1Organization & Contact Information2Food Donation & Compliance I am a:* Food Business Nonprofit Organization InformationOrganization Name* What is your organization type (choose one) Affordable Housing Complex Church Community Center Family Resource Center Food Pantry/Kitchen Housing Complex Residential Home School Shelter Physical Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Distribution Address Same as Physical Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Contact InformationPrimary Contact Name* First Last Primary Contact Position* Primary Contact Email* Enter Email Confirm Email Primary Contact Phone*Primary Contact Mobile/Other Phone Add a Secondary Contact Secondary Contact InformationSecondary Contact Name First Last Secondary Contact Position Secondary Contact Email Enter Email Confirm Email Secondary Contact PhoneSecondary Contact Mobile/Other PhoneHiddenFor Nonprofits OnlyAre you a current Foodbank of SBC partner? Yes No Website How many unique individuals do you serve? What is your primary population served? (choose one) All populations 18 years old and under Homebound individuals Indigenous non-native English speakers Low-income Mentally Ill Non-native English speakers Persons with a mental health disability Persons with disabilities Senior Citizens Undocumented immigrants Unsheltered Veterans What is/are your secondary population(s) served? (select all that apply) Select All 18 years old and under Homebound individuals Indigenous non-native English speakers Low-income Non-native English speakers Persons with a mental health disability Persons with disabilities Senior Citizens Undocumented immigrants Unsheltered Veterans Public Facing InformationWhat food services do you provide? (select all that apply) Select All congregate meal site food pantry (including perishables) food pantry (non-perishables only) Foodbank of SBC distribution site home delivery prepared meal meal service for program participants only What are your distribution days and times?add up to 10 rows1 Day2 Opening time3 Closing time Public PhonePublic Email Are there eligibility requirements for participation? Yes No If Yes, please share the requirements.What languages are services available in? Select All English Español Mixteco Other / Otro Other language Is there anything else you would like to share with potential recipients?Are there COVID-19 specific notes you would like to share with potential recipients?What other services do you offer? (i.e. Cal Fresh application support)Do you have other items available to the public? (i.e. clothing, diapers, household items, etc.)Facebook page(s) or groups Instagram handle Twitter handle HiddenFood Donation/Compliance Information For more information on food donation requirements under 1383 please visit here: https://www.calrecycle.ca.gov/organics/slcp/foodrecovery/donors.Do you know that food donation is tax deductible? Yes No Are you currently donating your surplus food? Yes No Are you donating 100% of your surplus edible food? Yes No SB 1383 mandates that Tier 1 and 2 Generators maximize their edible food donations.Please add any comments/questions here regarding potential opportunities to increase/maximize your donations.What organization(s) are you currently donating to? Do you have a donation agreement on file? Yes No The law requires mandated food donors to maintain records of their food donation activities, including a contract or written agreement with a food recovery organization.Are you tracking quantities? Yes No If no, do you have the resources to start tracking quantities? Yes No How often do you donate? What types of food are you donating? Do you like your current donation process? Yes No If yes, what do you like about it? If no, what could be improved? How can we help you develop a food donation process? Do you have any other information to share regarding your food waste management?Would you like to schedule a call to discuss this information in more detail? Yes No If yes, can you please share your availability for a call? Would you like me to connect you with your local solid waste representative to discuss more about what your options for inedible food scraps are? Yes No Capacity and NeedsDo you currently collect or receive any donations of rescued food? Yes No For the purposes of this survey “rescued food” is food that would have otherwise been disposed of, but was instead donated for human consumption.Are you tracking the quantity, in pounds, of food you are rescuing from food businesses? Yes No What business(es) are you currently receiving donations from? Do you have a donation agreement on file? Yes No The law requires mandated food donors to maintain records of their food donation activities, including a contract or written agreement with a food recovery organization. AND Nonprofits that have a contract or written agreement with a food donor mandated under California Senate Bill 1383 will be required to maintain records of the food they receive from each mandated food donor. For more information on food donation reporting requirements under 1383 please visit https://www.calrecycle.ca.gov/organics/slcp/foodrecovery/organizations.How many pounds of food did your organization rescue directly from food donors in 2020? Please input your answer as a whole number.Please only include the pounds of rescued food that were collected or received directly from food donors. Do not include food that was collected or received from other sources such as food banks or other food rescue organizations.If no, do you have the resources to start tracking quantities? Yes No Do you like your current donation process? Yes No If no, what could be improved? If yes, what do you like about it? Would you be interested in receiving donations of rescued foods? Yes No What types of food? (select all that apply) Select All Dairy Meat (uncooked) Produce (fruits and vegetables) Dry Foods (can, bottle, packaged) Catering/Restaurant/Cafeteria/Prepared Bakery/Dessert/Bread What is your refrigeration capacity? What sort of cooking/food preparation equipment do you have available? (select all that apply) Select All Refrigerator Freezer Walk-in Refrigerator Walk-in Freezer Oven Stove Other If Other, what sort of cooking/food preparation equipment What would your organization need to efficiently and effectively rescue more food (i.e. specific equipment, transportation)?Is there anything else you would like to share?PhoneThis field is for validation purposes and should be left unchanged. Δ