QID Wine Grape Report - 2012 Crop

W

Washington Field Washington State Wine

Office Commission

PO Box 609 1201 Western Ave. Ste 450

Olympia, WA 98507 Seattle, WA 98101

800-435-5883 206-667-9463

Fax 800-265-6275 Fax 206-583-0573

[email protected] [email protected]

OMB No 0535-0039 Approval Expires 6/30/2013

ine Grape Report - 2012 Crop

Washington Wine Commission Cooperating with

USDA, National Agricultural Statistics Service

Report and payment due December 1, 2012

This Wine Grape Report is a collaborative effort between the USDA’s National Agricultural Statistics Service (NASS) and the Washington State Wine Commission (WSWC). Section A-C meets the requirements of Washington State Law (RCW 15.88.130) to assess for wine grape sales in the state of Washington. Section D-E data will be summarized and published in USDA’s Annual Grape Report. Response to section D-E is voluntary, but important for the wine grape industry. You may skip any question(s) you prefer not to answer. Individual reports are accessible to the NASS and the WSWC. Under Title 7 of the U.S. Code and CIPSEA (Public Law 1007-347) all reported data about your operation are kept confidential.

Please provide information for the winery/wineries or vineyards for which you are reporting, if not printed above.

_________________________________________________

^{Winery/Vineyard Name(s):}

__________________________________________________

^{Corporation or Parent Company Name (if applicable)}

__________________________________________________

^{Company Name(s) as listed with WSLCB (for wineries)}

__________________________________________________

^{Operator/Contact Name Phone}

__________________________________________________

^{Address Email}

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 0535-0039. 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.

Section A – Vinifera Grapes Purchased and/or Grown

1 . Did you purchase any Washington grown grapes

and/or produce estate grown grapes in 2012?

Seller Name	Address	Tons
		.____
		.____
		.____
		.____
		.____
		.____
		.____
Estate grown grapes		.____
Total from supplemental sheets		.____
Total grapes purchased and/or grown (record on Line 1 in Section C)		.____

2 . Did you purchase wine grapes from other states

or countries during 2012?

State/Country	Variety	Tons	Dollars Paid Per Ton
		.____
		.____

1 . Did you sell grapes to licensed Washington

wineries in 2012?

Buyer Name	Address	Tons
		.____
		.____
		.____
		.____
		.____
		.____
		.____
		.____
		.____
		.____
		.____
		.____
		.____
		.____
		.____
Total from supplemental sheets		.____
Total grapes sold to licensed Washington wineries		.____

2. Did you sell any fresh grapes to other buyers in

2012?

Buyer	Tons
Non-Licensed Washington Wineries (specify name(s))	.____
Out-of-state or out-of-country	.____
General Public	.____
Other (specify)	.____
Total from supplemental sheets	.____
Total grapes sold to Other Buyers (record on Line 2 in Section C)	.____

Section C – Washington State Wine Commission Grape Assessment

1. Tons Purchased from Washington growers and/or estate grown [From Section A]	.___ tons
2. Tons Sold to Other Buyers (exclude sales to licensed Washington wineries) [From Section B, Item 2]	.___ tons
3. Total Tons	.___ tons
4. State Assessment Due = Line 3.Total Tons x $12.00	$
5. State Penalty, if applicable (A 10% penalty is due if assessment is paid after December 31, 2012)	$
6. Total Amount Due (Make check payable to Washington Wine Commission)	$

I certify the above to be true and correct.

__________________________________________________________________________________________

Signature Printed Name Title Date

D o you operate a licensed Washington winery?

Section D – Grapes Crushed

1 . Did or will you crush any Washington grown wine

grapes at your winery in 2012?

Report the utilized quantity of Washington wine grapes crushed during 2012 and total dollars paid for each variety. Include all WA wine grapes crushed regardless of utilization (wine or unfermented juice) or destination (in-state or out of state shipments).

