American Egg Board

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American Egg Board


NOTE: PLEASE COMPLETE AND RETURN THIS REPORT #	WITHIN 15 DAYS OF THE END OF THE 
	ACCOUNTING PERIOD BEGINNING	AND ENDING	TO:	AMERICAN EGG BOARD

	I.D.  NUMBER

					CASES HANDLED
				 THIS REPORTING
				          PERIOD
				______________________________

				(1)	TOTAL FROM
				ALL SOURCES

    (2) LESS NONASSESSABLE CASES HANDLED AS FOLLOWS:

					(2)
																																						



	(3)  TOTAL CASES SUBJECT TO ASSESSMENT—MUST EQUAL LINE (5) BELOW



					(4)

PRODUCERS’ NAMES, ADDRESSES AND NUMBERS FROM WHOM ASSESSABLE EGGS WERE PURCHASED
LIST ANY CHANGES OR ADDITIONS BELOW OR ON REVERSE SIDE
NUMBER OF ASSESSABLE CASES















































                                    TOTAL CASES SUBJECT TO ASSESSMENT AS LISTED BY PRODUCER ABOVE     →       (5)
                                                                                                           THIS TOTAL MUST EQUAL LINE (3)



I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS REPORT IS TRUE AND COMPLETE.
I UNDERSTAND THAT RECORDS FROM WHICH THIS REPORT WAS COMPILED ARE SUBJECT TO AUDIT.




_______________________________________________




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____________________
AUTHORIZED SIGNATURE
TITLE
DATE
AEB COPY
INSTRUCTIONS FOR COMPLETING COLLECTION HANDLER REPORT


NOTE:  THIS TWO-PART FORM NEEDS NO CARBON PAPER.  COMPLETING IT WITH A BALL POINT PEN OR TYPEWRITER WILL AUTOMATICALLY FILL IN YOUR COPY (SECOND PART).  AFTER COMPLETION, PULL SHEETS APART AND MAIL TOP COPY TO AEB.

1.	Fill in the ending date of the accounting period covered by this report.  To assist you in filing consistent reports, the beginning date is supplied based on the type accounting period you chose and should coincide with the beginning of your respective accounting period.  If changes are necessary, please let us know.  All reports are required to be returned, even if you did not handle any eggs during this period.

2.	Verify name, address and zip code.  Make any changes necessary.  Contact AEB if ownership has changed.

3.	Section (1):   Fill in total number of cases handled this period from all sources.  “Handle” means to grade, carton, process, transport, purchase, or in any way place eggs or cause eggs to be placed in the current of commerce.  (Includes eggs of your own production.) (Section 1250.500(h), Rules and Regulations.)

4.	Section (2):   Fill in number of non-assessable cases handled.  Enter by category A, B, C, or D in the boxes provided.  Enter the total of categories A, B, C, and D in Box (2).

*  Non-assessable categories are:

    A. Hatchery Flocks – Eggs from flocks utilized primarily for the
	hatching of baby chicks.  See restriction.---------------------→

    B. Flocks ________ or less – Eggs from producers who have owned,
	in total, less than _________ birds for a 3-consecutive-month
	period immediately prior to the month in which assessments
	are due and payable.  See restriction.--------------------------→

    C. Imported – Eggs imported from outside U.S. borders (such as Canadian Eggs).

    D. Previously Assessed – Eggs purchased from another handler who has provided a statement with each load indicating the eggs have been assessed under his handler number.

5.	Subtract Box (2) from Box (1) and indicate difference in Box (3).  Box (3) must equal Box (5).

6.	Multiply Box (3) times case rate printed between line 3 and line 4.

7.	VERY IMPORTANT:  List the number of assessable cases you purchased from each producer during this reporting period in the producer section.  List additional producers in the spaces provided on the front or on the back of the first (AEB) copy.  Address must be accurate and complete.  (Section 1250.529 (a) (1) (v), Rules and Regulations.)

8.	Add cases entered for each producer and indicate the total in Box (5).  Box (5) should equal Box (3).  If it does not, re-check calculations and make corrections so that Box (5) = Box (3).  (Don’t forget producers on the back form.)

9.	Write check for assessment due (Box (4) and mail to AEB lock box address.