LFPA Quarterly Progress Report- SAMPLE.pdf

Agricultural Marketing Service Local Food Purchase Assistance Cooperative Agreement Program

Participant Name Name of Cooperative Agreement Recipient Participant DUNS/UEI Date Range of Report Date range covering the reporting period by calendar quarter

Vendor Tab Fields

Vendor (Contract Holder) Name Name of the vendor that has entered into a contract with the recipient. This may be a farmer, distributor, food hub etc. (e.g. The Food Company, Inc.)

Is Vendor Socially Disadvantaged?

Drop down options: Yes, No or Unknown. Indicate if the vendor is a socially disadvantaged business

Farmer/Producer Name Name of the farmer or producer that sold the food to the Vendor Is Farmer/Producer Socially

Disadvantaged?

Drop down options: Yes, No or Unknown. Indicate if the farmer or producer is a socially disadvantaged business

Value Enter the dollar amount of the purchased product by product type. The number can be entered without any formatting (e.g. 45000 will autoformat to $45,000.00)

Product Type Choose from one of the drop down options for the type of product purchased.

Comments Open field for any additional information or comments

Distribution Tab

Organization Distributing Food Name of the primary organization responsible for food distribution

Organization Receiving Food Name the organization receiving food

Is Distribution Location Underserved?

Drop down options: Underserved, Yes, No or Unknown. Underserved definition is in Executive Order 13985 :https://www.federalregister.gov/documents/2021/01/25/2021-01753/advancing-racial-equity-and-support-for-underserved-communities-through-the-federal-government

Value of Food Distributed Dollar value of the food distributed

Distribution City Enter the City of distribution location

Distribution State Select the State for the distribution location

Distribution County Select the County for the distribution location

Distribution Zip Code 5 Number Zip Code for distribution location

Comments Open field for any additional information or comments

For each food distribution activity that occurred during the reporting period, provide the following information.

For each food purchase activity that occurred in the reporting period, provide the following information.

SAMPLE

Agricultural Marketing Service Participant Name Local Food Purchase Assistance Cooperative Agreement Program Total Sum Participant DUNS/UEI

$2,400.00 Date Range of Report

Vendor (Contract Holder) Name

Is Vendor Socially Disadvantaged?

Farmer/Producer Name Is Farmer/Producer

Socially Disadvantaged?

Value Product Type Comments

Joe Distributor Unknown Cindy's produce Unknown $1,500.00 Produce purchased weekly Marc Family Seafood No $200.00 Fish and seafood Gwen Farm Yes $150.00 Meat and poultry M and P purchased together Gwen Farm Yes $250.00 Meat and poultry

Sunrise Farm Yes Sunrise Farm Yes $300.00 Dairy and milk purchased directly from farm

Agricultural Marketing Service Complete this section of the fo Local Food Purchase Assistance Cooperative Agreement Program

Total Value $1,143.00 Organization Distributing

Food Organization Receiving Food

Is Distribution Location Underserved?

Value of Food Distrubuted

Distribution City Distribution

State Distribution County

Distribution Zip Code

Comments

Kind Harvest Happy Food Pantry Unknown $100.00 Smithville WV Clay 04576 distribution Mondays Kind Harvest Johnson Social Center Unknown $200.00 Emmet WV Braxton 47365 dist 1st Wed each month Feeding Hands Yes $843.00 Romney WV Calhoun 25454 No Distribution Partner