FV-49 Nomination Ballot

OMB No. 0581-0177

UNITED STATES DEPARTMENT OF AGRICULTURE

Agricultural Marketing Service

Fruit and Vegetable Programs

SOUTHEAST MARKETING FIELD OFFICE

799 OVERLOOK DRIVE, SUITE A

WINTER HAVEN, FL 33884-1671

CHERRY

INDUSTRY

ADMINISTRATIVE

BOARD

BALLOT

TO TART CHERRY HANDLERS IN MICHIGAN, NEW YORK, AND UTAH:

All tart cherry growers and handlers recently had the opportunity to nominate eligible individuals of their choice for membership on the Cherry Administrative Board for the staggered, three-year term of office ending on . Attached are voting instructions and eligibility requirements; a ballot; and a list of current handler nominees for Districts 1, 2, 3, 4, and 7.

Please read the attached directions carefully and submit your completed ballot to the USDA Field office in Winter Haven, FL, by the close of business on .

FV-49(REV 2013) 1 of 4

NOMINATION BALLOT INSTRUCTIONS

CHERRY INDUSTRY ADMINISTRATIVE BOARD

MEMBER AND ALTERNATE MEMBER POSITIONS

1. Refer to page 4 for the list of current nominees (positions and districts noted) for the current nomination and election process.

2. Vote only for the proper member(s) for the district in which you are eligible to participate as indicated in (3) and (4) below. The attached list shows the nominees by district as well as the number and type of positions vacant in each district. Space on the ballot is also provided for write-in candidates.

3. GROWERS: Except as provided in (5) below, only growers, including duly authorized officers or employees of growers, who are eligible to serve as grower members of the Board shall participate in the election of grower members and alternate grower members of the Board. No grower shall participate in the election of Board members in more than one district during any fiscal period. If a grower produces cherries in more than one district, the grower must vote in the same district in which he or she chose to participate in the nominations process, he or she may select in which district he or she wishes to vote and shall notify the Secretary or the Board of such selection. By certifying your eligibility to cast the attached ballot, you are thus satisfying such notification requirement.

4. HANDLERS: Except as provided in (5) below, only handlers, including duly authorized officers or employees of handlers, who are eligible to serve as handler members of the Board shall participate in the election of Board members in more than one district during any fiscal period. If a handler does handle cherries in more than one district, he or she must vote in the same district in which the handler elected to participate in the nominations process under section 930.23(b)(4). However, if a handler did not participate in the nominations process, that handler may select in which district he or she chooses to vote and shall notify the Secretary or the Board of such selection. If a person is a grower and a grower-handler only because some or all of his or her cherries were custom packed, but he or she does not own or lease and operate a processing facility, such person may vote only as a grower.

5. In Districts 5, 6, 8, and 9, growers and handlers may vote for either the grower or handler nominee(s) for the single seat allocated to those districts.

6. Mark the box for the position for which you are voting and write in the candidate(s) name(s) from the list on page 4, or from other eligible individuals of your choice, in the appropriate space. For each member you vote for, you may also vote for an alternate member.

7. In the spaces provide, print your name, address, and telephone number.

8. Certify that you are eligible to cast this ballot by signing and dating the ballot.

9. The completed ballot must be received by the Department no later than . Submission of the ballot may be by mail delivery, hand delivery, or facsimile transmission.

Return Ballot To:

SOUTHEAST MARKETING FIELD OFFICE

799 OVERLOOK DRIVE, SUITE A

WINTER HAVEN, FL 33884-1671

TEL: (863) 324-3375

FAX: (863) 325-8793

FV-49 (REV 2013) 2 of 4

UNITED STATES DEPARTMENT OF AGRICULTURE

AGRICULTURAL MARKETING SERVICE

FRUIT AND VEGETABLE PROGRAMS

CHERRY INDUSTRY ADMINISTRATIVE BOARD

HANDLER MEMBER AND ALTERNATE MEMBER

NOMINATION BALLOT

(See attached instructions)

INDICATE THE DISTRICT IN WHICH YOU ARE VOTING: DISTRICT: .

CAST YOUR VOTE BY CHECKING THE APPROPRIATE BOXES AND WRITING IN THE NOMINEE’S NAME(S) OF YOUR CHOICE:

HANDLER MEMBER 1.

2.

A LTERNATE

HANDLER MEMBER 1.

2.

H ANDLER

WRITE-IN 1. PHONE NO:

2. PHONE NO:

A LTERNATE

HANDLER 1. PHONE NO:

W RITE-IN

2. PHONE NO:

(Print Your Name and Firm’s Name)

(Street Address) (City)

(State) (Zip Code) (Telephone Number)

I certify that I or my employer currently produce or handle tart cherries in the district indicated above and that I have not participated nor am I voting in the current nomination and election process in any other district or capacity.

(Signature) (Date)

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 0581-0177. The time required to complete this information collection is estimated to average 10 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-49 (REV 2013) 3 of 4

HANDLER NOMINEE LIST

DISTRICT 1 (NORTHERN MICHIGAN) - Pick TWO names from each category:

Handler Member Nominees:

Alternate Handler Member Nominees:

DISTRICT 2 (CENTRAL MICHIGAN) - Pick TWO names from each category:

Handler Member Nominees:

Alternate Handler Member Nominees:

DISTRICT 3 (SOUTHERN MICHIGAN) - Pick ONE name from each category:

Handler Member Nominees:

Alternate Handler Member Nominees:

DISTRICT 4 (NEW YORK) - Pick ONE name from each category:

Handler Member Nominees:

Alternate Handler Member Nominees:

DISTRICT 7 (UTAH) - Pick ONE name from each category:

Handler Member Nominees:

Alternate Handler Member Nominees:

To be counted this ballot must be received at the following address no later than close of business on .

USDA-AMS-FV PROGRAMS

799 OVERLOOK DRIVE, SUITE A

WINTER HAVEN, FL 33884-1671

TEL: (863) 324-3375

FAX: (863) 325-8793

FV-49 (REV 2013) 4 of 4