FV-269, 273, 274, Olives Producer Nomination Ballot (Dist. 1-4)

Vegetable and Specialty Crops

FV-269, 273, 274, 275 Producer Nom. Ballots

Vegetable and Specialty Crops (Voluntary)

OMB: 0581-0178

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0581-0178 can be found here:

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FormApproved.
.OMBNo. 0581-0178

REPRODUCELOCA/,I.Y. .InlcudfJ
formnumb" anddateonaUTfJprolluctiuns.
u.3. DEPARTMEIT OF

I BALLOT
NO.

AORlCUl TORE

AGRICULTURAl.
MARIIETIIOSERVICE

PRODUCER
NOMINATION
BALLOT

CALIFORNIA
OLIVECOMMITTEE
1903 NORTHFINE#102
FRESNO,
CALIFORNIA
93727
DISTRICTNO. 1

COUNTIES
OFGLENN,TEHEMAANDSHASTA

MEMBERCANDIDATES

ALTERNATE CANDIDATES

(VOTEFORTWf)(2))

{VOTEFORTWO(2))

. .

I certify by my signature on the return envelope that I am authorized to vote on behalf of the producing entity and that such producing entity
delivered olives for use 8S packaged olives for the 200_.

200_

crop year.

THEBALLOTIS NOTVALID(WILLNOTBECOUNTED)
IF PRODUCER
SIGNATURE
IS NOTONRETURN
ENVELOPE.

Returnin envelopeprovidedto: .

CALIFORNIA
OLIVECOMMITTEE
1903NORTHFINE#102
FRESNO,
CALIFORNIA
93727

~ALLOTSMUSTBEPOSTMARKED
NOLATERTHANMARCH22, 200.

Thi.sinformation
is usedto verifytheprovisions
oftheOrder,7 GFR932.129making
anyfalsestatements
orrepresentations
inanymatter
withinthejurisdiction
ofanyagency
oftheUnitedStates,knowing
if to befalse,isaviolation
ofTitle18,section
.1001,UnitedStatesCode,
whichprovides
forpenalty
ofafineof $10,000.00
orimprisonment
ofnotmorethanfiveyearsorboth.
According to the Paperwork Reauction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond La a collection of information unless it
displays a valid OMB control number. The valid OMB control number for this infonnation collection is Q581-0178. The time required to complete thi~ infonnation
collection is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering a:nd maintaining the data
needed, and completing and reviewing the collection ofinfom1ation.,
.
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, or because all or part of an
individual's

income is derived

from any public

assistance

program

(Not all prohibited

bases apply La all programs.)

Persons

with disabilities

who require

alternative

means

for communication of program infOlmation (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TOD): To file a
complaint ofdis~rimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272
(voice) or (202) 720-6382 (TOD). USDA is an equal opportunity provider and employer.
FV.269 I~OI

...
REPRODUCE
LOCAUY. Inlcude form numberenddete on 88 reproductions.
u.s.DEPAIITUEIIT OFAORICUL
JURE

. OMSNo. 0581-0178

FormApproved.

AORICULTURAL
IlARIIETIIOSERVICE

BA~OT~~.

PRODUCER
NOMINATIONBALLOT
CALIFORNIA
OLIVECOMMITTEE
1903 NORTHFINE#102
FRESNO,
CALIFORNIA
93727
DISTRICTNO.2
Countiesof Mono,Mariposa,Merced,SanBenito,
M. ontereyandall countiessouththereofe.xceptTulareCounty.
.

MEMBERCANDIDATES
(VOTEFORONE(1))

ALTERNA
TECANDIDATES
(VOTEFORONE(1))

,
I certify by my signatureon the return envelopethat I am authorizedto vote on behalf of theproducingentity and that

deliveredolivesfor useaspackagedolivesfor the200_" 200_ cropyear.

suchproducingentity

THEBAllOT IS NOTVALID(WILLNOTBECOUNTED)
IF PRODUCER
SIGNATURE
IS NOTONRETURNENVELOPE.

Returnin envelopeprovidedto:

CALIFORNIA
OLIVECOMMITTEE
1903 NORTHFINE#102
FRESNO,
CALIFORNIA
93727

BALLOTSMUSTBEPOSTMARKED
NOLATERTHANMARCH22, 200
Thisinformation
is usedto verifytheprovisions
oftheOrder,7 CfR932.129makinganyfalse'statements
orrepresentations
inany'matter
withinthejurisdiction
of aQY
agency
oftheUnitedStates,knowing
it to befalse,isaviolation
ofTitle18,section1001,UnitedStatesCode,
whichprovides
forpenaltyofafineof $10,000.00
orimprisonment
ofnotmorethanfiveyearsorboth.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection ofinfonnation unless it
displays a valid OMB control number. The valid OMB control number for this infonnation collection is 0581-0178. The time required to complete this infonnation
collection
estimated toand
average
5 minutes
per response,
including the time for reviewing instructions, searching existing data sources, gathering a.nd maintaining the data
needed, andis completing
reviewing
the collection
of information.

