FV-23 923-Sweet Cherries Confidential Background Questionnaire

REPRODUCE LOCALLY.

IncludefOl1l1numberanddateon all reprodIJcti~.

OMB No. 0581-0189

WASHINGTON CHERRY MARKETING COMMffTEE
2812 TerraceHeightsDrive, Suite6

u.s. DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
FRurr AND VEGETABLE PROGRAMS

Yakima, WA 98901

CONFIDENTIAL BACKGROUND STATEMENT
(COMMITTEE MEMBER)

MARKETINGORDERNO. 923
DISTRICT

POSITION

Name

COMMITTEE YEAR
Telephone!-

)

Address(Business)

E-mailaddress
(If you are a handler, also show your finn's name and in what capacity you serve in such finn.)

Yearsgrowing(if grower member)
Cherry acreage (if grower member)

Yearshandling(if handler member)
Approximatetonshandled(if handler member)Membership in industry organizations

Marketing order connnittee membeJ1;,in their official capacities, are prohibited from taking any action specifically designedto influence legislation, including any attempt to
influence public opinion concerning legislation. C()In!nittee membersmay not axnmunicate with any official of a State or Federal legislative body for the purpose of
attempting to influence legislation. Cormnittee membersace also prohibited &001 attempting to influence State or Federal government actions or policies or those of foreign
governments, except as specifically authorized under the marketing order or e~-essly approved by the Secretary. Cormnittee membersare specifically precluded &om
authorizing the expenditure of marketing order funds for the purpose of attemptiJ1gto influence legislation or government actions. These same prohibitions apply to connnittee
managers, staff, and contractors, except that committee managers may consuh with the Department of Agricuhure (USDA) employees during the pendency of infOfD)a\
rulemaking actions.
If marketing order committee or subcommittee membersor connnittee employees are sued individually or jointly for errors in judgement, mistakes or other acts, either of
omi$ion or commission (except for acts of dishonesty, willful misconduct, or grI)SSnegligence) in the conduct of their duties under the marketing agreementor order, they may
be authorized legal defenseby the Department of lustice (001). Ahematively, legal defensemay be provided through private counsel, if recommended by USDA and
approved by 001. USDA and 001 enjoy an excellent working relationship wittl respectto providing legal representation for committee membersand employees, either by
OOJ or through authorized private coumel. USDA is committed to a oompreherlSivelegal defensepolicy for all committee membersand employees acting within the scope of
their authorized committee duties and responsibilities.

I am willing to serve on the Washington ChenoyMarketing Connnittee.

(Signature)

The above fnfonnation

(Date)

C C

is required to detelmine the eligibiDty and willingness of the nominee to serve on the committee.

According to the Paperwof!(.Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of infonnation unless it
displays a valid OMB control numberc The valid OMB control number for this infonnation collection is 0581-0189. The tinIe required to complete this information collection
is estimated to average 5 minutes per response,including the time for reviewing Itnstructions,searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of infonnation.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where
applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic infonnation, political beliefs, reprisal, 01"becauseall or part of an
individual's income is derived &om any public assistanceprogram (Not all prohibited basesawly to all prograIm.) Personswith disabilities who require a\temative meansfor
communication of program infonnation (Braille, large print, audiotape, etc.) shollld oontact USDA's TARGET Center at (202) 720-2600 (voice and roD).
To file a complaint of discrimination, write to USDA, DiTectOl",Office of Civil Rjgbts, 1400 Independence Avenue, S. W ~ Washington, D.C. 20250-9410, O£call (800) 7953272 (voice) or (202) 720-6382 (roD). USDA is an equal opportunity provider and employer.
FV-23

(06/07)