First receiver/shorebased processor economic data survey

OMB Control No. 0648-0618 Expiration Date: 04/30/2015

Economic Data Collection (EDC) Form

WEST COAST GROUNDFISH

FIRST RECEIVER

AND SHOREBASED PROCESSOR

2012

NOAA Fisheries – Northwest Fisheries Science Center

Who is responsible for submitting:

• All owners of a first receiver site license in 2012; or

• All owners and lessees of a shore-based processor (as defined under “processor” at §660.11, subpart C, for purposes of EDC) that received round or headed-and-gutted IFQ species groundfish or whiting from a first receiver in 2012.

• A separate EDC form is required for each processing facility.

Complete all questions. If a question is not applicable, write "NA" in the answer box. The survey will not be considered complete unless there is an answer to every question.

Submit by September 1, 2013. Completed and signed EDC forms must be mailed and postmarked by or hand-delivered to NMFS no later than September 1, 2013. Mail or deliver to

Economic Data Collection Program (FRAM Division),

Northwest Fisheries Science Center

2725 Montlake Boulevard East

Seattle, WA 98112

Retain a copy. Retain a copy of the completed form.

Fillable forms and more information: www.nwfsc.noaa.gov/edc.

Questions: Visit the website above or contact Erin Steiner at (866) 791-3726 or [email protected].

Public Reporting Burden Statement

Public reporting burden for this collection of information is estimated to take 8 hours per response, including 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 to Erin Steiner, National Marine Fisheries Service, Northwest Fisheries Science Center, 2725 Montlake Blvd E, Seattle, WA 98112.

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 efforts under 50 CFR part 660 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 402(b) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.). They are also confidential under NOAA Administrative Order 216-100, which sets forth procedures to protect the confidentiality of fishery statistics.

1. Contact Information and Facility Characteristics

1. Provide the buyer identification number issued by the state fish and game agencies associated with this entity or facility. Enter “NA” if this is a processing facility that does not have a buyer identification number.

Processor/Buyer IDs

Washington Department of Fish and Wildlife

__________

Oregon Department of Fish and Wildlife

__________

California Department of Fish and Game

__________

2. Provide the following information about this receiving or processing facility.

Name of Facility		First Receiver Site License Number for 2012
Business Mailing Address Street / PO Box		Business Phone ( )
		Business Fax ( )
City	State	Zip Code	Business Email

3. Individual completing this report. If your address, phone, and email are provided above, you do not need to repeat them here, but please provide your name and title.

Name			Title
Business Mailing Address Street / PO Box				Business Phone ( )
				Business Fax ( )
City	State	Zip Code		Business Email

4. Read the following statement, and sign and date the box below.

I certify under penalty of perjury that I have reviewed all the information in this questionnaire and that it is true and complete to the best of my knowledge.
Signature	Date signed _____/_____/_________ mm dd yyyy

5. Answer the following questions related to the most recent appraisal of this facility.

What was the year of this facility's last appraisal?	_________ yyyy
What was the market value of this facility from the appraisal, rounded to the nearest 100 dollars?	$_________
What was the replacement value of the facility from the appraisal, rounded to the nearest 100 dollars?	$_________
Did the survey values given above include the value of all processing equipment* contained on-site?	Yes No

6. For the remainder of the survey, report values from your 2012 fiscal year. When did this facility’s 2012 fiscal year begin?

_____/_____/__________

mm dd yyyy

Please report values from your 2012 fiscal year for the remainder of this survey.

2. Capitalized Expenditures

7. Provide the 2012 capitalized expenditures associated with the facility buildings, machinery, and equipment. Round all answers to the nearest 100 dollars.

Capitalized Expenditure Category	Total Capitalized Expenditures
Capitalized expenditures on buildings (exclude land but include building improvements)	$___________________
Capitalized expenditures on new and used machinery and equipment (include only equipment used to process*, transport† on-site, or store‡ fish on-site)	$___________________

3. Employees and Payroll

Provide the following information about the number of employees and wages. Include full and part-time employees and temporary employees working at this facility. The information is requested separately for production workers and all other employees, which are defined below.

8. Provide the number of production workers in the following table. Production workers include those workers at this facility (up through and including the line-supervisor level) engaged in fabricating, processing, assembling, inspecting, receiving, packing, warehousing, shipping, maintenance, repair, janitorial, product development, or transporting product on-site. If your fiscal year does not follow the calendar year, use the month that corresponds with your fiscal year.

