FV-129 927-Fresh Pear/Processed Pear Public Member Background Q

REPRODUCE

LOCALLY.

Include fOlDl number and date on all ref)roductl~.

OMB No. 0581-0189

FRESH PEAR COMMITTEE or PROCESSEDPEAR COMMITTEE

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

4382 SE InternationalWay #A
Milwaukie, OR 97222-4635

(503) 652-9720

CONFIDENTIALBACKGROUNDSTATEMENT
(PUBLIC MEMBER)
Northwest Pears -MARKETING

POSITION

-_.~~,

ORDER NO. 927
COMMITTEE

Name

Telephone

(

YEAR

.1

Mailing Address
City

State

Zip

E-mail

Occupation
Do you havea financial interest in a growing or handling opc~ration
of the commodityregulatedunderthis marketingorder?

0 YES

DNO

If yes"explain

Membershipin industty organizations

(Signature)

(Date)

The above information is required to determine the eligibility and willingness of the nomineeto serve on the committee.
number Thevalid OMB controlnumberfor this informationcollectionis 0581-0189 The time requiredro completethis informationcollectionis estimatedro average5 minutesper response,

FV-129 (5107)