Application to become a Community Quota Entity

Revised: 06/28/2011

OMB Control Number: 0648-0272 Expiration Date: 11/30/2011
U.S. Dept. of Commerce/NOAA
National Marine Fisheries Service (NMFS)
Restricted Access Management Program (RAM)
P.O. Box 21668
Juneau, AK 99802-1668
(800) 304-4846 toll free / 586-7202 in Juneau
(907) 586-7354 fax

Application
for a Non-profit Corporation
to be Designated as a
Community Quota Entity (CQE)

BLOCK A - IDENTIFICATION OF APPLICANT
1. Name of Non-Profit Organization:
2. Name of Contact Person:

3. Permanent Business Mailing Address:

4. Business Telephone Number:

5. Business Fax Number:

7. Name of Community Represented by Non-Profit:

6. E-mail address (if available):

8. Name of Contact Person for Community
Governing Body:

BLOCK B – REQUIRED INFORMATION
The following information must be included as attachments to this application. The application will not be processed
unless appropriate information and documentation is provided.
[ ] The applicant's Articles of Incorporation
[ ] The applicant's Corporate By-laws
[ ] A list of the applicant's key personnel, including its Board of Directors and Officers
[ ] The applicant's Organizational Chart or, at a minimum, a written explanation that fully reveals the applicant's line
and staff responsibilities and relationships
[ ] A statement designating the eligible Gulf of Alaska coastal community(ies) that the entity seeks to represent
[ ] An explanation of how the applicant will manage QS/IFQ on behalf of the community(ies) it seeks to represent
[ ] A statement that explains the procedures that will be used to solicit requests from community residents to use
(lease) annual IFQ held by the applicant and that sets out the criteria and procedures to be used to select from
among those who have expressed a desire to use the IFQ.
[ ] Formal resolution from the community governing body (i.e., the city council if a municipality, the tribal governing
body if not a municipality, or the non-profit community association if neither a municipality or a tribe) that
unambiguously designates the applicant as the community's representative and CQE.

Application for a Non-Profit Corporation to be Designated as a CQE
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BLOCK C - NOTARY CERTIFICATION
I am a duly authorized representative of the applicant; by my signature below, I declare that I have examined this
application in its entirety, and to the best of my knowledge and belief, the information presented here is true, correct, and
complete.
1. Signature of Applicant (or Authorized Representative):
2. Date:

3. Printed Name of Applicant (or Authorized Representative): If representative, attach authorization.

4. Notary Public Signature:

ATTEST

6. Affix Notary Stamp or Seal Here:

5. Commission Expires:

_______________________________________________________________________________________
PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 200 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 Assistant Regional Administrator, Sustainable Fisheries Division, NOAA National
Marine Fisheries Service, P.O. Box 21668, Juneau, AK 99802-1668.
ADDITIONAL INFORMATION
Before completing this form, please note the following: 1) Notwithstanding any other provision of 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 679 and under section 402(a) of the MagnusonStevens Act (16 U.S.C. 1801, et seq.); 3) Responses to this information request are confidential under section 402(b) of the MagnusonStevens Act as amended in 2006. They are also confidential under NOAA Administrative Order 216-100, which sets forth procedures to
protect confidentiality of fishery statistics.

_____________________________________________________________________________________________

Application for a Non-Profit Corporation to be Designated as a CQE
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INSTRUCTIONS
APPLICATION FOR A NON-PROFIT CORPORATION
TO BE DESIGNATED AS A
COMMUNITY QUOTA ENTITY (CQE)
A non-profit organization that wishes to represent an eligible Gulf of Alaska (GOA) community in the acquisition and use
of quota share (QS) and individual fishing quota (IFQ) must complete this application for approval. Only those non-profit
organizations approved by NMFS will be eligible to purchase QS and/or transfer IFQ on behalf of an eligible GOA
community.
Type or print legibly in ink and retain a copy of completed application for your records. Please allow at least 10
working days for your application to be processed. Items will be sent by first class mail, unless you provide alternate
instructions and include a prepaid mailer with appropriate postage or corporate account number for express delivery.
When completed, submit application
by mail to:

NMFS Alaska Region
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, Alaska 99802-1668

or deliver to:

709 West 9th Street, Room 713
Juneau, AK 99801

Due to a Notary Public requirement, we cannot process faxed applications.
If you need additional information, call RAM at (800) 304-4846 (Option #2) or (907) 586-7202 (Option #2).
COMPLETING THE APPLICATION
BLOCK A - IDENTIFICATION OF APPLICANT
1. Provide the name of the non-profit entity seeking to become a CQE
2. Name of the contact person for the non-profit organization applying to become a CQE
3. Enter permanent business mailing address, including street or P.O. Box, city, state, and zip code
4-6. Business telephone number, business fax number, and business e-mail address (if available)
7. Enter the name of the eligible GOA community to be represented by the non-profit.
8. List the name of the contact person for Community Governing Body of the community.
BLOCK B - REQUIRED INFORMATION
The non-profit organization applying to become a CQE must provide all of the documentation listed in this section.
Failure to provide any of the required documentation will result in a denial of this application. This information is used
both to evaluate the ability of the non-profit applicant to represent an Eligible GOA community and to ensure the nonprofit has the support of the community’s government body.

Application for a Non-Profit Corporation to be Designated as a CQE
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BLOCK C - NOTARY CERTIFICATION
1-3. Enter applicant printed name, signature, and date of application in the presence of a Notary Public. As a result of
this requirement, we cannot process faxed applications. Representatives acting on behalf of an applicant must
supply proof of agent authorization to submit this application on the applicant’s behalf.
4-6. A Notary Public must Attest (sign), indicate date when commission expires, and affix his/her Notary Stamp. The
Notary Public cannot be completed by the person submitting this application.

Application for a Non-Profit Corporation to be Designated as a CQE
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