FV-74 924-CA Desert Grape Confidential Questionnaire

OMB No. 0581-0189

UNITED STATES DEPARTMENT OF AGRICULTURE AGRICULTURAL MARKETING SERVICE FRUIT AND VEGETABLE PROGRAM CONFIDENTIAL QUESTIONNAIRE
The Secretary of Agriculture (Secretary) uses this completed form when appointing members or alternates to the California Desert Grape Administrative Committee for administering Marketing Order No. 925, regulating the handling of grapes grown in southeastern California.
Please check applicable box □ Grower □ Handler □ Public Member □ Organic
NAME
MAILING ADDRESS (Incl. City, State, and Zip Code)	TELEPHONE NO. (Incl. area code)
	FAX NO. (Incl. area code)
EMAIL ADDRESS
NUMBER OF YEARS IN TABLE GRAPE BUSINESS (if not applicable, do not respond)	7(a) NUMBER OF YEARS ALREADY SERVED ON COMMITTEE
GROWERS (a) DURING THE CURRENT CROP YEAR, I PRODUCED _____________________ LUGS OF GRAPES GROWN ON _________________ ACRES, WHICH I OWN OR LEASE. CERTIFIED ORGANIC?  Yes  No
(b) MY GRAPES ARE LOCATED IN COUNTY(IES):
(c) WHAT IS THE NAME OF THE SHIPPER WHO HANDLES YOUR GRAPES?
HANDLERS (synonymous with shipper and means to pack, sell, deliver [including delivery to storage facility], transport, or in any way to place grapes in commercial channels) HOW MANY LUGS DID YOU HANDLE IN THE CURRENT CROP YEAR?
PUBLIC MEMBERS ARE YOU AFFILIATED WITH A GRAPE HANDLER (PACKER) AS AN EMPLOYEE, OFFICER, DIRECTOR, OR IN ANY OTHER CAPACITY? (to be completed by public member only) □ YES □ NO If Yes, what is your affiliation?
Committee members, in their official capacities, are prohibited from taking any action specifically designed to influence legislation, including any attempt to influence public opinion concerning legislation. Committee members may not communicate with any official of a State or Federal legislative body for the purpose of attempting to influence legislation. Committee members are also prohibited from attempting to influence State or Federal government actions or policies or those of foreign governments, except as specifically authorized under the Marketing Order or expressly approved by the Secretary. Committee members are specifically precluded from authorizing the expenditure of Marketing Order funds for the purpose of attempting to influence legislation or government actions. These same prohibitions apply to Committee managers, staff, and contractors, except that Committee managers may consult with U.S. Department of Agriculture employees during the pendency of informal rulemaking actions.
If Committee or subcommittee members or Committee employees are sued individually or jointly for errors in judgment, mistakes or other acts either of omission or commission (except for acts of dishonesty, willful misconduct, or gross negligence) in the conduct of their duties under the Marketing Agreement or Order, they may be authorized legal defense by the U.S. Department of Justice (DOJ). Alternatively, legal defense may be provided through private counsel, if recommended by the U.S. Department of Agriculture (USDA) and approved by DOJ. USDA and DOJ enjoy an excellent working relationship with respect to providing legal representation for Committee members and employees, either by DOJ or through authorized private counsel. USDA is committed to a comprehensive legal defense policy for all Committee members and employees acting within the scope of their authorized Committee duties and responsibilities.

CERTIFICATION STATEMENT: I hereby certify that I will serve on the California Desert Grape Administrative Committee if appointed by the Secretary of Agriculture

__________________________________________________________ _______________________________

Signature Date

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FV-74 (Rev. 09/13. Destroy previous editions.)