NATURAL RAW MATERIAL QUESTIONNAIRE

NATURAL RAW MATERIAL QUESTIONNAIRE

Firmenich must have certain information in order to assess the compatibility of its natural raw materials to the different and changing requirements around the world both for flavors and for fragrances. It is acknowledged that the preparation of natural raw materials is a complex subject with many technical factors that must be taken into account. We understand also the need to protect intellectual property in this area. To ensure that we have the necessary information for our needs, we ask that you complete the following questionnaire that will examine the key parameters pertaining to the natural status of raw materials. It will be necessary for Firmenich to have answers to ALL questions in order for us to make this assessment. Some questions relate to IFRA standards for natural fragrance ingredients and others to proposed legislation such as the draft European Flavorings Regulations (WGF/002/02 rev 3). For this reason, some answers may rule out use as natural raw materials in some products or countries while allowing use in others.

* * * *

Company Name: NingXia Ruby Goji Co.,Ltd._____________________________

Raw Material Trade Name: Goji Juice Concentrate_________________________

Raw Material Chemical Name: Goji Fresh Juice___________________________

CAS #: No_______________________ FEMA #: No_____________________

Material is: a) 100% from the named plant, steam distilled essential oil; indicate

botanical name ____________________________________________ b) 100% from the named plant, solvent extracted material; indicate

botanical name ___________________________________________ c) citrus extract ___________________________________________ d) chemically defined entity that already existed in the natural source

material from which it has been isolated

____________________________

________________________________________________________ e) chemically defined entity that did not already exist in the natural source material from which it has been isolated

____________________________

________________________________________________________

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