FV-80 Producer Referendum Ballot (OR/CA Potatoes)

OREGON-CALIFORNIA POTATO BALLOT
UNITED STAlES DEPARTMENT OF AGRICULTIJRE
Agricultural Marketing Service
Fruit and Vegetable Programs
Northwest Marketing Field Office
1220 SW 3RD AVE SlE 385
PORTLAND OR 97204-2807

TO OREGON-CALIFORNIA POTATO PRODUCERS:
The U.S. Department of Agriculture is conducting a referendum to determine whether potato producers in
Modoc and Siskiyou Counties in the State of California, and all counties, except Malheur, in the State of
Oregon favor continuance of Federal Marketing Order No. 947. As a consequence, an order directing that a
referendum be held was published in the Federal Register on
A Producer Referendum Ballot is on the reverse side of this page. Also enclosed are:
1) Voting Instructions and Rules Governing Producer Eligibility to Vote;
2) News Release issued on the Referendum; and
3) Copy ofthe Referendum Order dated
The voting period for the referendum is
ballots postmarked later than
strict confidence.
, Referendum Agent
Phone: (503) 326-2724

, cannot

through
. Please vote promptly because
be opened or counted. Each ballot will be held in

REPRODUCE

LOCALLY.

Include form number and date on all reproductions.

OMB No. 0581-0178

PRODUCER REFERENDUM BALLOT
Marketing Order No. 947: Irish Potatoes Grown in Modoc and
Siskiyou Counties, California, and all Counties in Oregon, Except Malheur
Please read the enclosed VOTING INSTRUCTIONS AND RULES GOVERNING PRODUCER EliGIBILITY
TO VOTE before completing this bal/ot.
This referendum is being held to determine producer support for the federal marketing order regulating the
handling of potatoes grown in Modoc and Siskiyou Counties in the State of California, and all counties,
except Malheur, in the State of Oregon. The Secretary of Agriculture will consider termination of this order
ifless than two-thirds of those voting and less than two-thirds ofthe volume represented in the referendum
favor continuance.

A.

Do you favor continuance of the Marketing Order No. 947, regulating the handling of potatoes grown
in Modoc and Siskiyou Counties, California, and in all counties in Oregon, except Malheur County?

DNO

DYES

PRODUCER ELIGIBILITY STATEMENT
B.

I hereby certify that I am currently a producer of potatoes within the production area and that during
the representative period
, through
, I produced for the fresh market:
on
Hundredweight

In
Acres

County(ies)

c.
Name of Packing House(s) that
Handled your Potatoes

Hundredweight

Affiliation
(co-op or independent)

--

D.

-

-

_n_ ___

__ ____

Phone Number

Producer's Name
Name of Business
Mailing Address
City

E.

State

Zip

If this ballotis cast by an officeror employeeof a partnership,LLC, corporation,associationor other
business unit, my signature below further certifies that I am duly authorized to vote on behalf of the
producing entity name on this ballot and that I will submit evidence of such authority at the request of
an Agent of the Secretary.

D Partnership D LLC D Corporation D Association D Other
Signature*

Title

If Partnership or Joint Venture, list name(s).

F.

I hereby certify that the information I provided on this ballot is accurate and correct to the best
of my knowledge.

Signature*

Title

*Your signature certifies that you have the authority to take such action and will submit supplementary evidence of such authority
at the request of an agent of the Secretary of Agriculture. The information provided in this ballot is required to determine voter
eligibility and vote of potato producers. Falsification of information on this government document may result in a fine of not more
than $10,000 or imprisonment of not more than five (5) years, or both (18 U.S.C. 1001).
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to
respond to collection of information unless it displays a valid OMB control number. The valid OMB control number for this
information collection is 0581-0178. The time required to complete this information collection is estimated to average 20 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) 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, religion, sexual orientation,
genetic information, political beliefs, parental status, reprisal, or because all or part of an individual's income is derived from any
public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative
means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at
202-720-2600 (voice and TDD).
To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400
Independence Avenue, SW, Washington, DC 20250-9410 or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an
equal opponunity provider and employer.

FV-80 (1/07)

OREGON-CALIFORNIA POTATO BALLOT
UNITED STATES DEPARTMENT OF AGRICULTIJRE
Agricultma1 Marketing Service
Fruit and Vegetable Programs
Northwest Marketing Field Office
1220 SW 3RD AVE STE 385
PORTLAND OR 97204-2807

Referendum Agent
USDA-AMS-F&V-NWMFO
1220 SW 3RD AVB STE 385
PORTLAND OR 97204-2807

---------------------------------------------+FOLD HERE, TAPE AT THE TOP, AND MAll.. PROMPTLY +

OREGONCALIFORNIA
POTATO BALLOT

VOTING INSTRUCTIONS AND RULES GOVERNING PRODUCER ELIGIBILITY TO VOTE

I.

VOTING PERIOD:

through

ll.

REPRESENTATIVE PERIOD:

ID.

PRODUCTION AREA: Modoc and Siskiyou Counties in the State of California, and all counties,
except Malheur, in the State of Oregon.

IV.

PERSONS ELIGffiLE TO VOTE: Any person who is currently a fresh potato producer in the
production area and produced such potatoes during the representative period
through
, is entitled to cast one ballot. Each separate business unit, partnership, LLC, family
enterprise, corporation, association, estate, or firm is entitled to one vote.

through

"Producer" means any individual, partnership, LLC, corporation, association, institution, estate, or
other business unit who:

·
·
·

V.

Owns and farms land resulting in ownership of the potatoes produced thereon;
Rents and farms land resulting in ownership of all or a portion of the potatoes produced thereon;
or
Owns land from which, as rental for such land, ownership is obtained of a portion of the potatoes
produced thereon. (A lien holder, cash landlord, or person having only a financial interest in the
potato crop is not eligible to vote.)

HOW TO VOTE:
A. Indicate your vote by placing an "X" in the appropriate box.
B. Certify your potato production by listing the volume in hundredweight that you produced, the
number of acres in production, and the county or counties in which such potatoes were produced
during the representative period
through
. If you are renting on a sharecrop basis, you should show only that part of the crop represented by your share.
C. List the names of packing houses that handled your potatoes, the hundredweight, and affiliation
(co-op or independent).
D. Print or type your name, phone number, business name, and address.
E. Proxy voting is not authorized. Ifballot is cast by an officer or employee of a partnership, LLC,
corporation, association or other business unit, check box to indicate your business designation,
and sign to indicate authority to vote. If partnership or joint venture, list names of partners.
F. Sign below the certification. Incomplete or unsigned ballots cannot be counted. Fold your ballot
so the Referendum Agent's address is displayed, seal with tape and mail to Referendum Agent,
USDA-AMS-FV-NWMFO, 1220 SW 3RD AVE STE 385, PORTLAND OR 97204-2807. For
further information, please call (503) 326-2724.

Ballots must be postmarked by

.