For the week including	Number of production workers (full time, part time, and temporary)	Total Hours Worked
January 12th	___________workers	___________hrs
February 12th	___________workers	___________hrs
March 12th	___________workers	___________hrs
April 12th	___________workers	___________hrs
May 12th	___________workers	___________hrs
June 12th	___________workers	___________hrs
July 12th	___________workers	___________hrs
August 12th	___________workers	___________hrs
September 12th	___________workers	___________hrs
October 12th	___________workers	___________hrs
November 12th	___________workers	___________hrs
December 12th	___________workers	___________hrs

9. Provide the number of all other employees in the following table. All other employees includes those involved in supervision above line-supervisor level, sales, advertising, credit, collection, installation, cafeteria, recordkeeping, clerical and routine office functions, guard services, executive, purchasing, finance, and legal. If hours are not tracked for salaried employees, please assume a 40 hour work week. If your fiscal year does not follow the calendar year, use the month that corresponds with your fiscal year.

For the week including	Number of all other employees (full time, part time, and temporary)	Total Hours Worked
March 12th	___________________employees	___________________hrs

10. Provide the labor expenses for production workers and all other employees.

• Include wages, bonuses, benefits, payroll taxes, and unemployment insurance.

Labor Expense Category	Total Expenses
Production workers (see definition in Question 8)	$__________________
All other employees (see definition in Question 9)	$__________________

4. Quota Costs

11. Provide the total cost of quota pounds and quota shares purchased or leased during 2012 in the West Coast limited entry fisheries. Purchase of quota reflects a permanent transfer, whereas lease implies a temporary transfer.

• If you did not incur a particular expense, please write “0”.

Purchase or Lease of Quota	Total Costs
Lease of quota pounds	$__________________
Purchase of quota pounds	$__________________
Lease of quota shares	$__________________
Purchase of quota shares	$__________________

5. Expenses and Depreciation

12. Provide the total expenses on utilities at your facility in 2012.

Utility Expense Category	Total Expenses
Electricity	$__________________
Natural gas	$__________________
Propane gas for transportation and processing	$__________________
Other gas (not gasoline)	$__________________
Water	$__________________
Sewer, waste, and byproduct disposal	$__________________

13. Provide the total expenses on rental or lease payments for this facility.

Rental or Lease Payments	Total Expenses
Rental or lease of buildings, job-site trailers, and other structures (including land)	$__________________
Rental or lease of processing machinery or equipment	$__________________

14. Provide total repair and maintenance expenses on facility buildings, machinery, and equipment (see definitions on bottom of page 3) expensed in 2012?

Total Repair and Maintenance Expenses

$__________________

15. What was the total depreciation for all capital investments on buildings, new and used machinery and equipment (see definitions of equipment on page 3) taken in 2012?

Total Depreciation

$___________________

16. Provide the following information on 2012 custom processing of fish you owned that was performed by another processor outside of this facility.

	Total weight of fish supplied to custom processors	Custom Processing Fees Paid
Whiting	_________________lbs	$_________________
Non-Whiting Groundfish	_________________lbs	$_________________
Other	_________________lbs	$_________________

17. Provide the total amount expensed during 2012 in each of the categories below for this facility.

Expense Category	Total Expenses
Shoreside monitoring costs	$______________________
Offloading expenses paid to other facilities	$______________________
Production supplies (boots, smocks, hair nets, knives ,etc.)	$______________________
Cleaning and custodial supplies	$______________________
Packing materials	$______________________
Freight costs for supplies to the facility	$______________________
Non-fish ingredients (additives)	$______________________
Off-site product freezing and storage	$______________________
Insurance payments (property, product, and personal liability)	$______________________
Taxes (property and excise)	$______________________
Licensing fees	$______________________
Other Specify________________	$______________________
Other Specify________________	$______________________

18. Provide the following information about the landing origin of groundfish received at this facility in 2012.

• If this information is not available, place an “NA” in the answer box.

Landing Origin	Total Weight of Groundfish Received	Total Cost of Groundfish Received
Whiting
West Coast (WA, OR, CA)	____________lbs	$_______________
Canada	____________lbs	$_______________
Other Specify_______________	____________lbs	$_______________
Non-whiting groundfish
West Coast (WA, OR, CA)	____________lbs	$_______________
Alaska (excluding pollock)	____________lbs	$_______________
Canada	____________lbs	$_______________
Other Specify_______________	____________lbs	$_______________

19. Fish Received. In the table below provide the weight and cost of fish received in 2012. Please note that there are separate columns for fish that were not paid for and fish that were paid for.

• Do not include fish received for custom processing.

• Include fish purchased by you that are custom processed by another processor outside of this facility.

• Include any post season adjustments.

• LE Trawl Vessels: fish acquired directly from a vessel registered to a Limited Entry (LE) permit with a trawl endorsement and caught either with trawl or fixed gear (longline or pots).

• LE Fixed Gear Vessels: fish acquired directly from a vessel registered to a LE permit with a fixed gear endorsement. Do not include fish caught with fixed gear using a LE permit with a trawl endorsement.

• Other Vessels: fish acquired directly from a vessel without a limited entry trawl or fixed gear endorsement, including open access fisheries.

