COC-149 Handler Nominee Questionnaire

Form COC-149
04-01

HANDLER NOMINEE QUESTIONNAIRE

OMB#'

Information concerning handler nominees to be used by the Secretary of
Agriculture in selecting handler members and alternate handler mernbers of the
California Olive Committee pursuant to the Marketing Agreement and Order
Regulating the Handling of Olives Grown in California.

ONFIDENTIAL
Name:

Date of Birth:
EIN #:

Address:
City, State:

Phone:

Zip:

Fax:.

E-mail:

Name of Handler you are associated with:
Position you hold in firm:
Number of years with firm:
No of yrs handler in business:

Are you, in your own name, also a producer of olives for market as
packaged olives?
If so, list varieties, approximate bearing
acres, and counties of production:
Variety

ApproxAcreage

County

Variety

ApproxAcreage

County

Are you a member of a cooperative marketing association that handles
olives?
If so, give name:

_

Are you a member of any' other organization furthering the interests of the
olive industry?
If so, give name(s):

_

I will serve as a handler member or alternate handler member of the
California Olive Committee.

Date
(See Reverse)

Signature

0581-0178

I

Formcae -149

HANDLERNOMINEE QUESTIONNAIRE

Marketing order.committee members, in their official capacities, are prohibited from taking any action
specifically designed to influence legislation, including any attempt to influence public opinion
concerning legislation. Committee members may not communicate with any official of a State or
Federal legislative body for the purpose of attempting to influence legislation. Committee members are
also prohibited from attempting to intluence State or Federal government actions or policies or those of
foreign governments, except as specifically authorized under the marketing order or expressly approved

by the Secretary.

.

Committee members are specifically precluded from authorizing the expenditure of marketing order
funds for the purpose of attempting to influence legislation or government actions.
These same prohibitions apply to committee managers, staff, and contractors except that committee
managers may consult with U.S. Department of Agriculture employees during the pendency of informal
rulemaking actions.
If marketing order committee or subcommittee members or committee employees are sued individually
or jointly for errors in judgment, mistakes, or other acts either of omission or commission (except for
acts of dishonesty, willful misconduct, or gross negligence) in the conduct of their duties under the
marketing agreement or order, they may be authorized legal defense by the Department of Justice
(DOl). Alternatively, legal defense may be provided through private counsel, if recommended by the
Department of Agriculture (USDA) and approved by DOl USDA and DOJ enjoy an excellent working
relationship with respect to providing legal representation for committee members and employees, either
by DOJ or through authorized private counsel. USDA is committed to a comprehensive legal defense
policy for all committee members and employees acting within the scope of their authorized committee
duties and responsibilities.
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 6 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, 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 from any public assistance program (Not all prohibited bases apply to all programs.)
Persons with disabilities who require alternative means for communication of program information (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) 795-327.2 (voice) or (202) 720-6382 (TDD). USDA is an equal
opportunity provider and employer.