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pdfOMB Control No. 0580-0015
U.S. DEPARTMENT OF AGRICULTURE
GRAIN INSPECTION, PACKERS AND STOCKYARDS ADMINISTRATION
PACKERS AND STOCKYARDS PROGRAM
Response is required by law to ensure compliance with the Packers and Stockyards Act, 1921, as Amended and
Supplemented. Failure to report after notice of default will result in forfeiture to the United States the sum of $110
for each and every day of the continuance of such failure.
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB contr ol number for this information
collection is 0580-0015. The time requested to complete this information is estimated to average 8 hours per
response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of inf ormation.
ANNUAL REPORT OF PACKERS
1a. REPORT FOR YEAR ENDED:
1b. IF NOT FOR CALENDAR YEAR, INDICATE PERIOD COVERED
INSTRUCTIONS: This report must be filed by any PACKER, as that term is defined in the
Packers and Stockyards Act, 1921, as Amended and Supplemented, and must be file d not
later than April 15 following the calendar year end or 90 days after the close of fiscal
period if business is on other than a calendar year basis. If space provided i n any item is
not sufficient, attach additional sheets containing the information and make reference to
the relevant section and item number.
RETURN COMPLETED REPORT TO THE APPROPRIATE REGIONAL OFFICE; SEE SEPARATE
INSTRUCTIONS FOR INFORMATION.
SEE ENCLOSED INSTRUCTIONS BEFORE COMPLETING THIS REPORT.
SECTION 1. GENERAL INFORMATION
2. NAME AND ADDRESS OF PACKER (Include ZIP code)
4. TYPE OF ORGANIZATION (check one)
3. TELEPHONE NUMBER
Fax Number
CORPORATION
PARTNERSHIP
OTHER (specify) ______________
5. State Incorporated/Registered/Formed
7. DID ANY CHANGE IN ORGANIZATION TAKE
PLACE DURING THE YEAR?
YES
L.L.P.
6. Date Incorporated/Registered/Formed
8. IF YES, GIVE DETAILS
NO
10. DID YOU SELL OR LEASE ANY PLANTS TO
OTHERS DURING REPORTING PERIOD?
9. DID YOU ACQUIRE ANY PLANTS THROUGH PURCHASE,
MERGER, LEASE, ETC., DURING REPORTING PERIOD?
YES
11. DID YOU OPEN OR PERMANENTLY CLOSE ANY PLANTS
DURING REPORTING PERIOD?
12. ACTIVITIES ENGAGED IN:
L.L.C.
INDIVIDUAL
NO
YES
Slaughtering
YES
NO
NO IF YES, FSIS ESTABLISHMENT NUMBER AND TYPE OF CHANGE
Fabricating
Further Processing
13. OWNERS, PARTNERS, OFFICERS, AND DIRECTORS
a. NAME
b. TITLE
c. PERCENT OF
OWNERSHIP
d. SOCIAL SECURITY NUMBER/TIN
e. MAILING ADDRESS (Street and No., City, State, and ZIP
Code)
The Privacy Act of 1974 requires this Agency to inform applicant that disclosures of social security numbers are optional and that the information sought on this form is required by 9 CFR
201.10. The sole use of the social security number(s) sought on this form is to distinguish between applicants and registrants that have identical or similar names. As this Agency
maintains a large volume of applications and registrations, applicants are encouraged to supply social security numbers.
