Ex-Vessel Value and Volume Report Form

Revised: 04/03/12 OMB Control No. 0648-0398

Expiration Date: 08/31/2012

IFQ REGISTERED BUYER Ex-vessel Volume and Value Report (IFQ Buyer Report)

U.S. Department of Commerce/NOAA National Marine Fisheries Service (NMFS) Restricted Access Management (RAM) P.O. Box 21668 Juneau, Alaska 99802-1668 ( 800) 304-4846 toll free / 586-7202 (907) 586-7354 fax

Deadline: Postmarked or received by NMFS not later than January 31

following the calendar year in which any IFQ landing was made

Did this Registered Buyer perform any shoreside activity this IFQ fishing year?

YES [__] NO [__]

If YES, continue. This report is due to NMFS by October 15th.

If NO, stop. You do not need to submit this report.

BLOCK A – IDENTIFICATION OF REGISTERED BUYER
1. Name of Registered Buyer
2. Registered Buyer Permit No	3. Taxpayer ID (Employer ID No. or SSN)		4. NMFS Person ID
5. Business Mailing Address Permanent [ ] or Temporary [ ]
6. Business Telephone No.	7. Business Fax No.		8. Business E-mail Address (if available)
9. Primary Registered Buyer Activity		10. Other Registered Buyer Activity
11. Landing port location

BLOCK B – POUNDS PURCHASED AND VALUES PAID
Period Ending	Halibut Pounds & Payments		Sablefish Pounds & Payments
	Pounds Purchased (headed/gutted)	Total Gross Ex-vessel Value Paid*	Pounds Purchased (round weight)	Total Gross Ex-vessel Value Paid*
October 31**
November 30**
December 31**
March 31
April 30
May 31
June 30
July 31
August 31
September 30
*Total Gross Ex-vessel value paid should include the dollar value of purchased pounds before any deductions are made for goods and services (e.g., bait, ice, fuel, repairs, machinery replacement, etc.) provided to the IFQ Permit Holder. It should also include price adjustments (retro payments) made in each month to IFQ permit holders for landings made during the previous calendar year. **Use prior year calculations for these months: Note that IFQ sablefish harvested incidental to other directed fishing may be retained and sold through December 31.

BLOCK C – CERTIFICATION
Under penalties of perjury, I declare that I have examined this submission of material, and to the best of my knowledge and belief, the information presented here is true, correct, and complete.
1. Printed Name of IFQ Registered Buyer
2. Signature of IFQ Registered Buyer	3. Date

________________________________________________________________________________________________________________________

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 existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to: NOAA, National Marine Fisheries Service, Alaska Region, Sustainable Fisheries Division, P.O. Box 21668, Juneau, AK 99802-1668.

ADDITIONAL INFORMATION

Before completing this form please note the following: 1) Notwithstanding any other provision of the 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 effort under 50 CFR part 679 and under section 402(a) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.); 3) Responses to this information request are confidential under section 402(b) of the Magnuson-Stevens Act as amended in 2006. It is also confidential under NOAA Administrative Order 216-100, which sets forth procedures to protect confidentiality of fishery statistics.

____________________________________________________________________________________________________________

Instructions for

IFQ Registered Buyer

Ex-Vessel Volume And Value Report (IFQ Buyer Report)

A complete IFQ Buyer Report must be postmarked or received by the Regional Administrator not later than October 15 following the reporting period in which the IFQ registered Buyer receives the IFQ fish

GENERAL INFORMATION

An Individual Fishing Quota (IFQ) Registered Buyer that operates as a shoreside processor and receives and purchases IFQ landings of sablefish or halibut must submit annually to NMFS a complete IFQ Buyer Report. Please note that all shoreside processors that buy IFQ halibut or sablefish from IFQ fishermen must complete this form. NOTE: if no ex-vessel sale occurs (e.g., if the processor accepted fish for special processing), do not include that sale on this form.

The Registered Buyer Volume and Value Report is available on the Alaska Region website at http://www.alaskafisheries.noaa.gov/ram.

When completed, submit the application:

♦ Online at https://alaskafisheries.noaa.gov/webapps/ifqaccounts/Login

♦ By mail to: Administrator, NMFS Alaska Region

Attn: RAM Program

P.O. Box 21668

Juneau AK 99802-1668

♦ By delivery to: NOAA Fisheries,

Alaska Region (NMFS/RAM)

Federal Building

709 W. 9th Street, Suite 713

Juneau, Alaska 99801

♦ By fax to: 907-586-7354

If you need assistance in completing this form or need additional information, call Restricted Access Management (RAM) at (800) 304-4846 (Option #2) or (907) 586-7202 (Option #2).

Note: It is important that all blocks are completed and all necessary documents are attached. Failure to answer any of the questions, provide attachments, or to have signatures notarized could result in delays in the processing of your application.

COMPLETING THE IFQ BUYER REPORT

Indicate if this Registered Buyer preformed any shoreside activity during the current IFQ fishing year.

If YES, continue. This report is due to NMFS by October 15th.

If NO, STOP. You do not need to submit this report.

BLOCK A - IDENTIFICATION OF REGISTERED BUYER

1-2. Name and Registered Buyer permit number of Registered Buyer

3. Enter Taxpayer Identification number (EIN or SSN ).

4. Enter NMFS person ID.

5. Business Mailing Address, including zip code. If you check Permanent Address, we will update the database. If you check Temporary Address, we will use it for this one application and we will not change the RAM database.

6 - 8. Business telephone number, business fax number, including area code, and business e-mail address.

9. Primary Registered Buyer Activity

10. Other Registered Buyer Activity

11. Landing port location

BLOCK B - POUNDS PURCHASED AND VALUES PAID

Pounds Purchased (headed/gutted)

Enter the monthly total weights, represented in IFQ equivalent pounds by IFQ species that were landed at the landing port location and purchased by the IFQ Registered Buyer.

EXAMPLE 1 -- not purchased headed and gutted:

Product code Pounds purchased x Conversion factor = IFQ equivalent pounds

4 (gutted, head on) 10,000 0.90 9,000

All sablefish landings must be expressed in round pounds. If sablefish is purchased in any other product form, convert to IFQ equivalent pounds by dividing the purchased pounds by the official NMFS sablefish product recovery code (list enclosed).

EXAMPLE 2 -- not purchased in round pounds:

Product code Pounds purchased ⁄ Product recovery code = IFQ equivalent pounds

8 (H&G, Eastern) 6,300 0.63 10,000

Total Gross Ex-Vessel Value Paid

Enter the monthly total gross ex-vessel value, in U.S. dollars, of IFQ pounds, by IFQ species, that were landed at the landing port location and purchased by the IFQ Registered Buyer.

IFQ Retro-payments

The monthly total U.S. dollar amount of any IFQ retro-payments (correlated by IFQ species, landing month(s), and month of payment) made in the current year to IFQ permit holders for landings made during the previous calendar year;

BLOCK C - CERTIFICATION

1. Printed name of the Registered Buyer or the Authorized Representative; if Representative, attach authorization.

2. Signature of Registered Buyer Applicant or the Authorized Representative.

3. Enter the date the application was signed.

IFQ Registered Buyer Ex-vessel Volume and Value Report

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