FV-225B Cooperative Association Ballot (CA Raisins)

REPRODUCE LOCALLY. Include form number on all reproductions. OMB NO. 0581-0178

U.S. DEPARTMENT OF AGRICULTURE

AGRICULTURAL MARKETING SERVICE

FRUIT AND VEGETABLE PROGRAM

COOPERATIVE ASSOCIATION BALLOT

CONTINUANCE/AMENDMENT OF MARKETING ORDER NO. 989, REGULATING

THE HANDLING OF RAISINS PRODUCED FROM GRAPES GROWN IN CALIFORNIA

I certify that I am an officer or employee of, and have been authorized by, _________________________ Cooperative to furnish the following information and cast this Ballot on behalf of __________________________ Cooperative.¹ There are ______ producers who: (a) are members of, stockholders in, and producers under contract with ____________________________ Cooperative; (b) are now engaged in the State of California in the growing of raisins produced from grapes grown in California for market, and also were so engaged during the period of August 1, 20___ through July 31, 20___; and (c) during this same period so produced for market the following quantity of raisins²: _______ tons.

DOES ______________________________________ COOPERATIVE FAVOR CONTINUANCE OR APPROVAL OF THE PROPOSED AMENDMENT BY THE SECRETARY OF AGRICULTURE OF THE ORDER REGULATING THE HANDLING OF RAISINS PRODUCED FROM GRAPES GROWN IN CALIFORNIA? (Please indicate your vote by placing an “X” in one of the boxes below.)

□ YES □ NO

______________________________________ Cooperative

___________________________________________________

Signature of Authorized Agent

____________________________________________________

Title/Official Capacity

¹ Include the Cooperative Association’s resolution, which was adopted by the Board of Directors authorizing the casting of this Ballot.

² A list, in alphabetical order, containing the names and addresses, and the weight of raisins delivered, from August 1, 20___ through July 31, 20___, to the Cooperative Association by each such producer has been forwarded to the USDA’s Fruit and Vegetable Programs, California Marketing Field Office, under separate cover.

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 0581-0178. The time required to complete this information collection is estimated to average 20 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 of 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, political beliefs, genetic information, 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 USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 14th and Independence Avenue, SW, Washington, DC 20250-9410 or call (202) 720-5964 (voice and TDD). USDA is an equal opportunity provider and employer.

FV-225B (Rev. 01/2014) Destroy previous editions.