Monthly-Report

Mobile Food Pantry Calendar

PANTRIES/SOUP KITCHENS/ON-SITE

County:
For Month:
Agency Name:
Agency #:
Address:
City:
Zip:
Name of Coordinator:
Daytime #:

SEMO Food Bank

1. Total number of households that received USDA TEFAP commodities:
2. Total number of individuals that received USDA TEFAP commodities:
3. Total number of individuals that received non-USDA food/personal care items (i.e. paper products/diapers/hygiene):
4. Total number of meals/snacks served with non-USDA TEFAP (senior/nutrition centers on site programs):
5. Total number of meals served using USDA TEFAP in the month (Soup Kitchens & On-Site):
6. Please indicate any program changes, such as new director, contact person, address, phone number, etc.

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