P&SP 3001 Annaul Report of Dealer or Market Agency Buying on Commi

Instructions to Complete
Annual Report of Dealer or
Market Agency Buying on Commission
Form P&SP – 3001
Each individual, corporation, and association engaged in business as a dealer or market agency
buying livestock on a commission basis is required to file an annual report with the U.S.
Department of Agriculture’s Packers and Stockyards Program (P&SP) on Form P&SP-3001,
Annual Report of Dealer or Market Agency Buying on Commission.
If you report on a calendar year basis, your form must be received by Packers and Stockyards
Program (P&SP) by April 15 each year. If you file on a fiscal year basis, P&SP must receive
your Annual Report form by 90 days after the close of your fiscal year. Requests for additional
time to file this report must be received by P&SP no later than the applicable filing dates above.
Failure to file this form may result in a fine of $110 for each day the report is delinquent. All
information must be completed on this form in its entirety. Failure to do so will result in
the form being returned incomplete. If available, you may provide independently audited
financial statements as an attachment to the fully completed annual report form.
For questions about Form P&SP-3001, or additional copies of the form, please contact the P&SP
Central Reporting Unit at 303-375-4264 or [email protected]. Forms and instructions
are also on GIPSA’s website at www.gipsa.usda.gov. Please fax the completed form to the
Central Reporting Unit at 314-457-4421, email to [email protected] or mail to:
USDA P&SP
P.O. Box 110639
Aurora, CO 80042
All items with an asterisk (*) following them must be completed before submitting the form
to PSP. If the items are not completed when the form is received, the form will be returned
for completion by the reporting firm.
SECTION-BY-SECTION INSTRUCTIONS
FORM HEADER – BUSINESS ENTITY ID
Business Entity ID should be completed using information provided by P&SP. If the information
is not already completed on the form, please contact your Regional P&SP office to obtain the
number.
FORM HEADER – PREFERENCE FOR FILING
Select the method by which you prefer to receive your Annual Report; Electronic or Paper Copy.
If you select Electronic, you will no longer receive a letter and forms from P&SP reminding you
that your annual report is due.
SECTION 1 – GENERAL INFORMATION
Enter name, address and contact information for the entity.
SECTION 2 – ORGANIZATIONAL STRUCTURE
Provide information on the organization and ownership of the firm as well as businesses
controlled by this firm.

P&SP Form 3001-i

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SECTION 3 – BOND INFORMATION
In Section 3, dealers should report only information about their own dealer business activity. If
you provide a clearing service in addition to your dealing activities, then the business activity of
those that you are providing the clearing service to should be reported in Section 4 below.
Line 301: Enter the cost for each species of livestock and the total cost of livestock purchased on
a dealer basis during the reporting period.
Line 302: Enter the number of head purchased for each species of livestock and the total number
of head of livestock purchased on a dealer basis during the reporting period.
Line 303: Enter the cost for each species of livestock and the total cost of livestock purchased as
an order buyer during the reporting period. You must include all livestock that you bought on
commission whether you or another entity paid for it.
Line 304: Enter the number of head purchased for each species of livestock and the total number
of head of livestock purchased as an order buyer during the reporting period. You must include
all livestock that you bought on commission, whether you or another entity paid for it.
Line 305: Enter cost of livestock purchased as a dealer per quarter.
Line 306: Enter cost of livestock bought on commission per quarter.
Line 307: Enter the Total Cost of Livestock Purchases. This amount should be equal to lines
301e plus 303e.
Line 308: Enter the number of days business was conducted as a livestock dealer and/or order
buyer during the reporting year.