• Non-Vessel Sources: includes fish acquired from other entities, including first receivers, processors, wholesale dealers, brokers, aquaculture producers, and transfers from outside this facility.

• Gross Cost of Fish Paid for includes the value of any taxes paid on behalf of delivering vessels.

Type and Source of Fish	Fish NOT PAID for		Fish PAID for
	Total weight not paid for due to quality or size reasons	Total weight not paid for transfers from outside this facility	Total weight of fish paid for from vessels or non-vessel sources	Gross cost of fish paid for from vessels or non-vessel sources
Whiting
LE Trawl Vessels	____________lbs		____________lbs	$____________
LE Fixed Gear Vessels	____________lbs		____________lbs	$____________
Other Vessels	____________lbs		____________lbs	$____________
Non-Vessel Sources	____________lbs	____________lbs	____________lbs	$____________
Arrowtooth flounder
LE Trawl Vessels	____________lbs		____________lbs	$____________
LE Fixed Gear Vessels	____________lbs		____________lbs	$____________
Other Vessels	____________lbs		____________lbs	$____________
Non-Vessel Sources	____________lbs	____________lbs	____________lbs	$____________
Dover sole
LE Trawl Vessels	____________lbs		____________lbs	$____________
LE Fixed Gear Vessels	____________lbs		____________lbs	$____________
Other Vessels	____________lbs		____________lbs	$____________
Non-Vessel Sources	____________lbs	____________lbs	____________lbs	$____________
English sole
LE Trawl Vessels	____________lbs		____________lbs	$____________
LE Fixed Gear Vessels	____________lbs		____________lbs	$____________
Other Vessels	____________lbs		____________lbs	$____________
Non-Vessel Sources	____________lbs	____________lbs	____________lbs	$____________
Lingcod
LE Trawl Vessels	____________lbs		____________lbs	$____________
LE Fixed Gear Vessels	____________lbs		____________lbs	$____________
Other Vessels	____________lbs		____________lbs	$____________
Non-Vessel Sources	____________lbs	____________lbs	____________lbs	$____________

19. (Continued)

Type and Source of Fish	Fish NOT PAID for		Fish PAID for
	Total weight not paid for due to quality or size reasons	Total weight not paid for transfers from outside this facility	Total weight of fish paid for from vessels or non-vessel sources	Gross cost of fish paid for from vessels or non-vessel sources
Pacific sanddab
LE Trawl Vessels	____________lbs		____________lbs	$____________
LE Fixed Gear Vessels	____________lbs		____________lbs	$____________
Other Vessels	____________lbs		____________lbs	$____________
Non-Vessel Sources	____________lbs	____________lbs	____________lbs	$____________
Petrale sole
LE Trawl Vessels	____________lbs		____________lbs	$____________
LE Fixed Gear Vessels	____________lbs		____________lbs	$____________
Other Vessels	____________lbs		____________lbs	$____________
Non-Vessel Sources	____________lbs	____________lbs	____________lbs	$____________
Rex sole
LE Trawl Vessels	____________lbs		____________lbs	$____________
LE Fixed Gear Vessels	____________lbs		____________lbs	$____________
Other Vessels	____________lbs		____________lbs	$____________
Non-Vessel Sources	____________lbs	____________lbs	____________lbs	$____________
Rockfish
LE Trawl Vessels	____________lbs		____________lbs	$____________
LE Fixed Gear Vessels	____________lbs		____________lbs	$____________
Other Vessels	____________lbs		____________lbs	$____________
Non-Vessel Sources	____________lbs	____________lbs	____________lbs	$____________
Sablefish (black cod)
LE Trawl Vessels	____________lbs		____________lbs	$____________
LE Fixed Gear Vessels	____________lbs		____________lbs	$____________
Other Vessels	____________lbs		____________lbs	$____________
Non-Vessel Sources	____________lbs	____________lbs	____________lbs	$____________
Thornyheads
LE Trawl Vessels	____________lbs		____________lbs	$____________
LE Fixed Gear Vessels	____________lbs		____________lbs	$____________
Other Vessels	____________lbs		____________lbs	$____________
Non-Vessel Sources	____________lbs	____________lbs	____________lbs	$____________
Sharks, skates, rays
LE Trawl Vessels	____________lbs		____________lbs	$____________
LE Fixed Gear Vessels	____________lbs		____________lbs	$____________
Other Vessels	____________lbs		____________lbs	$____________
Non-Vessel Sources	____________lbs	____________lbs	____________lbs	$____________
Coastal pelagic (include sardines and mackerel)
Vessel Sources	____________lbs		____________lbs	$____________
Non-Vessel Sources	____________lbs	____________lbs	____________lbs	$____________

19. (Continued)

