Natural and Artificial Silarom Beer Batter-Type Flavor (1201110216)

Natural and Artificial Flavoring logo Supplier: Silesia Flavors, Inc. Location: Silesia Flavors, Inc. Location Address: 5250 Prairie Stone Pkwy Hoffman Estates, IL 60192 Item: Natural Peach-Type Flavor Silarom Supplier Item ID: 1200307152 Effective Date* Expiration Date Please answer the questions below for the ingredient/item populated on this document. Add comments where additional information is necessary. Required fields indicated with a red asterisk. * Manufacturing/Source Is this item a botanical? -- Select --YesNo Is this item an extract? -- Select --YesNo Are any solvents or reagents used in the manufacture of this item? -- Select --YesNo List all solvents or reagents used in the manufacture of this item (including water). triacetin E1518 used as carrier List any incidental additives or processing aids. Regulatory Is this item manufactured under cGMPs? -- Select --YesNo Select all that apply: Food (U.S 21 CFR Part 110, 117) -- Select --YesNo Dietary Supplements (U.S. 21 CFR Part 111) -- Select --YesNo Drug (U.S. 21 CFR Parts 210 and 211) -- Select --YesNo Is this item in compliance with compendial grade standards? (USP/NF, ANSI, FCC, PhEur, BP, JP, AHP, BHP, etc.) -- Select --YesNo Is the Canadian NNHPD product master file available? -- Select --YesNo What is the tariff code for import/export? List any patent numbers. List any trademarks. Consumer Labeling Required label statements, including patent attribution, trademark, and logo usage. Declaration with regard to 21 CFR 101.22: Natural Flavor Are there recommended restrictions of use relevant to the end user? 4.0 % triacetin E1518 contained (Maximum quantity in finished product has to be considered) Supplement facts panel text. Declaration with regard to 21 CFR 101.22: Natural Flavor

Food Ingredient