14. IF REPORTING COMPANY IS OWNED OR CONTROLLED BY ANY CORPORATION OR INDIVIDUAL OTHER THAN THOSE LISTED UNDER ITEM 5, ABOVE, GIVE NAME AND ADDRESS
OF CONTROLLING CORPORATION OR INDIVIDUAL
15. SUBSIDIARIES AND AFFILIATED COMPANIES WHOSE OPERATIONS ARE INCLUDED IN THIS REPORT (Include in all appropriate portions of report TOTAL operations of ALL
subsidiaries and affiliated companies listed in this item.)
a. NAME OF COMPANY
FORM P&SP-3000
b. LOCATION
(City and State)
c. NATURE OF BUSINESS
AUGUST 2007
d. PERCENTAGE OF CONTROL
BY REPORTING COMPANY
PAGE 1 OF 7
SECTION 1. GENERAL INFORMATION - Continued
16. SUBSIDIARIES AND AFFILIATED COMPANIES WHOSE OPERATIONS ARE NOT INCLUDED IN THIS REPORT (Except for their feeding activities reported in Section 4.)
a. NAME OF COMPANY
b. LOCATION
(City and State)
c. NATURE OF BUSINESS
d. PERCENTAGE OF CONTROL
BY REPORTING COMPANY
17. OWNERS, PARTNERS, OFFICERS, AND DIRECTORS OF REPORTING COMPANY WHO ARE PARTNERS, OFFICERS, OR DIRECTORS IN, OR CONTROL OTHER FIRMS ENGAGED IN
SLAUGHTERING LIVESTOCK OR POULTRY; MANUFACTURING OR PREPARING MEAT OR MEAT FOOD PRODUCTS; MARKETING AT WHOLESALE OR RETAIL, MEAT FOOD
PRODUCTS; OPERATING A STOCKYARD, MARKET AGENCY, OR DEALER ORGANIZATION HANDLINGLIVESTOCK OR LIVE POULTRY; OR FEEDING LIVESTOCK OR POULTRY.
a. NAME
b. POSITION IN
REPORTING
COMPANY
c. POSITION AND
OWNERSHIP
INTEREST IN OTHER
COMPANY
d. NAME OF OTHER COMPANY
e. LOCATION OF OTHER
COMPANY
(City and State)
f. NATURE OF BUSINESS
OF OTHER COMPANY
SECTION 2. - BEEF FABRICATION AND HOG CUTTING AND PROCESSING
18. DO YOU FABRICATE STEER AND HEIFER CARCASSES INTO BOXED BEEF?
(IF YES, COMPLETE THIS SECTION)
YES
NO
NUMBER OF CARCASSES
FABRICATED INTO BOXED BEEF
a. NAME AND LOCATION OF PLANT
b. INSPECTION NUMBER
c. FROM OWN
SLAUGHTER
e. TOTAL POUNDS OF
BOXED BEEF
(exclude trimmings
and ground beef)
d. FROM OUTSIDE
PURCHASES
TOTAL
19. DO YOU FABRICATE COW AND BULL CARCASSES INTO BOXED BEEF?
(IF YES, COMPLETE THIS SECTION)
YES
NO
NUMBER OF CARCASSES
FABRICATED INTO BOXED BEEF
a. NAME AND LOCATION OF PLANT
b. INSPECTION NUMBER
c. FROM OWN
SLAUGHTER
d. FROM OUTSIDE
PURCHASES
e. TOTAL POUNDS OF
BOXED BEEF
(exclude trimmings
and ground beef)
TOTAL
20. DO YOU CUT OR FURTHER PROCESS HOG CARCASSES?
a. NAME AND LOCATION OF PLANT
FORM P&SP-3000
YES
NO
(IF YES, COMPLETE THIS SECTION)
b. NUMBER OF CARCASSES
c. CUT AND SHIP
(pounds)
AUGUST 2007
d. FURTHER PROCESS
(pounds)
e. TOTAL POUNDS
PAGE 2 OF 7
SECTION 3. LIVESTOCK SLAUGHTERING AND PROCESSING OPERATIONS (Include your livestock slaughtering operations and those of the subsidiaries and affiliated companies listed
in Section 1, Item 5).
ALL LIVESTOCK SLAUGHTERED BY PLANT (Including item 2 of this section)
NUMBER OF HEAD SLAUGHTERED
21a. NAME AND LOCATION OF PLANT
21b. FSIS
Establishment #
(or State
equivalent)
21c.
