I. Meat/Meat Alternate Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate

Description of Creditable Ingredients Per Food Buying

Guide (FBG)

Ounces Per Raw Portion of Creditable

Ingredient

Multiply FBG Yield/Servings Per Unit

CreditableAmount*

80%-Mozz, 15%-Provolone, 1.74 X 1 1.74 2.6% Romano, 2.4% Parm. X

All Beef Pepperoni – 30% Fat .404 X .70 .2828 A. Total Creditable M/MMA Amount1 2.0228

*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information. II. Alternate Protein Product (APP)If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If APP is used, you must provide documentation as described in Attachment A for each APP used.

Description of APP, Manufacturer’s Name, and Code Number

Ounces Dry APP Per Portion

Multiply % of Protein As-

Is*

Dived by 18**

CreditableAmountAPP***

B. Total Creditable APP Amount1

C. TOTAL CREDITABLE AMOUNT (A + B rounded down to nearest ¼ oz) *Percent of Protein As-Is is provided on the attached APP documentation. **18 is the percent of protein when fully hydrated. ***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18. 1Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.

Total weight (per portion) of product as purchased 5.63oz Total creditable amount of product (per portion) 2.00oz (Reminder: Total creditable amount cannot count for more than the total weight of product.)

I certify that the above information is true and correct and that a _5.63____ ounce serving of the above product (ready for serving) contains _2.00____ ounces of equivalent meat/meat alternate when prepared according to directions. I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations (7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.

_________________________________ National Director of Food Service Signature Title

Mike Piazza 7-1-2017_______ 503-657-3123 Printed Name Date Phone Number�

________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________ _Signature

Page 60: SA Piazza Nutritional Information Piazza.pdf · Mike Piazza 7-1-2017_____ 503-657-3123 Printed Name Date Phone Number _____ _____ Signature. 15815 SE Piazza Avenue, Clackamas, OR

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