No Form number CA Date Ballot (Handler)

Vegetable and Specialty Crops

CA Date Ballot (Handler)

Vegetable and Specialty Crops (Voluntary)

OMB: 0581-0178

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CALIFORNIA DATE ADMINISTRATIVE COMMITTEE
HANDLER BALLOT
Six producer-handlermembers and six producer-handleraltemates serve on the California Date
Administrative Committee. To qualify as a producer-handlermember, candidates must be (1) a handler or
director, officer of employeesof a handler of Deglet Noor, Halawy, Khadrawy,or Zahidi dates; or (2)
producers who are also handlers or directors, officers or employees exercising a supervisory or managerial
function of such handler. Their two-year term of office begins October 1,
You must qualify as a producer-handler yourself in order to vote in nominations for this group. You may vote
for one member and one alternate. Your vote will be weighted by the quantity of marketable dates your firm
has handled from October 1.
through April 1,
Listed below are candidates who have submitted their names and are willing to serve on the Committee. You
may make your selection from this list, or you may write in persons of your choice, but make certain they
qualify and are willing to serve on the Committee, if selected and appointed. Do not list the same candidate
for more than one position or your ballot will be invalidated.
PRODUCER-HANDLER

CANDIDATES

CANDIDATE #1

CANDIDATE #2

CANDIDATE #3

CANDIDATE #4

CANDIDATE #5

CANDIDATE #6

CANDIDATE #7

CANDIDATE #8

CANDIDATE #9

CANDIDATE #10

CANDIDATE #11

CANDIDATE #12

ALTERNATE PRODUCER-HANDLER

MEMBER

I nominate the following:
PRODUCER-HANDLER

MEMBER

I HEREBYCERTIFYto the U.S. DEPARTMENTOF AGRICULTUREand the CALIFORNIADATE
ADMINISTRATIVECOMMITTEEthat I am a producer-handler of Deglet Noor, Halawy, Khadrawy or Zahidi dates
and am qualified to vote for producer-handler representatives to serve on the California Date Administrative
Committee and further, ifthis ballot is cast on an absent~e basis, that I have personally completed this ballot.

Signature:
Firm I represent:

Date:
Telephone Number:!

1

Youmay mailor deliver your completed ballot to the California Date Administrative Committee office. Completed
ballots must be received in the office no later than 3:00 p.m.,
.
, in orderto be
counted.Ballotsmay bemailedtoCDAC.P.O.Box1736.lndio.CA 92201-1736or deliveredto CDAC,45691
MonroeStreet, Suite 5, Indio,CA 92201-1736.
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 informationcollection is 0581-0178. The
time required to complete this information collection is estimated to average 5 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. Departmentof Agriculture (USDA)prohibitsdiscrimination in all its programs and activities on the basis of race, color, national origin, age,
disability, and where applicable,sex, maritalstatus, familial status, parental status, religion, sexual orientation, genetic information, political beliefs,
reprisal, or becauseanor part of an individual'sincome is derived from any public assistance program (Not all prohibited bases apply to all programs.)
Persons with disabilitieswho require alternativemeans for communication of program Information (Braille, large print, audiotape, etc.) should contact
USDA's TARGETCenter at (202) 720-2600 (voice and TOD).
To file a complaint of discrimination, write to USDA, Director, OffICeof Civil Rights, 1400 Independence Avenue, SW., Washington, D.C. 20250-9410, or
call (BOO)795-3272(voice) or (202) 720-6382(TDD). USDA is an equal opportunity provider and employer.
(06/04)


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