F/H Form 7 Hazelnuts Rept. of Disposition of Restricted Set-aside I

OMB No. 0581-0178

HAZELNUT MARKETING BOARD

21595-A Dolores Way NE

Aurora, OR 97002-9738

Tel: (503) 678-6823

Fax: (503) 678-6825

REPORT OF DISPOSITION OF RESTRICTED SET-ASIDE INSHELL HAZELNUTS

Submitted in compliance with § 982.67 Marketing Agreement and Order 982.

The following lots of restricted hazelnuts were disposed of on the dates and in the channels indicated:

Date set-aside: ___________________________

Date shelled, delivered to authorized sheller, or exported: _________________________

Disposition

1. Shelled: Date shelled ______________________

Kernel Weight ______________________

ME Weight ______________________

2. Exported: Date exported ______________________

Quantity ______________________

Country ______________________

Shipping Info. ______________________

The undersigned certifies to the Hazelnut Marketing Board (Board) and the U.S. Secretary Of Agriculture that this report is a true and correct statement of the disposition of the restricted hazelnuts recorded above.

Authorized Sheller or Handler ____________________________________________________________________

Address ______________________________________________________________________________________

By __________________________________________________________________________________________

Title _________________________________________________________________________________________

(Owner, Operating Official)

This report shall be submitted to the Board at time of delivery to an authorized sheller, promptly after completion of shelling or exporting.

This report is required by law (7 U.S.C. 608(d), 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 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 9 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.

F/H Form 7 (Rev. 10/2010) Destroy previous editions.