Product Specification Sheet Organic Sprouted Purple Corn Blend W/ Sprouted Grains Product No: QH 24-3 Description: Organic Sprouted Purple Corn Blend QH 24-3 is a dark colored grain blend intended for use in bakery applications. Application: This Product is typically used at a rate of 10 lbs. per 100 lbs of corn flour. Analytical: Moisture, % Salt, % Fat (FDB), % 30% max 10% max 4% max Ingredients: Organic Sprouted Grain & Seed Blend (Organic Sprouted Purple Corn, Organic Sprouted Sorghum, Organic Millet, Organic Brown Rice, Organic Chia, Organic Sprouted Quinoa, Organic Sprouted Amaranth, Organic Vinegar, Citric Acid Allergens: None Storage & Packaging: This Product is available in 50 lb. kraft paper bags with poly liners and should be stored in a cool, clean dry facility with a temperature range no exceeding 40 F to 85 F for a shelf life of 3 months (90 days). Country of Origin: Country of Manufacture: United States GMO Statement: This product does not contain, consist of or has not been produced from a potentially genetically modified source. Gluten Free Statement: This product does not contain Gluten. Microbial: This product is not intended as Ready-To-Eat. Due to the nature of this product, further processing may be needed to reduce microbial levels, depending on the product and application. Page 1 of 5
Quality Guarantee: True & Healthy Sprouts hereby guarantees that This this product is not adulterated or misbranded within the meaning of Federal Food, Drug, and Cosmetic Act, and not an article which may not under the provisions of Section 404, 505, or 512 of the act, be introduced into interstate commerce. Sifting: IFS Ingredients sifts all Ingredients are sifted prior to packaging the finished product. Sifting ensures that the customer is receiving material without foreign material. Lot Number Explanation: Lot # 150513-701 15 - Year 05 - Month 13 Day 7 Location/Blender used 01 Batch number for the production day FDA Registration Information: True & Healthy Manufacturer Sprouts is registered with the US Food and Drug Administration pursuant to the Federal Food Drug and Cosmetic Act, as amended by the Bioterrorism Act of 2002 and the FDA Food Safety Modernization Act. US FDA Registration No. 147377200262 Food Grade Statement: IFS certifies that This this material is made from the GRAS (Generally Recognized as Safe) list as per 21 CFR 182.1 and is manufactured to Good Manufacturing Practices and is safe for its intended use in foods. IFS produce This material all of our is produced products following our HACCP plan to ensure a safe, high quality and wholesome food product. Material Safety Data Sheet: All All items materials produced produced at this by facility IFS are foods regulated under the Federal Food, Drug and Cosmetic Act. All products and the ingredients comprising these products are in compliance with the Federal Food, Drug and Cosmetic Act and applicable Food and Drug Administration regulations. These products do not fall within the category of hazardous chemicals as that term is defined in the Occupational Safety and Health Administration Communication Rule, 1910.1200(c). Moreover, the special labeling and warning required under the aforementioned OSHA rule are not required for these products because food, as the term is defined in the Federal Food, Drug and Cosmetic Act, is exempt from these special provisions of the OSHA rule. Accordingly, neither Material Safety Data Sheets nor special labeling under the OSHA rule is required. for IFS products. Disclaimer: While the suggestions and data contained herein are based on information believed to be reliable, seller make no representations or warranties of any kind other than that the products conform to their current specifications. Purchasers should determine for themselves whether suggested formulations, example products or procedures are suitable for their own purposes. The formulations, examples and use recommendations as may be described Page 2 of 5
herein should not be construed as permission to violate any patent or as a warranty of non-infringement of any patent. Page 3 of 5
Organic Sprouted Purple Corn Blend QH 24-3 Nutrients Per 100g Nutrients Per 100g Calories (kcal) 255.46 Vitamin B12 (mcg) 0 Calories from Fat (kcal) 29.55 Biotin (mcg) -- Calories from SatFat (kcal) 3.91 Vitamin C (mg) 0.03 Protein (g) 6.72 Vitamin D - IU (IU) 0 Carbohydrates (g) 52.61 Vitamin D - mcg (mcg) 0 Dietary Fiber (g) 5.95 Vitamin E - Alpha-Toco (mg) 0.33 Soluble Fiber (g) 0.15 Folate (mcg) 11.56 Insoluble Fiber (g) 0.93 Folate, DFE (mcg) 11.56 Total Sugars (g) 0.41 Vitamin K (mcg) 0.17 Monosaccharides (g) 0 Pantothenic Acid (mg) 0.31 Disaccharides (g) 0 Calcium (mg) 11.56 Other Carbs (g) 43.96 Chromium (mcg) 0.07 Fat (g) 3.28 Copper (mg) 0.19 Saturated Fat (g) 0.43 Fluoride (mg) 0.02 Mono Fat (g) 0.79 Iodine (mcg) -- Poly Fat (g) 1.41 Iron (mg) 2.3 Trans Fatty Acid (g) 0 Magnesium (mg) 77.86 Cholesterol (mg) 0 Manganese (mg) 0.49 Water (g) 29.01 Molybdenum (mcg) 0.01 Ash (g) 8.36 Phosphorus (mg) 146.83 Vitamin A - IU (IU) 118.72 Potassium (mg) 212.44 Vitamin A - RE (RE) 11.84 Selenium (mcg) 8.86 Vitamin A - RAE (RAE) 5.92 Sodium (mg) 2855.55 Carotenoid RE (RE) 11.84 Zinc (mg) 1.38 Retinol RE (RE) 0 Omega 3 Fatty Acid (g) 0.13 Beta-Carotene (mcg) 53.69 Omega 6 Fatty Acid (g) 1.28 Vitamin B1 (mg) 0.28 Histidine (g) 0.18 Vitamin B2 (mg) 0.14 Phenylalanine (g) 0.3 Vitamin B3 (mg) 2.58 Alcohol (g) 0 Vitamin B3 - Niacin Equiv (mg) 3.37 Caffeine (mg) 0 Vitamin B6 (mg) 0.38 Choline (mg) 0 Page 4 of 5
Allergens: Material Name: Organic Sprouted Purple Corn Blend QH 24-3 IFS has a fully Fully implemented allergen control program in place. Equipment is fully washed and checked for remaining protein whenever allergens are used. Component Present in Product Present in Other Products Manufactured on the Same Line Peanuts (Including Peanut Oil) NO NO NO Tree Nuts NO NO NO Sesame Seeds NO YES YES Milk and derivatives, specify e.g. NO YES YES milk, caseinate, whey, etc. Eggs NO NO YES Fish NO NO NO Shellfish NO NO NO Soy (Excluding soy oil) NO YES YES Wheat NO YES YES Sulphites NO YES YES Yellow #5 NO YES YES Present in the Same Manufacturing Plant Supplier Information: Name: International Food Systems Address: 1614 N Interstate 35 New Braunfels, TX 78130 USA Main Phone: 1-830-608-0915 Main Fax: 1-830-625-7914 Page 5 of 5