FV-40A Certificate of Resolution (WA Potatoes)

OMB No. 0581-0178

CERTIFICATE OF RESOLUTION

Corporation only

Marketing Order No. 946 – Irish Potatoes Grown in Washington

At a duly convened meeting of the Board of Directors of ______________________________________________ held at ______________________________ on the _____ of ________________, 20____, the following resolution was adopted:

RESOLVED, that ________________________________________________ shall become a party to the marketing agreement regulating the handling of Irish potatoes grown in Washington, which was annexed to and made part of the decision of the Secretary of Agriculture (Secretary), and it is further,

RESOLVED, that ______________________________________, ______________________________,

Name Title

And _________________________________________________, _______________________________

Name Title

be, and the same hereby are, authorized and directed severally or jointly to sign, execute, and deliver counterparts of the said agreement to the Secretary.

I, _________________________________________, Secretary of _____________________________, do hereby certify this is a true and correct copy of a resolution adopted at the above-named meeting as said resolution appears in the minutes thereof.

IN WITNESS WHEREOF, I have hereunto set my hand and the seal of said Corporation this _____________ day of ______________________, 20____.

_______________________________________

Signature

Corporate Seal:

if none, so state _______________________________________

Address of Firm

_______________________________________

City, State, and Zip Code

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 5 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.

FV-40A (Rev. 10/2010. Destroy previous editions.)