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pdfOMB Control No. 0648-0545
Expiration Date: 07/31/2009
Revised: 04/14/2009
Application for Rockfish
Cooperative Fishing Quota (CQ)
U.S. Dept. of Commerce/
NOAA National Marine Fisheries Service (NMFS)
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, AK 99802-1668
(800) 304-4846 toll free / (907) 586-7202 in Juneau
(907) 586-7354 fax
A Rockfish Cooperative that submits a complete application that is approved by NMFS will receive a CQ permit that
establishes an annual amount of primary rockfish species, secondary species, and rockfish halibut prohibited species catch
(PSC) that is based on the collective rockfish quota share (QS) of the License Limitation Program (LLP) licenses assigned
to the rockfish cooperative by its members. A CQ permit will list the amount of CQ, by fishery, held by the Rockfish
Cooperative, the members of the Rockfish Cooperative and LLP licenses assigned to that rockfish cooperative, and the
vessels which are authorized to harvest fish under that CQ permit.
This application must be submitted annually by each Rockfish Cooperative and
received by NMFS no later than March 1.
For the cooperative application to be considered complete, the following documents must be attached to the application:
♦
A copy of the business license issued by the state in which the Rockfish Cooperative is registered as a business
entity;
♦
A copy of the articles of incorporation or partnership agreement of the Rockfish Cooperative;
♦
A copy of the Rockfish Cooperative agreement signed by the members of the Rockfish Cooperative (if different
from the articles of incorporation or partnership agreement of the Rockfish Cooperative).
♦
Any article of incorporation or agreement submitted by the Rockfish Cooperative must include terms that
specify that eligible rockfish processor affiliated harvesters do not participate in price setting negotiations except
as permitted by general antitrust law and the Rockfish Cooperative has established a monitoring program
sufficient to ensure compliance with the Rockfish Program.
BLOCK A – ROCKFISH COOPERATIVE IDENTIFICATION
1. Rockfish Cooperative's legal name
2. Type of business entity under which the cooperative
is organized
3. Date of Incorporation
4. State in which the cooperative is legally registered as
a business entity
5. Name of Authorized Representative
6. Permanent business address
7. Business Telephone No.
8. Business Fax No.
Application for Rockfish CQ
Page 1 of 7
9. E-mail address
OMB Control No. 0648-0545
Expiration Date: 07/31/2009
BLOCK B – MEMBERS OF THE ROCKFISH COOPERATIVE
LLP Holder and Ownership Documentation
1. Full name
2. NMFS Person ID:
3. LLP number(s):
Enter the names of all persons, to the individual level, holding an ownership interest in the LLP license(s)
assigned to the rockfish cooperative and the percent of ownership each person and individual holds in the LLP
license(s).
Name
% Ownership in LLP License
LLP Holder and Ownership Documentation
2. NMFS Person ID:
3. LLP number(s):
Enter the names of all persons, to the individual level, holding an ownership interest in the LLP license(s) listed
above and the percentage ownership each person and individual holds in the LLP license(s). Attach additional
pages as necessary.
Name
% Ownership in LLP License
1. Full name
LLP Holder and Ownership Documentation
2. NMFS Person ID:
3. LLP number(s):
Enter the names of all persons, to the individual level, holding an ownership interest in the LLP license(s) listed
above and the percentage ownership each person and individual holds in the LLP license(s). Attach additional
pages as necessary.
Name
% Ownership in LLP License
1. Full name
LLP Holder and Ownership Documentation
1. Full name
2. NMFS Person ID:
3. LLP number(s):
Enter the names of all persons, to the individual level, holding an ownership interest in the LLP license(s) listed
above and the percentage ownership each person and individual holds in the LLP license(s). Attach additional
pages as necessary.
Name
% Ownership in LLP License
Application for Rockfish CQ
Page 2 of 7
OMB Control No. 0648-0545
Expiration Date: 07/31/2009
LLP Holder and Ownership Documentation
2. NMFS Person ID:
3. LLP number(s):
Enter the names of all persons, to the individual level, holding an ownership interest in the LLP license(s) listed
above and the percentage ownership each person and individual holds in the LLP license(s). Attach additional
pages as necessary.
Name
% Ownership in LLP License
1. Full name
BLOCK C -- IDENTIFICATION OF ROCKFISH COOPERATIVE MEMBER VESSELS
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Application for Rockfish CQ
Page 3 of 7
OMB Control No. 0648-0545
Expiration Date: 07/31/2009
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
Vessel Name
ADF&G No.
USCG No.
BLOCK D -- PROCESSOR ASSOCIATES OF THE ROCKFISH COOPERATIVE
1. Processor Name
2. NMFS Person ID
Shoreside Processing Facility
3. Facility Name
4. ADF&G processor code
5. Federal processor permit No.
6. Vessel Name
9. ADF&G processor code
Stationary Floating Processor
7. ADF&G No.
8. USCG No.
10. Federal processor permit No.
Processor Ownership Information
Provide the names of all persons, to the individual level, holding an ownership interest in the processor and the
percentage ownership each person and individual holds in the processor. Attach additional pages if necessary.
Name
% Ownership in Processor
BLOCK E - CERTIFICATION OF COOPERATIVE AUTHORIZED REPRESENTATIVE
Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and
belief, the information is true, correct, and complete.
1. Signature of Cooperative Authorized Representative
2. Date Signed
3. Printed Name of Cooperative Authorized Representative
Application for Rockfish CQ
Page 4 of 7
OMB Control No. 0648-0545
Expiration Date: 07/31/2009
Instructions for
APPLICATION FOR ROCKFISH CQ
Issuance of a permit in response to this application may be delayed or denied if it is
determined that the applicant(s) owes any delinquent non-tax debts to any agency or
department of the United States federal government.
