FV-266-6 KISS Price/Shipment Report (paper version)

Generic OMB Fruit Crops, Marketing Order Administration Branch

FV-266-6 KISS Price-Shipment Report (09-13)

Generic Fruit Crops (Mandatory)

OMB: 0581-0189

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0581-0189 can be found here:

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OMB No. 0581-0189

KISS 20__/20__
PRICE/SHIPMENT REPORT

Kiwifruit Administrative Committee (KAC)

Page 1

MARKET Circle one:
GRADE Circle one:

COMPANY:

KAC Phone No.: (916) 441-0678

PHONE No.:

CONTACT:

Week of ____________ through ____________
Report Due by 5:00 p.m. each Tuesday
A separate report must be filed for each market and grade category
_____ Check if no shipments made during reporting period
If shipments to Export market, Page 2 must be completed.
_____ Check if final report for the season
PACK STYLE - ENTER PACK STYLES AT THE TOP OF EACH COLUMN
SIZE
18+

DOMESTIC
FANCY/U.S.#1

Email: [email protected]
Fax No.: (916) 446-1063

EXPORT
KAC

(No of Containers)
Gross FOB Sales

(No. of Containers)
Gross FOB Sales

27/28

(No. of Containers)
Gross FOB Sales

(No. of Containers)
Gross FOB Sales
(No. of Containers)

TOTALS Gross FOB Sales
I hereby certify to the best of my knowledge and belief that this report is true and complete. Shipments reported and FOB Sales are based on the best available information as of the
report date.
Date:

Signature:

Paper version of Form FV-266-6 (Rev.9/13. Destroy previous editions.)

Title:

OMB No. 0581-0189

KISS 20__/20__
PRICE/SHIPMENT REPORT

Kiwifruit Administrative Committee (KAC)
Email: [email protected]
Fax No.: (916) 446-1063

COMPANY:

KAC Phone No.: (916) 441-0678

PHONE No.:

Page 2

WHEN EXPORT MARKET IS CIRCLED ON PAGE 1, INFORMATION ON
PAGE 2 MUST BE COMPLETED.

EXPORT COUNTRY (fill in
Countries as needed)
Canada

(No of Containers)
Gross FOB Sales

Mexico

(No of Containers)
Gross FOB Sales

Korea

(No of Containers)
Gross FOB Sales
(No of Containers)
Gross FOB Sales
(No. of Containers)
Gross FOB Sales
(# of Containers)
Gross FOB Sales
(No. of Containers)
Gross FOB Sales
(No. of Containers)
Gross FOB Sales
(No. of Containers)

TOTALS

Gross FOB Sales

Paper version of Form FV-266-6 (Rev. 9/13. Destroy previous editions.)

CONTACT:

Week of ____________ through ____________
Report Due by 5:00 p.m. each Tuesday

PACK STYLE - ENTER PACK STYLES AT THE TOP OF EACH COLUMN

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 0581-0189. The time required to complete this information collection is estimated to average 60 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 the 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.

REPORT IS DUE BY 5:00 P.M. EACH TUESDAY FROM THE TIME YOUR SHIPPING SEASON BEGINS UNTIL IT ENDS.
IF NO SHIPMENTS WERE MADE DURING REPORTING PERIOD CHECK THE APPROPRIATE BOX ON THE FORM AND RETURN.
Instructions for completing KISS Price Report - Page 1:
1.
2.

3.
4.
5.
6.
7.
8.

Enter appropriate Handler/Marketer information.
Circle appropriate market and grade. Separate forms must be completed for each market and each grade category. For instance, if all shipments were
Domestic but included both US #1 and KAC grades, a form must be filed for Domestic - US #1, and a form for Domestic - KAC. If any fruit was
exported another report must be filed for those shipments, also separated by grade.
Enter beginning and ending dates for reporting week. Reporting period runs from Sunday through Saturday.
If no shipments were made during the previous week, check the box and return report. Reports must be filed each week during the shipping season,
even when no shipments are made.
If final report of the season, check box. After final report is filed no further price reports are required.
Across the top of columns, enter the type of pack styles shipped during reporting period. Select pack styles from the list below.
For each pack style, enter the total number of containers shipped and gross FOB sales by size for the reporting period.
Sign and date report.
Description
9kg (19.8 lb.) Volume Fill
Single layer tray
Container with 3-layers
125 lb. Bins
Master Container with 20 - 1 lb. Bags
Master Container with 10 - 1kg Bags
Master Container with 4 - 4lb. Clams
Master Container with 8 - 2lb. Clams
Master Container with 27 -.8lb Clams
Master Container with 18 - 8 ct. Clams
Master Container with 20 - 6 ct. Clams
Returnable Plastic Containers, 9kg
Containers with 2-layers

Enter this pack style on report
Volume Fill
Trays
3-Layers
Bins
20/1# Bags
10/1kg Bags
4/4# Clams
8/2# Clams
27/.8# Clams
18/8ct. Clams and net wt. of master container
20/6ct. Clams and net wt. of master container
RPC
2-Layers and net wt. of container

Euro Containers, must include description and net wt. (i.e. Euro
Type and net wt. of container
2-layers, 20# )
Any other container type/consumer pack must include the
description and container net wt.

Type and net wt. of container

WHEN EXPORT MARKET IS CIRCLED ON PAGE 1, INFORMATION ON PAGE 2 MUST BE COMPLETED.
Instructions for completing KISS Price Report - Page 2:
1.
2.
3.
4.
5.

Enter appropriate Handler/Marketer information.
Enter beginning and ending dates for reporting week. Reporting period runs from Sunday through Saturday.
Across the top of columns, enter the type of pack styles shipped during reporting period. Select pack styles from the list below.
For markets not listed, enter in the first column.
For each market, enter the total number of containers shipped and gross FOB sales for the reporting period.
Description
9kg (19.8 lb.) Volume Fill
Single layer tray
Container with 3-layers
125 lb. Bins
Master Container with 20 - 1 lb. Bags
Master Container with 10 - 1kg Bags
Master Container with 4 - 4lb. Clams
Master Container with 8 - 2lb. Clams
Master Container with 27 -.8lb Clams
Master Container with 18 - 8 ct. Clams
Master Container with 20 - 6 ct. Clams
Returnable Plastic Containers, 9kg
Containers with 2-layers

Euro Containers, must include description and net wt. (i.e.
Euro 2-layers, 20# )

Type and net wt. of container

Any other container type/consumer pack must include the
description and container net wt.

Type and net wt. of container

File Type	application/pdf
Author	Barbara Windmiller
File Modified	2013-09-17
File Created	2013-09-17