RAC-501 CA Raisins--Monthly Rept. of Disposition of Raisins Prod

INSTRUCTIONS FOR COMPLETING FORM RAC-501

1.

Reports shall be submitted to the Committee on or before the eighth day
by 10:00 a.m. of each month covering shipments or disposition of raisins
produced from grapes grown outside the "areau (State of California) for
the preceding month.

2.

All quantities on the report shall be in pounds. (1)(2)(3)(5)

3.

Reports shall be certified by a responsible official of the reporting handler.

4.

Other dispositions, Columns (4) and (5), may include, but are not limited
to raisins shipped natural condition or shipped to distilleries, livestock
feeders, for concentrate or transfers to other packers. Indicate in Column
(4) the kind of shipment reported and to whom each item in Column (4)
was shipped.

5.

In Column (6) report the area of origin - state or country.

6.

Consult RAC Field Representatives on any points not clear to you.

Thisreport is required by law (7 u.s.c 608(d), 7 CF.R. 989.73and 7 CF.R. 989.173(c)(3)).Failure to report can resuIJ
in afine of $1,100 for each such viohdion and each day thuing which such viohdion continues shaH be deemed a separate
viohdion.
According to the PapetWOrk Reduction Act of 1995, an agency _~_ not conduct or sponsor, and a person is not required to
respond to a coUectton oj in/ormation unlesS it disploys a valid OMB control number. The valid OMB control nuinber for
thIS information coUectton IS 0581-0178. The time required to cO!"Pletethis information coUection is estimated to average
4 minutes per response, itu:1"ding the timefor reviewing instructions, searching existing dota SOUTCes"t
gathering and
maintaining the i/ata needed, aniI completing and reviewing the coUection 0/ itiJormation. The u.s. uepartmeiiJ of
Agriculture (USDA) l!rohibits discrimination in aH its pro/?ams and activities on the basis of race, colOr natiomU origin,
age, disabifiiy, anti where applicable, sex, marital status, JllIJ'ilial status, parental status) rellgion, sexu;;J orientation,
genetic information, R!lliticfil beliefs, reprisal, or because aH or part of an individual's Income is derived from any public
assistanceprogram
INot aHoJ'programinformilliOn(Br:
l!.rohwited bases apply to aHaSr:grams.)
Persons
with disabilities
require
alJernative
r:int,
audiotape,
etc.) shouldwho
contact
USDA's
TARGET
meansfor
cOmmunICation
~
Center at '202 720-2600 (voICetiiul TDD). To ile a co i:J;;j0 "discrimination, write to USDA, Director, 0 ICe0 Civil
l!!I:.hts, i/oo

(lvD).

'?ndependence

Avenue,

S.

~

Wasf'ington,

"lfc

~

20 50-9410

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or caH (800)

795-3272

(voice)

or (2~

7il6382

MONTHLY REPORT OF DISPOSITION OF RAISINS PRODUCED
FROM GRAPES GROWN OUTSIDE OF THE "AREA"
RAISINADMINISTRATIVECOMMITTEE
P.O. Box 5217
Fresno, CA 93755-5217

RAC-501
Revised 12/06

Officeof Managementand Budget
Control Number0581-0178

Report No.

The undersigned certifies to the Raisin AdministrativeCommittee and the Secretary of Agricultureof the United States that as of the month ending
,
, the followingquantities of raisins produced from grapes grown outside of the "area" were shipped or disposed of during the period
in the manner indicated herein.

Total
Varietal
Type

Disposition
(1)

Other Disposition
Domestic
(2)

Export
(3)

Kind
(4)

Area of Origin
(6)

Quantity
(5)

TOTAL

The making of any false statement or representations in any matter withinthe jurisdictionof any agency of the United States, knowingitto be false, is a
violation of Title 18, Section 1001, United States Code, which provides for a penalty of a fine of $10,000 or imprisonment of not more than five years, or both.

Handler

Title

By
(See reverse side for instructions)

Date