No Form number Walnut Mktng. Bd. Ballot Independent Handler Members & A

OMB No. 0581-0178

C

VOTING DEADLINE

__________, 20___

alifornia Walnut Board

101 Parkshore Drive, Suite 250

Folsom, CA 95630

Tel: (916) 932-7070; Fax: (916) 932-7071

BALLOT

ELECTION OF DISTRICT ___ HANDLER MEMBERS AND ALTERNATES

VOTING INSTRUCTIONS

In accordance with the provisions of Section 984.37 of Marketing Order No. 984, as amended, I hereby vote for the following members and alternates as representatives of District ___ handlers of walnuts of the California Walnut Board for the two-year term beginning September 1, 20___.

Walnut handlers may vote for two members and two alternates. Mark an “X” opposite your choice if your wish to vote for the candidates listed. Write-in lines are provided if you wish to nominate qualified walnut handlers who are not shown on the ballot. Please type or print clearly the handler’s name and address in the space provided. Vote for only two names in each column.

Your ballot will be invalidated if you vote for more than two persons for each position.

DISTRICT ___ HANDLER NOMINEES

Member	Vote	Alternate Member	Vote
Write In:		Write In:
Write In:		Write In:

CERTIFICATION OF ELIGIBILITY

I hereby certify that I am currently a qualified handler of walnuts and operated as such a handler during the 20______ marketing year.

Legal Name of Voting Entity

Address City State Zip

Authorized Signature Print Name

BACKGROUND INFORMATION

In the event one handler does not handle 35% or more of the crop:

§ 984.35(a)(1) Two handler members from District 1; and

§ 984.35(a)(2) Two handler members from District 2.

In the event one handler handles 35% or more of the crop:

§ 984.35(b)(3) Two handler members to represent handlers that do not handle 35% or more of the crop.

Districts:

District 1: Consists of the counties in the State that lie north of a line drawn on the southern boundaries of San Mateo, Alameda, San Joaquin, Calaveras and Alpine counties.

District 2: Consists of all other counties in the State south of the boundary line set forth in the definition of District 1.

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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.

(Rev. 01/2014. Destroy previous editions.)