No Form number Walnut Mktng. Bd. Ballot (Producer Members & Alternates)

Vegetable and Specialty Crops

Walnut Bd. Independent Producer Member-Alternates Ballot (Dist. 1 & 2)

Vegetable and Specialty Crops (Voluntary)

OMB: 0581-0178

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BALLOT

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WALNU1MARKETINGBOARD

:

ELECTION OF INDEPENDENt PRODUCER'MEMBERS AND ALTERNATES
DI8TRICT
NO.t
Can8IItId the caunII8Ilnthe 8I8t81h8t.. narIIId 8
linecIr8wnan the 8DUIh8nbaund8rIe8.
d 88n MatIo,
AI8med8,S8nJo8quIn.C8I8v8ra... AIpkIecaunIIeI.

DI81'R1Cr
NO.1
CanIIIIid.. oe. caunII8Ilnthe 81818IOUIhd the
bound8ryIne 88tbth Inthedellnlllon
d DIaIrIct
No.1.
.

VanNG INSTRUCTIONS:
In 8C00Id8... willi.. prcMIIcII.d BecIon 88U6(8K4), BecIon 884.35(8K&)8nd SeaIIon884.36(8K8)d M8rIr.dv
Order Ifo. 884. . 8mII1ded. t ..
WIllfar the followingmembera ... 8fI8rn8II8III8fIIb8r8. ntpIdieCII.b8 d
Incf8pendenIpradUcer8d the Wmd M8rIr8IIng
Ba8nlfar IhelWoye8l'tInn beginningJUly1.
___
.
.

,

For the dI8IrIct~..
you l118Y..far one memb8r... one 8II8m8II tam )1aII'dlltltct.1ndIc8tI )1aII'voIe by pIedng
.. -X- In the bale oppaIII8 .. nMI8 dthe memb8r 8lil8II8n18I8 dyaur c:hoIc8,8CCOfdIngto your dI8trIct. Wrft8.In IInei
81'8 pnMd8d

"YOU wI8h tD namIn8t8

qU8ll118Chnll~wt praduoII8

Praduoer8 who gtfNI W8InuIIIn more thin
.

yaw cII8btctwho .. not 8hownan this b8IIoI.

cII8IrIcIl'IIUIt
IIIect one cII8btctIn which they wI8h to wI8.
,

Vour"""" will beltN8lld8t8d "YOUVDf81or

IJIOI8",... 0118d18fIfcf.

from

1han... pertIOIIlor..eI. poa/tIon OI'''YOUVDf8ln

.

.

;

..........

Dlabtctt

For the 8f818wk1epoeIIIon8, )'aU , vole... one mecnbIr...
vote by placing 81'1T In the ~ oppoeb the name d the ~
Wrft8.In OneIl..

one 8II8m8I8
oIJGUI' dI8trIct. IndIc8t8 your
8IId 81t8m8Teor your choice.

pravIded Ifyou wI8h to nomIn8I8 qu8IIIIedWIIInutproduoIn from .ni.r

Dfatrtct 1 or DIaIrIct2 who 81'8

not8hownanIhIab8IIot.

.

Vour""llof will belllv8l1d8t8d "YOU vaf810r men flt8110118p8I'8OtIfor.Neh 'JI08IfIon.
STATEWIDE

VoI8

Mtmb8r (ProcIuo8't

VoI8

,

AII8mat8(Produo8r)

.
CERTIFlCA110NOF EUGiSIUTY
IhenIbycertIryth8t18m curentIy 8
voted Inonlyone df8frfcL

~

.

0: or DIaIrIct2 Q' and h8v8

Independent W8IrMpraduoer In D181r1c11

,I

.

I

Tiim

I.eg8I Name or Voting EntIty

I,
CIty

ZIp
St8t81

AuthixIDdSIgn8tur8
PI

Phone

_

1ndIc8t8the following8bout the pi'Ocf\ar(IegIIentity)forwhichyou If8 voting:

_'NDMDUAL
..

IF PARTNERSHIP.

TRUST _PARTNERSHIP

USTPARTNER(S)

~CORPORATION

I

_ESTATE

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aAQKGRQUNDINFORMA~ON
984.36(aX4) One membtr to I8preaent QI'OW8II
who market their Wllnutllhrough coopenI~. handIer8 or
Independent handIer8, wI1Ic:t18V8I'
c8I8goIytl8uc:h h81dI8I8h8J cerIiIIed. merd18Id8bIe men than 60 percent

of the k8meIweIght
of811~uII certIIIId.. ~
byII h8ndIeI8dur1ng
the twomark8IIng
yeara
gnJW8f'I
whomarkettheir
pr8C8dIng
the yearInwhIc.ft.i1omInatIane
WIreIIIId8- the member
through
h8nd1er8c8h811
be nominatedat IaIveInthe StaI8 tI C8IIfomIa;

~

~

984.35(8)(&)
.

~

.

One member to I8pI888I1t (IIUW8nIfrom DIIIrIct 1 who merIc8t thelrwalnullthraugh

handler8:land

984.36(0)'
(1)

Glower DI8trfcI8:
DlsIrfct1

linednIwnon ~
(2)

Independent

!

80Uth

Dl8Irfct1111CX11np888e11he
counfi!tJ IntheSlBI8of CalIfornIa.thatlie northofa

~

ofSanMaI8o,Alameda.s.n Jo8quln,CaIawn8, &adAlpIneCounIIe8..
DI8trfct2 IhaIJCOfIII8t of all otherwalnut producingcounties In the State of

Dllllrfct2

California 80Uth of the boundary line let forth In eWpanlgRlph
.

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';

(1) of thl8 peregraph.

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Note: The following statements are made in accordance with the Privacy Act of1974 (5 U.S.C. 552a) and the Paperwork Reduction
Act of 1995. The authority for requesting this infonnation to be supplied on this fonn is the Agricultural Marketing Agreement Act of
1937, Sees. 1-19,48 Stat 31, as amended, (7 U.S.C. 601-674). Furnishing the requested infonnation is necessary for the
administration of the marketing order program.

Accordingto the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to
a collectionof infonnation unless it displaysa validOMB control number. The validOMB control number for this infonnation
collectionis 0581-0178. The time required to completethis infonnation collectionis estimatedto average 5 minutes per response,
includingthe time for reviewing instructions,searching existingdata sources, gathering and maintainingthe data needed, and
completingand reviewing the collectionof infonnation.
The U.S. Department of Agriculture(USDA) prohibitsdiscriminationin all its programs and activitieson the basis of race, color,
nationalorigin, age, disability,and where applicable,sex, marital status, familialstatus, parental status, religion,sexual orientation,
genetic infonnation, politicalbeliefs,reprisal,or becauseall or part of an individual's income is derivedftom any public assistance
program (Not all prohibitedbases applyto all programs.)Persons with disabilitieswho require alternativemeans for communicationof
program infonnation (Braille,large print, audiotape,etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and
TDD). To file a complaintof discrimination,write to USDA, Director, Office of CivilRights, 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 opportunityprovider
and employer.


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