SECTION 4 – CLEAREE AND CLEAROR DESIGNATIONS
Line 401: Check appropriate box indicating if another business provides clearing services for you.
Line 402: If you checked “Yes” on line 401, enter name of clearing agent. If you checked “No”,
skip lines 402-412 and go directly to Section 5.
Line 403: Check appropriate box indicating if you provide clearing services for others.
Lines 404-411: If you checked “Yes” on line 403.list names of Clearees, and gross dollar value of
livestock purchased by each clearee during the reporting period, regardless of who paid for it on
lines 404-411. Attach additional sheet if necessary. If “No”, skip lines 404-412 and go directly
to Section 5.
Line 412: Enter the sum of lines 405, 407, 409 and 411.
SECTION 5 – BALANCE SHEET
This section must be completed on this form. Independently created Balance Sheets are not
accepted in lieu of a fully completed Annual Report. Include only the Assets, Liabilities and
Net Worth of the reporting Entity. If available, you may provide independently audited
financial statements as an attachment to the fully completed annual report form.
All clearees and dealers whose lines 301e plus 303e equals less than $2.6 million may continue to
Section 7, and do not need to complete Sections 5 and 6. All Clearors must complete Sections 5
and 6, regardless of the total cost of livestock purchased.
Line 501: Enter the total of your firm’s cash on hand, total book balances of all bank accounts
that were not in an overdraft position. Enter overdrafts on line 515.
Line 502: Enter the dollar value of any temporary cash investments (securities, CD’s, etc.).
Include only those marketable securities that represent the investment of cash available for
current operations and not otherwise pledged as security. Include cost or market value,
whichever is lower.
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Line 503: Enter the dollar amount of only those accounts receivable that are due in one year or
less.
Line 504: Enter notes receivable and portions of installment notes that are due in one year or less,
including those past due that are deemed likely to be collected.
Line 505: Enter the dollar value of livestock inventory that will be sold within the next 12
months.
Line 506: Enter the dollar value of all other inventory.
Line 507: Enter the sum of lines 505 through 506.
Line 508: Enter the dollar value of all other current assets.
Line 509: Enter the sum of lines 501, 502, 503, 504, 507 and 508.
Line 510: Enter the dollar amount of your firm’s investments.
Line 511: Enter the dollar value of the property, plant and equipment, net of accumulated
depreciation and amortization, owned by your firm.
Line 512: Enter the dollar amount of other long-term assets.
Line 513: Enter the sum of lines 510 through 512.
Line 514: Enter the sum of lines 509 and 513.
Line 515: Enter the bank overdraft amount as the overdraft on the firm’s books, not the overdraft
shown on the bank statement.
Line 516: Enter the total dollar amount you owe for livestock.
Line 517: Enter the total dollar value amount that you owe for meat and all other items.
Line 518: Enter the sum of lines 516 and 517.
Line 519: Enter the total dollar value of demand notes and the principal portion of long-term
notes that is due in one year or less.
Line 520: Enter the total dollar value of any other accounts payable that have not already been
included on lines 515 through 519.
Line 521: Enter the sum of lines 515, 518, 519 and 520.
Line 522: Enter the total dollar value of notes, mortgages, bonds, and installments that are not
payable within one year (past-due notes, etc. should be reported on line 519).
Line 523: Enter the sum of lines 521 and 522.
Line 524: Enter the firm’s Total Net Worth (Equity).
Line 525: Enter the sum of lines 523 and 524 (this should equal line 514, Total Assets).
SECTION 6 – INCOME STATEMENT
All clearees and dealers whose lines 301e plus 303e plus 412 equals less than $2.6 million may
continue to Section 7, and do not need to complete Sections 5 and 6. All Clearors must
complete Sections 5 and 6, regardless of the total value of livestock purchased.
Line 601: Enter gross profit on dealer transactions.
Line 602: Enter gross income from buying commissions.
Line 603: Enter the dollar amount of all other income during the reporting period.
Line 604: Enter the sum of lines 601 through 603.
Line 605: Enter the dollar amount of all expenses incurred during the reporting period.
Line 606: Subtract line 605 from line 604; enter the difference as Net Profit or Loss.
SECTION 7 – CERTIFICATION
An owner, partner, officer or member in control of the entity must sign the report. Any owner,
officer, partner, or member signing the report must be listed on lines 203-207.
Line 701-705: Enter the date the report was signed, the title or authority of the person signing the
report, phone number and signature as explained above.

P&SP Form 3001-i

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For P&SP Stamp Only

Business Entity ID Number *

U.S. Department of Agriculture
Grain Inspection,
Packers and Stockyards
Administration

P&SP Bar Code Only

ANNUAL REPORT OF DEALER OR
MARKET AGENCY BUYING ON
COMMISSION

Indicate your preference to submit forms
electronically, or by paper copy

Electronic Filing
Manual Filing

Packers and
Stockyards
Program

All items with an asterisk (*) following them must be completed before submitting the form to PSP. If the items are not completed when the
form is received, the form will be returned for completion by the reporting firm.
Instructions: If an item's value is zero, enter "0". If an item does not apply, enter "NA". Upon completion please verify that all items have been
answered. Return completed form to the P&SP Central Reporting Unit. See separate instructions for complete information about this report.
GENERAL INFORMATION - SECTION 1

101

Reporting Period *
(mm/dd/yy-mm/dd/yy)

a. from

b. to

102 Legal Business Name
103 Business Name (dba)*
104 Mailing Address*
105 City, State, Zip*
106 Physical Address*
107 City, State, Zip*
108 Contact Name*
109 Telephone Number*

110

Fax Number*

111 E-Mail Address*

112

Web Address

ORGANIZATIONAL STRUCTURE - SECTION 2

List owners, officers, partners, and members in control of this business
a. Name

b. Title

c. Percentage Ownership

201*
202
203
204
205
206 Type of organization:

Individual

Partnership

Corporation

L.L.C.

207 Is this the same organization type reported last year?

Yes

No

208 Is this business owned or controlled by another business entity?

Yes

No

L.L.P.

Co-op

Association

Other

209 If line 208 is yes, identify the owner/controlling business name and address
Yes

210 Does this business own or control other businesses within the livestock-meat industry?

No

If line 210 is yes, then provide the names of businesses that you own or control and percentage of control in items 211-214
b. Percentage of Control

a. Name of Business
211
212
213
214

215 Does the business own or operate a scale on which you weigh livestock purchased?

Yes

216 What is the basis of payment made to the business for most livestock you sell?

Liveweight

No
Dressed Weight or Carcass Basis

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 is 0580-0015. The time required to complete this information collection is estimated to average 2
hours 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.

