CIAB Form #5A Inventory Reserve Summary

I

CIAB

FORM #5 A

OMB # 0581-0177

Crop Year

Original

Changed

(Mark Type)

NVENTORY RESERVE SUMMARY

Cherry Industry Administrative Board

P.O. Box 388, DeWitt, MI 48820-0388

T el: 517/669-1070 Fax: 517/669-1260

This report is required of all Handlers holding inventory as part of an Inventory Reserve Plan. Reports are

due by the close of business Eastern time October 1and May 31 and at any other time that a rotation of stock in

inventory reserves is desired.

Handler: Handler ID#

Address:

City, ST Zip:

Telephone No.:

WAREHOUSE CONVERTED LBS.

NAME	LOCATION	Raw Product Equivalent

1. For each warehouse listed on this form, a Form #5 B, Inventory Location Report, must be prepared and must accompany the report.

By:

Title:

Date:

Page of (see other side for additional information)

According the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number to this information collection is 0581-0177. The time required to complete this information collection is estimated to average 15 minutes per response, including the time for reviewing the collection of information.

The U.S. Department of Agriculture (USDA) prohibits discrimination in its programs on the basis of race, color, national origin, sex, religion, age, disability, political beliefs, and marital or familial status. (Not all prohibited bases apply to all programs). Persons with disabilities who require alternative means for communication of program information (Braille, large print, audio tape, etc.) should contact the USDA Office of Communications at (202) 720-6992 (voice) or (202) 720-7808 (TDD).

To file a complaint, write the Secretary of Agriculture, U.S. Department of Agriculture, Washington, D.C. 20250, or call 1-800-245-6340 (voice) or (202) 720-1127 (TDD). USDA is an equal employment opportunity employer.

(REV 2013)