AVO-OIS Avocado Importer Nomination

OMB No. 0581-0093

ANNOUNCEMENT OF OPEN SEATS on the

HASS AVOCADO BOARD

HASS AVOCADO IMPORTER MEMBERS & ALTERNATES

The Hass Avocado Board (HAB) announces the availability of X open importer seats on the Board of Directors, X member seat and X alternate member seat. Persons appointed to fill these seats will serve on the Board from November 1, 20xx to October 31, 20xx.

Importers who are interested in serving as a Member or Alternate Member of the Hass Avocado Board must complete and return the form provided below. Completed forms may be faxed or mailed, but must be received at the Hass Avocado Board office no later than Month xx, 20xx.

General requirements for nomination and election are as follows:

 To be eligible to serve on the Board as an importer member or alternate, or to be eligible to nominate persons other than themselves, importers must certify that they are involved in, as a substantial activity, the importation of Hass avocados for sale or marketing in the United States (either directly or as an agent, broker, or consignee of any person that produces Hass avocados outside of the United States for sale in the United States) and are subject to assessments under the Order, and are listed by the United States Customs Service as the importer of record for such Hass avocados. A substantial activity means that the volume of an importer's Hass avocado imports must exceed the volume of the importer's production or handling of domestic Hass avocados.

Following receipt of nominee names, HAB will conduct an election process to arrive at two names for each open seat. The names of those receiving the highest number of votes for the available seats will be submitted to the U.S. Secretary of Agriculture. The Secretary will make the final decision on who will be appointed to fill the open seats. For information, call HAB at xxx-xxx-xxxx.

If you are an eligible importer and would like to be considered as a candidate for the Importer Member and/or Alternate seat, complete and sign below and return this form to the Hass Avocado Board.

By my signature I hereby certify that I meet the conditions of eligibility to serve on, or nominate

an importer to serve on the Hass Avocado Board.

I

am interested in being a: MEMBER

ALTERNATE

Name (print) _______________________________ Signature _______________________

Company Name ____________________________________________________________

Address ______________________________City________________Zip_______________

Telephone Number _________________________Fax Number_______________________

E-mail Address _____________________________________________________________

Must be received in HAB office no later than Month xx, 20xx

Return via FAX to: Hass Avocado Board, xxx-xxx-xxxx

or mail to: HAB Board Open Seats, Street, City, State Zip Code

AVO-OIS (rev. 08/10) Destroy previous editions.

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 information collection is 0581-0093. The time required to complete this information collection 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 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, 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 to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

AVO-OIS (rev. 08/10) Destroy previous editions.