OMB No. 0580-0015
Expires: xx/xx/20xx
Form 3001

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BOND INFORMATION - SECTION 3

Livestock Dealer Purchases
301

a. Cattle

Cost of livestock purchased on a dealer basis
for registrant's account

b. Hogs

$

$

c. Sheep & Goats

$

d. Horses & Mules

$

e. Total (a+b+c+d)

$

Number of head of livestock purchased on a
302
dealer basis for registrant's account
Livestock Bought on Commission
Cost of livestock bought on commission for
303 the account of others regardless of who paid
for the livestock
Number of head of livestock bought on
304 commission for the account of others
regardless of who paid for the livestock

a. Cattle

$

Livestock Dealer Purchases

$

$

306 Livestock Bought on Commission
Cost of livestock bought on commission, per
quarter*

$

$

$

$

e. Total (a+b+c+d)

$

c. Third Quarter

b. Second Quarter

a. First Quarter

d. Horses & Mules

c. Sheep & Goats

$

a. First Quarter

Cost of livestock purchased as a dealer, per
305
quarter*

307

b. Hogs

d. Fourth Quarter
$

c. Third Quarter

b. Second Quarter
$

$

Total Cost of Livestock Purchased (should be equal to 301e plus 303e and should also be
equal to 305a-305d plus 306a-306d)

d. Fourth Quarter
$

$

308 Number of days livestock was purchased during the reporting year*

CLEAREE AND CLEAROR DESIGNATIONS - SECTION 4

401 Are you a clearee (cleared by another business for your livestock purchases)?

Yes

No

Yes

No

402 If you checked yes in item 401, provide the name of the clearing agent:
403 Are you a clearor (provide clearing services for clearees)?
Clearee's Name as Registered

If yes provide information for items 404-412
Gross Value of Livestock Purchased

404

405

$

406

407

$

408

409

$

410
Total Livestock Purchases of all Clearees

411

$

412

$

BALANCE SHEET - SECTION 5

All clearees and dealers whose line 301e plus 303e plus 412 total is below a specified $ amount (see instructions) do not need to complete Sections 5 and 6.
Assets
Current Assets
501 Cash (enter overdrafts under Current Liabilities-Line 515)*

$

502 Temporary Cash Investments (Marketable Securities, Certificates of Deposit, Commercial Paper, etc.)*

$

503 Accounts Receivable (Due in 1 Year or Less)*

$

504 Notes and Loans Receivable (Portion due in 1 Year or Less)*

$

505 Livestock inventory*

$

506 Other Inventory*

$

507 Total Inventory

$

508 Other Current Assets*

$

509

$

Total Current Assets

Non-Current Assets
510 Investments*

$

511 Property, Plant, & Equipment net of Depreciation and Amortization*

$

512 Other Long-Term Assets*

$

513

Total Long-Term Assets

$

514

Total Assets

$

Form 3001

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Continuation of Section 5 Balance Sheet

Liabilities and Net Worth
Liabilities
Current Liabilities
515 Bank Overdraft*

$

516 Accounts Payable - Livestock*

$

517 Accounts Payable - Other*

$

518 Total Accounts Payable

$

519 Notes and Loans Payable (Demand Notes and Portion of Long-Term Notes due in 1 Year or Less)*

$

520 Other Current Liabilities*

$

521

$

Total Current Liabilities

Non-Current Liabilities
522 Long-Term Liabilities (Due after 1 Year)*

$

523

Total Liabilities

$

524

Total Net Worth

$

525

Total Liabilities and Net Worth

$
INCOME STATEMENT - SECTION 6

All clearees and dealers whose line 301e plus 303e plus 412 total is below a specified $ amount (see instructions) do not need to complete Sections 5 and 6.
Income Statement
601 Gross Dealer Profit (+) or Loss (-)*

$

602 Buying Commission*

$

603 Other Income*

$

604

Total Income

$

605

Total Expenses*

$

606

Net Profit (+) or Loss (-)

$

CERTIFICATION - SECTION 7

Under the Packers and Stockyards Act any person who willfully makes, or causes any false entry or statement of fact in this report shall be deemed guilty of offense against the
United States, and be subject to a fine of $1,000 to $5,000, or to imprisonment for a term of not more than 3 years, or to both fine and imprisonment.
I certify that this report has been prepared by me or under my direction, and to the best of my knowledge and belief correctly reflects reporting entity operations.
701 Print Name*

703 Phone Number

702 Signature (Must be signed by a person listed on 201-205)

704 Date

705 Title

Submitted information is confidential (9 CFR 201.96). Failure to report will result in forfeiture to the United States $110 per day until report receipt 7 (U.S.C. 222).

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.

Form 3001

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