Steer and Heifers
Cows and Bulls
21d. CALVES
21e. HOGS
21f. SHEEP
21g. OTHER
TOTAL
22. LIVESTOCK CUSTOM SLAUGHTERED BY YOU FOR OTHERS
(Report for individual firms for whom you slaughtered 100 head or more)
NAME AND LOCATION OF FIRMS FOR WHOM SLAUGHTERED
TOTAL VOLUME OF INDIVIDUAL FIRMS SLAUGHTERED LESS THAN 100 HEAD
TOTAL
23. LIVESTOCK CUSTOM SLAUGHTERED FOR YOU BY OTHERS
(Report for individual firms who slaughtered 100 head or more for you)
NAME AND LOCATION OF FIRMS WHO SLAUGHTERED FOR YOU
TOTAL VOLUME OF INDIVIDUAL FIRMS SLAUGHTERED LESS THAN 100 HEAD
TOTAL
24. LIST TOP THREE OUT-OF-STATE CUSTOMERS, BY DOLLAR VOLUME, YOU SOLD EDIBLE PRODUCT TO DURING THE YEAR
NAME
FORM P&SP-3000
ADDRESS
AUGUST 2007
DOLLAR VOLUME
PAGE 3 OF 7
SECTION 4. PROCUREMENT OF LIVESTOCK FOR SLAUGHTER. Include your slaughter livestock procurement activities and those of the subsidiaries and affiliated companies reported in
line 15. If you reported two or more plants under line 21, also submit a sepa rate Supplemental Report Form P&SP-3100 for each plant. Line 25 through 35, report numbers of livestock by
category.
NUMBER OF HEAD
ITEM
LIVESTOCK PURCHASED
BOTH LIVE WEIGHT AND CARCASS WEIGHT PURCHASES
Steers and Heifers
CALVES
Cows and Bulls
HOGS
SHEEP
OTHER
25. LIVESTOCK ON HAND FOR SLAUGHTER OR FEEDING AT THE BEGINNING OF
THE REPORTING PERIOD
26. LIVESTOCK TRANSFERRED FROM FEEDING
27. LIVESTOCK PURCHASED FOR SLAUGHTER DIRECTLY AT THE PACKING
PLANT, BUYING STATIONS, COUNTRY POINTS, AND FEEDLOTS
28. LIVESTOCK PURCHASED AT AUCTION MARKETS, VIDEO SALES, AND
TERMINAL STOCKYARDS
29. LIVESTOCK PURCHASED FROM OTHER PACKERS
30. LIVESTOCK SOLD
31. LIVESTOCK ON HAND FOR SLAUGHTER OR FEEDING AT THE END OF THE
REPORTING PERIOD
32. TOTAL HEAD OF LIVESTOCK SLAUGHTERED
33. OF TOTAL LIVESTOCK SLAUGHTERED, NUMBER PURCHASED AND PAID FOR
ON A DRESSED WEIGHT OR A CARCASS MERIT BASIS
34. DO YOU OWN OR OPERATE A SCALE ON WHICH YOU WEIGH LIVESTOCK PURCHASED FOR SLAUGHTER ?
YES
35. DO YOU USE ANY TYPE OF ELECTRONIC EVALUATION DEVICE (other than a scale) FOR PAYMENT DETERMINATION
AND MANUFACTURER?)
NO
YES
(IF YES, LIST TYPE OF EQUIPMENT
NO
SECTION 5 . LIVESTOCK FEEDING AND CONTRACTING ACTIVITIES (include your domestic livestock feeding activities and those of the subsidiari es and affiliated companies reported in
line 15.) Also complete a separate supplement (form P&SP-3100) for each plant per type of livestock.
