PMC 10.1-B PMD Application for Prune Plum Diversion Sunsweet Produc

Form PMC 10.1-B
OMB No. 0581-0178

APPLICATION
FORPRUNEPLUMDIVERSION
SUNSWEETPRODUCER
1. Date:

To: PRUNE MARKETING COMMITTEE

The undersigned hereby certifies that all information contained in this application is true and correct to his best
knowledge and belief and that he held proprietary interest in the prune plums for diversion as of July 1 ,2001.
2.

Name of Member:
(PLEASE PRINT)

3. Address:

A Producer
Number
B. Application

Approved
C. Field
Office

4. ProducerStatus: OwnerOperatorU; ShareLandlordU;
(CHECK
ONE)
1
2
ShareTenant U; CashTenant U;
3
4

Telephone
Number

4a. Name of other person{s) holding a financial
interest in the prune plums for diversion:

DIVERSION
I

5.

TOTAL

MaximumGreenTonsAppliedfor

---

6. County(ies) of Production
7. Variety (ies) of PrunePlums
nllm n I

I

---

---

--.-- ---

8. Locationof
Diversion

9. DiversionDeposit:(SunsweetGrowers,Inc.will paydeposit.) If Line 5 Total is
28.5 GREENtons or lessthe minimumdepositis $100. If Line 5 Total is greater
than 28.5 GREENtons multiply Line 5 Total by $3.50

$

10. Orchard Operator's Name:
(IF DIFFERENT THAN LINE 2)

11. Authorized Signature:
12. Telephone Number:
(AREA CODE)

(NUMBER)

13. Mail to: PRUNE MARKETING COMMITTEE, 3841 NORTH FREEWAY BLVD., STE.120, SACRAMENTO, CA 95834

READ INSTRUCTIONS ON REVERSE SIDE PRIOR TO
FILLING OUT APPLICATION

INSTRUCTIONS
SUNSWEETPRODUCER
A.

Pleasestudythe example beforefilling out your application on the reserve side of this sheet.

B.
C.
D.

Do not write anvthlna in the block marked 8For PMC Use Only8.
Be'sure the application is otherwise completed In full to avoid rejection.
If you are a dehydrator or green fruit buyer acting as a diversion agent for one or more producers, please contact"
PMC/Sacramento for special Instructions in filling out your application (s).
The following instructions are numbered to correspond to the line numbers on the application.

E.

1.
2.
3.
4.
4a.
5.

6.
7.
8.
9.
10.
11.
12.
13.

Fill in the data on which the application is filled out.
The name of the member on line 2 should correspond with the member's membership account name as it
appears on the records of Sunsweet.
Address of 2.
On line 4, check the appropriate block(s) that applies (apply)to the status of the producer named on line 2.
For example, If the name on line 2 is the Share Landlord, check box #2 on line 4.
If a portion of the proceeds from the prune plums which are being diverted is payable to someone other
than the applicant as evidenced by a crop assignment on record with Sunsweet, eoter the person(s) to
whom payment Is to be made.
On line 5, enter in each box the areen tons you intend to divert (not dried equivalent). If you Intend to
divert only HARVESTED (Dipper), enter the green tons applied for in the 8Harvested 8 box, enter NONE in
the 8Unharvested8box, and repeat the figure entered in the 8Harvested8box in the ~OT AL. box. If you
intend to divert both harvested and unharvested, enter in the appropriate box the green tons to be diverted
by each method, and show the total In the ~OTAL. box.
The county (ies) in which the prune plums for diversion were actually produced.
The variety (ies) of prune plums to be diverted. If Interplants, enter the predominant varieties and the
percentage of each variety.
The physical location where diversion will take place. Provide sufficient Instructions to allow PMC
representatives to locate the diversion location.
The fee for Sunsweet members will be paid by Sunsweet Growers Inc.
Sunsweet Growers Inc. will compute the fee on the basis of $100 for 28.5 tons or less and at $3.50lton
over 28.5 tons.
Print the title (ranch foreman, manager, etc.) and name of the person to be contacted at the diversion
location if other than the applicant.
Member's signature (or signature of authorized representative) and title which has been filed in writing with
Sunsweet Growers Inc.
Telephone number at which you can be reached to answer a question on your diversion during the day. If
you are only there during certain hours of the day so indicate, for example (916) 123-4567(12:00- 1:00
p.m.).
.
Mail your application to this address. If you have any questions on the information required on the balance
of the application form, please call (916) 565-6235, or write to the address shown on line 13 of the
application.

IMPORTANT NOTICE
The issuance of a false certificate knowing it to be false is a violation of Title 18, Section 1001 of the United States Code, which
provides a penalty of a fine of not more than $10,000 or imprisonment of not more than 5 years or both.
AUTHORITY: § 993.62 of Marketing Order No. 993, as Amended, and § 993. 162(c) of the Administrative Rules and Regulations
established pursuant thereto.
According to the Paperwork Reduction Act of 1995, an agency moy not conduct or spolUOr, and a perllOn is not required to rellpond to a collection of informarton
unlellll it dillplays a valid OUB control number. The valid OUB control number for thill information collection is 0581-0178. The time required to complete this
information collection is estimated to average 10 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) prohibiill discrimination in all illlprograms and activities on the ballisof race, color, national origin, gender, religion, age,
disability, political belieft, sexualorientotion, and marital orfamily stalUll. (Not all prohibited bases apply to all programs.) Persons with disabilities who require
altemative meansfor communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (102) 720-2600 (voice
and TDD). To.file a complaint of discrimination, write USDA, Director, Office ofCtviJ Righlll, Room 326-W, Whitten Building, 1400 Independence Avenue, SW,
Wallhington, DC 202JO-9410 or call (202) 720-5964 (voice and TDD).

USDA is an equal opportunity provider and employer.