WHITE VARIETIES	Estate Grown Grapes Crushed & Utilized	Purchased Grapes Crushed & Utilized		Wine Grapes Crushed for Other Wineries
	Tons	Tons	Total $ Paid	Tons
Chardonnay	248 .____	249 .___	250	252 .___
Chenin Blanc	260 .____	261 .___	262	264 .___
Gewurztraminer	296 .___	297 .___	298	300 .___
Muscat Canelli	374 .___	375 .___	376	378 .___
Pinot Gris	428 .___	429 .___	430	432 .___
Sauvignon Blanc	464 .___	465 .___	466	468 .___
Semillon	470 .___	471 .___	472	474 .___
Viognier	518 .___	519 .___	520	522 .___
White Riesling	440 .___	441 .___	442	444 .___
Other _____________	___ .___	___ .___	___	___ .___
Other _____________	___ .___	___ .___	___	___ .___
RED VARIETIES	Estate Grown Grapes Crushed & Utilized	Purchased Grapes Crushed & Utilized		Wine Grapes Crushed for Other Wineries
	Tons	Tons	Total $ Paid	Tons
Cabernet Franc	218 .___	219 .___	220	222 .___
Cabernet Sauvignon	224 .___	225 .___	226	228 .___
Grenache	308 .___	309 .___	310	312 .___
Lemberger	320 .___	321 .___	322	324 .___
Malbec	344 .___	345 .___	346	348 .___
Merlot	356 .___	357 .___	358	360 .___
Pinot Noir	434 .___	435 .___	436	438 .___
Sangiovese	458 .___	459 .___	460	462 .___
Syrah	488 .___	489 .___	490	492 .___
Zinfandel	530 .___	531 .___	532	534 .___
Other ______________	___ .___	___ .___	___	___ .___
Other ______________	___ .___	___ .___	___	___ .___
Other ______________	___ .___	___ .___	___	___ .___
Other ______________	___ .___	___ .___	___	___ .___
Other ______________	___ .___	___ .___	___	___ .___
Total of All Varieties	111 .___	112 .___		113 .___

Note: If more space is necessary to provide information for all varieties, please continue with supplement form.

Office Use

___ ___ ___ ___

Section E – Washington Grapes Crushed For You

1 . Did or will another winery(s) crush any Washington

grown grapes for you in 2012?

Winery	OFFICE USE Poid	Variety	OFFICE USE Code	Crushed for You
				Grown by You	Purchased from Grower		Total
				(Tons)	(Tons)	($ Paid)	(Tons)
	700		701	702 .____	703 .____	704 .____	705 .____
	706		707	708 .____	709 .____	710 .____	711 .____
	712		713	714 .____	715 .____	716 .____	717 .____
	718		719	720 .____	721 .____	722 .____	723 .____
	724		725	726 .____	727 .____	728 .____	729 .____
	730		731	732 .____	733 .____	734 .____	735 .____
	736		737	738 .____	739 .____	740 .____	741 .____
	742		743	744 .____	745 .____	746 .____	747 .____
	748		749	750 .____	751 .____	752 .____	753 .____

Section F – Change in Operation or Operator

2. Has the operation been sold, rented, or turned over to someone else? Or, has the operation name, or operator name changed from the name on page 1?

Vineyard/Winery name: _____________________________________________________________

Corporation or Parent Company Name (if applicable):______________________________________

Company Name(s) as listed with the WSLCB:_____________________________________________

Operator/Contact name: ______________________________________________________________

Business Mailing Address: ____________________________________________________________

City: _______________________________________ State: _________ Zip ____________________

Phone: (____)_______________________Email___________________________________________

Section G – Conclusion

9910	MM	DD	YY
Date:	__ __	__ __	__ __

Reported by:______________________________ Phone: (____)____________

Return form and check Washington State Wine Commission Fax: Fax 206-583-0573

(if applicable) to: 1201 Western Ave. Ste 450 Email: [email protected]

Seattle, WA 98101-3402

Office Use
9901	9902	9903	098	100
S/E Name