F/H Form 1 Hazelnuts Certifications Shipments & Diversion Requireme

OMB CONT. NO.
0581-0178

HAZELNUT MARKETING BOARD
21595-ADoloresWay NE
Aurora,OR 97002-9738

Revised 5/2004
F/H Form 1

REPORT OF HAZELNUT CERTIFICATIONS. SHIPMENTS AND DIVERSION REQUIREMENTS
For the period ending December 31.2006
The following represents the total quantity of inshell hazelnuts shipped to the free market, inshell shipments to export market, the
inshell equivalent of the kernels that have been certified, or inshell certified as restricted. This report shall be submitted no later than
the 10th day followinaeachreportinaperiod. If no inshell hazelnutsare shippedor kernelscertifiedor shippedduringa reporting
period, a report shall be submitted showing "no chanae" for that period. At the end of a handler's operating season, the handler may
indicate "final report", and no further reports need be submitted.

INSHELL WEIGHT - YEAR TO DATE
OLD CROP
NEW CROP
TOTAL

A. FREE
1.
Free - InshellShipments
2.
Less: DeclaredCany-In
3.
Total FreeTonnage

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B. RESTRICTED
1.
Export Inshell
2.
3.
4.
5.
6.
7.
8.

9.

Kernels Certified (Inshell Equivalent)
Inshell Certified as Restricted
Total Restricted
Less: Restricted Carried In
Total
Add: Credits Purchased
Subtract: Credits Sold
Total Diversion Weight

C. COMPUTATION OF OBLIGATION
1.
Diversion Requirement for This Crop Year Is:
2.
Total Free Inshell (Line A3)
3.
Total Restricted Obligation (line C1 x C2)
4.
Less: Total Diversion Weight (B9)
5.
Balance of Obliaation

11.0715

-

PLEASE RETURN ONLY THE SUMMARY SHEET AND THOSE SUPPORTING FORMS ON WHICH NEW
CERTIFICATION OR SHIPMENT INFORMATION IS RECORDED.
The total year to date diversion weight must be equal to, or in excess of, the total diversion requirement at time of filing this report;
otherwise, handler will be declared in default of the Hazelnut Marketing Order, unless handler has posted a bond with the Board in
accordance with part 982.54.
The undersigned certifies to the Marketing Board, and to the USDA, that the information given above is true and correct to the best of
this party's knowledge and belief.
Dated

HANDLER
By

Address
Title

This report is required by law (7 U.S.C 608(d), and 7 CFR 982.66 and 7 CFR 982.466). Failure to report can result in a fine of not less than $50 or more than
$5,000 for each such violation and each day during which such violation continues shall be deemed a separate violation.
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 co8ection of
infonnation unless it displays a vaOdOMS control number. The vaOdOMS control number for this infonnation coUectionis 0581-0178. The time required to
complete this infonnation coOection is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the coUection of infonnation.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color. national origin, age, disability,
and where applicable, sex, marital status, familial status, parental status, reOgion, sexual orientation, genetic infonnation, poHtical beRets, reprisBl. or because
aUor parl of an individual's income is derived from any public assistance program (Not a6 prohibited bases apply to aUprograms.) Persons with disabilities
who require altemative means for communication
of program infonnation (Bral1e, large print, aucDotape, etc.) should contact USDA's TARGET Center at
(202) 720-2600 (voice and TDD). To file a complaint of cDscrimination, write to USDA, Director, Office of CivU Rights, 1400 Independence
Avenue, S. W.,
Washington, D.C. 20250-9410, or call (BOO)795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunityprovider and employer.