NUMBER OF HEAD (removed from feed for slaughter during reporting period)
STEERS AND HEIFERS
36. LIVESTOCK FED BY YOU
COWS AND BULLS
CALVES
HOGS
SHEEP
NUMBER OF HEAD (removed from feed for slaughter during reporting period)
37. LIVESTOCK OWNED BY YOU, BUT FED BY
OTHERS
STEERS AND HEIFERS
COWS AND BULLS
CALVES
HOGS
SHEEP
38. COMPLETE CATEGORY OF LIVESTOCK. (To be completed for all plants where firm's annual total slaughter is greater than 100,000 steers and heifers, 100,000 sheep, or 1,000,000
hogs) (refer to form P&SP -3100 supplemental form only by species when threshold met)
a. DELIVERY
DATE
b. FORWARD 1
CONTRACT
c. MARKETING 2
AGREEMENTS
d. PACKER FED 3
e. OTHER 4
f. TOTAL SLAUGHTERED
FOR MONTH
JANUARY
FEBRUARY
MARCH
APRIL
MAY
JUNE
JULY
AUGUST
SEPTEMBER
OCTOBER
NOVEMBER
DECEMBER
39g.
TOTAL
1. FIXED PRICE OR BASIS CONTRACT
2. AGREEMENT TO PURCHASE LIVESTOCK AT A FUTURE DATE WITH THE PRICE TO BE DETERMINED AT OR AFTER THE TIME OF SLAUGHTER
3. INCLUDE ALL COMPANY-OWNED LIVESTOCK FED FOR SLAUGHTER, WHETHER CUSTOM FED OR FED IN A COMPANY OWNED OR OPERATED LOT AND ANY PARTNERSHIP,
JOINT VENTURE, OR OTHER FEEDING ARRANGEMENT
4. ANY LIVESTOCK PURCHASED OVER TWO WEEKS IN ADVANCE OF SLAUGHTER AND NOT LISTED IN COLUMNS 1, 2, or 3
FORM P&SP-3000
AUGUST 2007
PAGE 4 OF 7
SECTION 6. FINANCIAL INFORMATION (Complete this Section as of the end of the reporting period including financial information for all subsidiaries and afffiliated companies listed in
line 15. IN ADDITION, complete this Section for EACH of these subsidiary and affiliated company engaged in slaughtering of livestock.)
NOTE: A copy of financial statements or audit reports, if available for the period covered by this report, may be furnished in lieu of the Balance Sheet and Statement of
Income information below, provide that information requested herein but not shown in such statements or reports is furnished under this section.
SUBSIDIARY NAME (if applicable)
Fiscal Year Ending
40. STATEMENT OF INCOME
A
SALES
Gross Sales Less Sales Returns and Allowances:
Meat and Meat Food Products (include all edible products and byproducts)
$
Other (include all other sales) _____________________________________________ _____
______________________________ 101
______________________________ 102
NET SALES 103
B
$_________________________
COST OF SALES
Opening Inventory
_______________________________ 104
Livetock Purchases
_______________________________ 105
Meat and Meat Food Products Purchased
_______________________________ 106
Other Purchases
_______________________________ 107
Subtotal
_______________________________ 108
Less: Closing Inventory
_______________________________ 109
TOTAL COST OF SALES 110
__________________________
GROSS INCOME 111
__________________________
C. OPERATING EXPENSES
Manufacturing
_______________________________ 112
Advertising
_______________________________ 113
Sales Promotion
_______________________________ 114
Sales Brokerage
_______________________________ 115
Selling (other than above)
_______________________________ 116
Delivery
_______________________________ 117
General and Administrative
_______________________________ 118
Depreciation and Amortization
_______________________________ 119
Interest
_______________________________ 120
Consulting Fees
_______________________________ 121
Other
_______________________________ 122
TOTAL OPERATING EXPENSES 123
__________________________
OPERATING INCOME (LOSS) 124
__________________________
D. OTHER INCOME
Interest
_______________________________ 125
Other (specify)
_______________________________ 126
_____________________________________________________________________ ____
_______________________________ 127
____________________________________________________________________________ _
TOTAL OTHER INCOME
128
__________________________
TOTAL INCOME 129
__________________________
E. OTHER EXPENSES
(specify)