GENERAL INFORMATION
A rockfish cooperative that submits a complete application and that is approved by NMFS will receive a
rockfish cooperative allocation that establishes an annual catch limit of primary and secondary species based on
the collective catch history holdings of the License Limitation Program (LLPs) held and contributed by the
members of the rockfish cooperative. A allocation will list the amount of allocation, by fishery, held by the
rockfish cooperative and identify the members of the rockfish cooperative.
Submit a completed application for a Rockfish Cooperative quota, including all amendments, such that they are
received by NMFS no later than March 1 to receive an allocation that may be used during the calendar year.
For the cooperative application to be considered complete, the following documents must be attached to the
completed application:
♦
♦
♦
♦
A copy of the business license issued by the state in which the Cooperative is registered as a business
entity
A copy of the articles of incorporation or partnership agreement of the Rockfish Cooperative
A copy of the agreement signed by the members of the Rockfish Cooperative (if different from the
articles of incorporation or partnership agreement)
Any article of incorporation or agreement submitted by the Rockfish Cooperative must include terms
that specify that:
• The eligible processor does not participate in price setting negotiations except to the extent
permitted by general antitrust law; and
• The Rockfish Cooperative has established a monitoring program sufficient to ensure
compliance with the Rockfish Pilot Program.
Type or print legibly in ink; retain a copy of completed application for your records.
When complete, mail application to:
NMFS Alaska Region
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, AK 99802-1668
Or fax to:
FAX: (907) 586-7354
If you need additional information, contact RAM at:
(800) 304-4846 (#2) or (907) 586-7202 (#2).
Application for Rockfish CQ
Page 5 of 7
OMB Control No. 0648-0545
Expiration Date: 07/31/2009
Please allow at least 10 working days for your application to be processed. Items will be sent by first class
mail, unless you provide alternate instructions and include a prepaid mailer with appropriate postage or
corporate account number for express delivery.
COMPLETING THE APPLICATION
BLOCK A – ROCKFISH COOPERATIVE IDENTIFICATION
1. Legal name
2. Type of business entity under which organized
3. State in which legally registered as a business entity
4. Date of Incorporation
5. Name of the authorized representative who will be conducting business with NMFS.
6. Permanent business address, including P.O. Box number or street address, city, state, and zip code
7-8. Business telephone number and fax number, including area code
9. Business e-mail address
BLOCK B – MEMBERS OF ROCKFISH COOPERATIVE (LLP Holdership Documentation)
(Copy this page to accommodate additional coop members)
1. Full name of member
2. NMFS Person ID
3. LLP license number(s)
4. Name and the percent of ownership each person holds in the LLP(s). List all persons, to the individual
level, holding an ownership interest in the LLP(s) assigned to the rockfish cooperative and the percent
of ownership each person and individual holds in the LLP license(s).
BLOCK C -- IDENTIFICATION OF ROCKFISH COOPERATIVE MEMBER VESSELS
Provide a list of any vessels that may be used by the cooperative to harvest CQ during the year for which CQ is
applied. This list may not be modified during the year for which the CQ permit is issued. For each vessel
provide:
Vessel name
Alaska Department of Fish and Game (ADF&G) vessel registration number
U.S. Coast Guard (USCG) documentation number
BLOCK D -- PROCESSOR ASSOCIATES OF THE ROCKFISH COOPERATIVE
Enter Processor name and NMFS Person ID
Shoreside processing facility: Enter name, ADF&G processor code, and Federal processor permit (FPP)
number
Stationary floating processor (SFP): Enter name, ADF&G processor code, FPP number, ADF&G vessel
registration number, and USCG documentation number
Processor ownership documentation: Enter names of all persons, to the individual level, holding an ownership
interest in the processor and the percent of ownership each person and individual holds in the processor.
BLOCK E – CERTIFICATION OF COOPERATIVE AUTHORIZED REPRESENTATIVE
The Rockfish Cooperative’s authorized representative must enter printed name, sign, and date the application
certifying that all information is true, correct, and complete to the best of his/her knowledge and belief.
Application for Rockfish CQ
Page 6 of 7
OMB Control No. 0648-0545
Expiration Date: 07/31/2009
______________________________________________________________________________________________________________
PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 2 hours per response, including the time for reviewing
the instructions, searching the existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including
suggestions for reducing the burden, to Assistant Regional Administrator, Sustainable Fisheries Division, NOAA National Marine
Fisheries Service, P.O. Box 21668, Juneau, AK 99802-1668.
ADDITIONAL INFORMATION
Before completing this form, please note the following: 1) Notwithstanding any other provision of law, no person is required to respond
to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the
Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control Number; 2) This information is
mandatory and is required to manage commercial fishing efforts under 50 CFR part 679 and under section 402(a) of the MagnusonStevens Act (16 U.S.C. 1801, et seq.); 3) Responses to this information request are confidential under section 402(b) of the MagnusonStevens Act as amended in 2006. They are also confidential under NOAA Administrative Order 216-100, which sets forth procedures to
protect confidentiality of fishery statistics.
_____________________________________________________________________________________________________________
Application for Rockfish CQ
Page 7 of 7
File Type | application/pdf |
File Title | C:\PRA\OMB83I pre-ps.WP6.wpd |
Author | rroberts |
File Modified | 2009-06-16 |
File Created | 2009-06-16 |