COC-150 Producer Nominee Questionnaire

Form COC-150
04-01

OMB # 0581-0178

PRODUCER NOMINEE QUESTIONNAIRE

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

CONFIDENTIAL
Date of Birth:

Name:

EIN#:

Address:

Phone:

Zip:

City, State:

Fax:

E-mail:

Number of years you have been a producer of olives for market as packaged olives:

Majorvarieties of olives you now farm, approximateacreage, and counties of production for
each:

Variety

Approx Acreage

County

Variety

Approx Acreage

County

Approximate tonnage of olives for market as packaged olives produced by you during the
season:
Tons, Natural Condition Weight.
Are you a member of a cooperative marketing association handling olives?

If so, give.

name and any position held:

Are you connected as an employee, officer, director, or other capacity, with any independent
organization handling olives?
Ifso, list name and indicate nature of connection:

Are you a member of any other organization furthering the interest of olives producers?
If so, list such organizations and any positions held:

I will serve as a producer member or alternate producer member of the California Olive

Committee:

Date
See Reverse

.

Siqnature

Formcae -150

PRODUCERNOMINEE QUESTIONNAIRE

Marketing order committee members, in their official capacities, are prohibited from taking any
action specifically designed to intluence 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 inHuence 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 DOlor 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 co llection of
information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis
ofrace, 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). 10 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 (TDD). USDA is an. equal
opportunity provider and empleyer.