_______________________________ 130
___________________________________________________________________________ _
_______________________________ 131
______________________________________________________________________________
TOTAL OTHER EXPENSES 132
__________________________
INCOME (LOSS) BEFORE INCOME TAXES 133
__________________________
F. PROVISION FOR INCOME TAXES
Current_______________________________________________________________________
_______________________________ 134
Deferred ______________________________________________________________________
_______________________________ 135
TOTAL INCOME TAX 136
__________________________
NET INCOME (LOSS) 137
__________________________
_______________________________ 138
__________________________
Additions to Owners' Capital -- If Unincorporated (+)
_______________________________ 139
__________________________
Dividends Declared/Owners' Withdrawals (-)
_______________________________ 140
Other Deductions (specify) (-)
_______________________________ 141
NET ADJUSTMENT 142
__________________________
Retained Earnings/Owners' Capital at End of Period
_______________________________ 143
__________________________
G. Retained Earnings/Owners' Capital at Beginning of Period
FORM P&SP-3000
AUGUST 2007
PAGE 5 OF 7
SECTION 6. FINANCIAL INFORMATION (continued)
SUBSIDIARY NAME (if applicable)
Fiscal Year Ending
41. BALANCE SHEET -- ASSETS
A.
CURRENT ASSETS
Cash on Hand and in Banks
$______________________________ 201
(enter overdraft on next page under Current Liabilities)
Temporary Cash Investments (marketable securities,
certificates of deposit, commercial paper, etc)
_______________________________ 202
Accounts Receivable
From Trade
203
$________________________
From Others (owners, officers, employees, subsidiaries
204
_________________________
Total Accounts Receivable
and affiliated companies)
205
_________________________
Less Allowance for Doubtful Accounts
206
_________________________
Due from Subsidiaries and Affiliated Companies
208
_________________________
Due from Owners. Directors, Officers, Stockholders
209
_________________________
Due from Others
210
_________________________
Livestock
212
_________________________
Meat and Meat Food Products
213
_________________________
Other Inventories
214
_________________________
_______________________________ 207
Notes and Loans Receivable (due within 1 year)
_______________________________ 211
Inventories
_______________________________ 215
Advances Made on Livestock and Meat
_______________________________ 216
Prepaid Expenses (rent, Insurance, etc.)
_______________________________ 217
Other Current Assets
_______________________________ 218
TOTAL CURRENT ASSETS 219
B.
$____________________
INVESTMENTS
Subsidiaries and Affiliated Companies
(section 2, line 15 only)
_______________________________ 220
Other
_______________________________ 221
TOTAL INVESTMENTS 222
C.
FIXED ASSETS
Land
_______________________________ 223
Buildings, Equipment, and Other Fixed Assets
Less Accumulated Depreciation and Amortization
224
________________________
225
________________________
_______________________________ 226
NET FIXED ASSETS
D.
_____________________
227
_____________________
OTHER ASSETS
Notes Receivable (due after 1 year)
______________________________
Goodwill, Patents, Trademarks
_______________________________ 229
Other Assets (specify)
_______________________________ 230
______________________________________________________ _______________
_______________________________________________________________________________ ___
FORM P&SP-3000
AUGUST 2007
228
_______________________________ 231
TOTAL OTHER ASSETS 232
_____________________
TOTAL ASSETS 233
_____________________
PAGE 6 OF 7
SECTION 6. FINANCIAL INFORMATION (continued)
SUBSIDIARY NAME (If applicable)
Fiscal Year Endi ng
42. BALANCE SHEET - LIABILITIES AND OWNERS' EQUITY
A.