The U.S. Depanment of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, a.ge, disability, and where

applicable,sex, marital status, familialstatus, parentalstatus,religion,sexualorientation,geneticinfonnation,politicalbeliefs,reprisal, or because all or part of an

individual's income is derived ITomany public a.ssistance program (Not all prohibited bases apply to all programs.) Persons with disabiJities who require alternative means
for communication of program infonnation (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202)720-2600 (voice and TDD). To file a
complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272
(voice) or (202) 720-6382 (IDD). USDA is an equal opportunity provider and employer.

FV.273106-00)

I
"

...
REPRODUCE
LOCAUY. In!cude formnumberanddate ona8reproductions.
u.s. DEPARTMEIT
DFAGRICULTURE
AGRICULTURAl.
MARKETIIBSERVICE

FormApproved.OMBNo. 0581-0178
BALLOT
NO.

PRODUCER
NOMINATIONBALLOT
CALIFORNIAOLIVECOMMITTEE
1903 NORTHFINE#102
FRESNO.CALIFORNIA93727

DISTRICTNO.3

Countiesof Mono, Alpine, Tou/ume,Stanislaus,Santa Clara, Santa Cruz,and aRother countiesnorth except thosein District 1.

MEMBERCANDIDATES

ALTERNATECANDIDATES

(VOTEFORONE(1) ONLY)

(VOTEFORONE(1) ONl Y)

I certifybymysignatureonthereturnenvelopethat lam authorizedto voteonbehalfof theproducing
entityandthatsuchproducing
entity
deliveredolivesfor useaspackagedolivesfor the200_- 200_ cropyear.

THEBALLOTIS NOTVALID(WILLNOTBECOUNTED)
IF PRODUCER
SIGNATURE
IS NOTONRETURN
ENVELOPE.

Returnin envelopeprovidedto:

CALIFORNIA
OLIVECOMMITTEE
1903NORTHFINE#102
FRESNO.
CALIFORNIA
93727

BALLOTSMUSTBEPOSTMARKED
NOLATERTHANMARCH22. 200

Thisinformation
isusedtoverifytheprovisions
oftheOrder,
7 CFR932J 29making
anyfalsestatements
orrepresentations
inanymatter
withinthejurisdiction
of anyagency
oftheUnitedStates,knowing
it to befalse,isaviolation
ofTitle1.8,section1O()1,UnitedStatesCode,
whichprovides
forpenalty
ofafineof $10,000.00
orimprisonment
ofnotmorethanfiveyearsorboth.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of iilfonnatiori unless it
displays a valid OMB control number. The valid OMB control number for this information collection is 0581-0178. The time required to complete this infonnation'
collection is estimated to average 5 minutes 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 information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disabiJity, and where '
applicable, sex, marital status, famiJial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because:: all or part of an
individual's income is derived ftom any public assistance program (Not all prohibited bases apply to all programs.) Persons with disabilities who .'equire alternative means I
i
for communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (2()2) 720-2600 (voice and TDD). To file a
complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, 03' call (800) 795-3272
.
(voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.
FV.274.11J8.OOI

REPRODUCELOCALLY.tn/cudsformnumberanddate onaUreproductions.
DEPAllTllEITOFADRICULTURE
UoS.

FormApproved..OMS No.

05.~1-0178 I

BALLOTNO.

AORICULTURAL
MARIETIIOSERVICE

PRODUCER'NOMINATION
BALLOT

CALIFORNIA
OLIVECOMMITTEE
1903 NORTHFINE#102
FRESNO.
CALlFO~NIA93727
DISTRICTNO.4
COUNTYOFTULARE

ALTERNATECANDIDATES

MEMBERCANDIDATES

(VOTEFORFOUR(4)1 .

{VOTEFORFOUR(4))

I certifybymysignature
onthereturnenvelope
thatI amauthorized
tovoteonhehalfoftheproducing
entityandthatsuchproducing
entity
delivered
olivesforuseaspackaged
olivesforthe200_. 200_ cropyear.
THE BALLOTIS NOTVALID (WILL NOT BE COUNTED)IF PRODUCERSIGNATUREI.SNOT ON RETURNENVELOPE.

Returnin envelopeprovidedto:

CALIFORNIA
OLIVECOMMITTEE
1903 NORTHFINE#102
FRESNO.
CALIFORNIA
93727

BALLOTSMUSTBEPOSTMARKED
NOLATERTHANMARCH22. 200
Thisinformation
is usedto verifytheprovisions
oftheOrder.7 CFR932.129making
anyfalsestatements
orrepresentations
inanymatter
withinthejurisdiction
ofanyagency
of theUnitedSt~tes,knowing
it to befalse,isaviolation
of Title18,section1001,-United
StatesCode,
whichprovides
forpenalty
ofafineof $10,000.00orimprisonment
ofnotmorethanfiveyearsorboth.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it
displays a valid OMB control number. The valid OMB control number for this information collection is 0581-0178. The time required to complete this information
collection is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering a.rid maintaining the data

needed,and completingand reviewingthecollectionof information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, a..ge, disability, and where
applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an
individual's income is derived ITom any public assistance program (Not all prohibited bases apply to all programs.) Persons with disabilities who r ~uire alternative means
for communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voic~ and TDD). To tile a
complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272
(voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

fV.27& (08-001

.
,

File Type	application/pdf
File Modified	2007-07-25
File Created	2007-07-25