Type and Source of Fish		Fish NOT PAID for			Fish PAID for
		Total weight not paid for due to quality or size reasons		Total weight not paid for transfers from outside this facility	Total weight of fish paid for from vessels or non-vessel sources	Gross cost of fish paid for from vessels or non-vessel sources
Crab
Vessel Sources		____________lbs			____________lbs	$____________
Non-Vessel Sources		____________lbs		____________lbs	____________lbs	$____________
Echinoderms (include sea urchins and sea cucumbers)
Vessel Sources		____________lbs			____________lbs	$____________
Non-Vessel Sources		____________lbs		____________lbs	____________lbs	$____________
California Halibut
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________
Pacific Halibut
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________
Herring
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________
Salmon
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________
Shrimp
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________
Squid
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________
Sturgeon
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________
Tuna
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________
Other Shellfish
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________
Other Species (please list)
__________________
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________
__________________
Vessel Sources	____________lbs				____________lbs	$____________
Non-Vessel Sources	____________lbs		____________lbs		____________lbs	$____________

6. Annual Earnings

20. Fish Production. Provide the 2012 value of production FOB plant (after discounts and allowances and excluding freight charges).

• For products made during 2012 and held in inventory at the end of the year, estimate the value on the basis of the average price received for similar products sold during the year.

• Include products shipped to other facilities of your company, estimate the value on the basis of the average price received for similar products sold during the year.

• Do not include revenue from products produced in previous years.

• Include products made from custom processing performed for you, but do not include products you produced as a custom processing service for others.

• Do not include any additional payment you received to cover any shipping, handling, or storage costs associated with the sale beyond the plant.

• Include any post-season adjustments.

Type of Fish	Total weight of 2012 fish production (both processed and unprocessed)	Total value of 2012 fish production (both processed and unprocessed)
Whiting
Surimi	_______________lbs	$_______________
H&G	_______________lbs	$_______________
Fillets	_______________lbs	$_______________
Roe	_______________lbs	$_______________
Frozen Whole	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other ____________	_______________lbs	$_______________
Other ____________	_______________lbs	$_______________
Arrowtooth flounder
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Dover sole
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
English Sole
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Lingcod
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________

20. (Continued)

Type of Fish	Total weight of 2012 fish production (both processed and unprocessed)	Total value of 2012 fish production (both processed and unprocessed)
Pacific Sanddab
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Petrale sole
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Rex sole
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Rockfish
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Sablefish
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Thornyheads
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Sharks, Skates, Rays
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Coastal Pelagic (include sardines and mackerel)
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Canned	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________

20. (Continued)

Type of Fish	Total weight of 2012 fish production (both processed and unprocessed)	Total value of 2012 fish production (both processed and unprocessed)
Crab
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Canned	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Echinoderms (include sea urchins and sea cucumbers)
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
California Halibut
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Pacific Halibut
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Herring
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Salmon
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Smoked	_______________lbs	$_______________
Canned	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Shrimp
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Canned	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________

20. (Continued)

Type of Fish	Total weight of 2012 fish production (both processed and unprocessed)	Total value of 2012 fish production (both processed and unprocessed)
Squid
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Sturgeon
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Canned	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Tuna
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Canned	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Other Shellfish
Processed Fresh	_______________lbs	$_______________
Frozen	_______________lbs	$_______________
Unprocessed	_______________lbs	$_______________
Other	_______________lbs	$_______________
Other Non-Species Specific Products
Fish Meal	_______________lbs	$_______________
Fish Oil	_______________lbs	$_______________
Bait	_______________lbs	$_______________
Other products	_______________lbs	$_______________
Other Species (please list)
__________________	_______________lbs	$_______________
__________________	_______________lbs	$_______________
__________________	_______________lbs	$_______________

7. Other Earnings

21. Provide the revenue received by you for custom processing of fish owned by another processor outside of this facility in 2012.

	2012 Custom Processing Revenue
Whiting	$__________________
Non-Whiting Groundfish	$__________________
Other	$__________________

22. Provide the revenue received in 2012 for each of the earnings sources listed below.

Earnings Source	2012 Total Revenue
Offloading earnings received from others	$__________________
Sale of quota pounds	$__________________
Leasing of quota pounds	$__________________
Leasing of quota share	$__________________
Sale of quota share	$__________________

Questionnaire Comments:

Revised: 11/23/11: v6

* Processing equipment: All equipment present at this physical location that is used for preparation or packaging of seafood to render it suitable for human consumption, retail sale, industrial uses or long-term storage, including, but not limited to, cooking, canning, smoking, salting, drying, filleting, freezing, or rendering into meal or oil.

† Transportation equipment: Equipment such as trucks, forklifts, etc. used to transport seafood within this physical location.

‡ Storage equipment: Equipment present at this physical location for packaging and freezing of seafood.

`