CURRENT LIABILITIES
Bank Overdraft (per books)
$______________________________ 301
Accounts Payable - Livestock
_______________________________ 302
Accounts Payable- Meat and Other
_______________________________ 303
Notes and Loans Payable (due within 1 year)
Due to Banks, Financing and Lending Companies
304
$________________________
Due to Subsidiaries and Affiliated Companies
305
_________________________
Due to Owners, Directors, Officers, Stockholders
306
_________________________
Due to Others
307
_________________________
_______________________________ 308
Accrued Liabilities
_______________________________ 309
Accrued Federal and Other Income Taxes
_______________________________ 310
Accrued Other Taxes
_______________________________ 311
Other Current Liabilities
_______________________________ 312
TOTAL CURRENT LIABILITIES
B.
313
$_____________________
LONG-TERM LIABILITIES (due after 1 year)
Due to Banks, Financing and Lending Companies
_______________________________ 314
Due to Subsidiaries and Affiliated Companies
_______________________________ 315
Due to Owners, Directors, Officers, Stockholders
_______________________________ 316
Due to Others
________________________________ 317
C.
DEFERRED ITEMS
D.
OWNERS' EQUITY
TOTAL LONG-TERM LIABILITIES
318
______________________
TOTAL LIABILITIES
319
______________________
320
______________________
If Incorporated:
Capital Stock - Preferred and Common
_______________________________ 321
Additional Paid-In Capital
_______________________________ 322
Retained Earnings
Less Cost of Treasury Stock
323
_________________________
324
_________________________
Total Retained Earnings
_______________________________ 325
If Unincorporated
Owners' Capital - - Net of Withdrawals
______________________________ 326
TOTAL OWNERS' EQUITY 327
_____________________
TOTAL LIABILITIES & OWNERS' EQUITY 328
_____________________
E. CONTINGENT LIABILITIES (attach explanation)
43. PACKERS BUYING LIVESTOCK FOR SLAUGHTER MUST COMPLETE LINES 48 THROUGH 58.
BOND INFORMATION
NOTE: Include Total Purchase Price of ALL Livestock Purchased
1. Total Livestock Purchased for Feeding
__________________
401
2. Total Livestock Purchased for Slaughter
__________________
402
$_________________
403
TOTAL LIVESTOCK PURCHASED
ACCOUNTS RECEIVABLE AND/OR INVENTORY FINANCING ARRANGEMENT(S)
44. As of the end of the reporting period, were Accounts Receivable and/or Inventories,
or any part thereof, pledged, or assigned as collateral under a financing or loan
agreement? (If answer is YES, complete questions 50 through 57 and fully explain)
YES
NO
YES
NO
46. Are Inventories collateralized under the agreement?
48. Enter borrowing limit under the agreement
45. Name and address of financial lending institutions having security interests
47. Are Accounts Receivable collateralized under the agreement?
YES
49. Enter borrowing payable as of the end of the reporting period
$
$
50. Are any Company owners, directors, officers, or stockholders named as a
guarantor under the agreement?
YES
NO
NO
51. If Company is a subsidiary of another, is the Parent Company named as a guarantor
under the agreement?
NOT APPLICABLE
YES
NO
NOT APPLICABLE
52. Restrictions or covenants under financing or loan agreement
(a) Minimum cash balance to be maintained on deposit
$__________________
(b) Minimum working capital ratio to be maintained (give ratio)
___________________
(c) Others (describe)
53. Name and location of banks used for livestock payments (attach list if additional space is needed)
SECTION 7 - CERTIFICATION: I certify that this report has been prepared by me or under my direction, and that to the best of my
knowledge and belief, this report correctly reflects the operations of the repo rting packer.
54. DATE
FORM P&SP-3000
55. TITLE
56. SIGNATURE (Owner, partner, or corporate officer if a corporation)
AUGUST 2007
PAGE 7 OF 7
File Type | application/pdf |
File Title | e:\newrev~1\psp3000.wpf |
Author | camcduffie |
File Modified | 2007-07-27 |
File Created | 2006-12-05 |