P&SP 3310 Dealer Business Report

OMB CONTROL NO. 0580-0015
U.S. DEPARTMENT OF AGRICULTURE
GRAIN INSPECTION, PACKERS AND
STOCKYARDS ADMINISTRATION
PACKERS AND STOCKYARDS PROGRAM

ANNUAL REPORT OF DEALER OR MARKET AGENCY
BUYING ON COMMISSION
(Financial Statement – short form)
Section 1 – General Information

1. Registrant’s Name

2. Mailing Address

3. Telephone No.

4. E-Mail Address

5. FAX No.

6. Cell Phone No.

7. Website (URL)

8. Type of Organization: (Check one)

‰ Association ‰ Corporation ‰ Individual ‰ L.L.C.
‰ Partnership

‰ L.L.P.

‰ Other (Please Specify) ___________________________________

9. Did any change in organization take place during the year?
‰ No
‰ Yes – If yes, provide details:

Section 2 – Bond Information
10. Total Cost of Livestock Purchased on a Dealer Basis for Registrant’s Account
First Quarter of Fiscal Year

$

Second Quarter

$

Third Quarter

Fourth Quarter

$

$

11. Total Cost of Livestock Purchased for the Accounts of Others (Include livestock purchased by registrant but, which was
billed directly to customer by seller and paid for by customer to seller).
First Quarter of Fiscal Year

$

Second Quarter

$

Third Quarter

$

$

12. Total Cost Of Livestock Purchased:

AUGUST 2007

Form P&SP-3310

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Fourth Quarter

$

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Section 3 – Livestock Purchased
Cattle

Calves

Hogs

Sheep and Goats

Horses and Mules

13. Number of
Head Purchased
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 operation of the reporting dealer.
14. Date:
15. Title:
16. Signature (Owner, Partner, or Responsible
(Month/Day/Year)
Officer)

You must print the completed form,
sign and date lines 14 and 16, and mail
to the appropriate office for your state.
17. Report for the Year Ended:

18. If Not for Calendar Year, Indicate Period
Covered: (Example: 7/1/2005 – 6/30/2006)

December 31, 20______

Return Completed Report to the appropriate regional office; see separate instructions for information.
Response is required in order to determine type of organization and amount of bond required to operate under the Packers and Stockyards Act,
1921, as amended and supplemented (7 U.S.C. 181 – 229) and 9 CFR 210.97. Information held confidential (9 CFR 201.96).
This report MUST be completed by DEALERS engaged in buying and selling livestock for their own accounts or for the accounts of others who
operate subject to the Packers and Stockyards Act, 1921, as amended and supplemented. The report must be filed not later than April 15
following the end of the calendar year, or, if the dealer business is run on a fiscal year basis, the report must be filed 90 days after the close of the
fiscal year.
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 control number for this information is 0580-0015. The time required to complete this information
collection is estimated to average .5 hours per response, including the time to review instructions, search existing data resources, gather the data
needed, and complete and review the information collection.

AUGUST 2007

Form P&SP-3310

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