No Form number CA Date Ballot (Producer)

OMB No. 0581-0178

CALIFORNIA DATE ADMINISTRATIVE COMMITTEE

P.O. Box 1736

Indio, CA 92202-1736

Tel: (760) 347-4510 Fax: (760) 347-6374

PRODUCER BALLOT NO. ______

The following persons have been nominated as candidates for producer member positions on the California Date Administrative Committee (Committee) for the term of office ending July 31, 20___. To qualify as a producer member, candidates must be a producer, or an officer or employee of a producer, of Deglet Noor, Halawy, Khadrawy, or Zahidi dates. Candidates SHALL NOT BE HANDLERS or directors, officers or employees of a handler. (Refer to the VOTER ELIGIBILITY CERTIFICATION for voter eligibility requirements and the attached voting instructions before completing this Ballot.)

You may vote for THREE producer members and THREE alternate producer members. Make your selection from the candidates listed below, or write in persons of your own choice, but make certain they qualify and are willing to serve on the Committee if selected and appointed. Do not list the same candidate for more than one position or your Ballot will be invalidated.

Candidates:

I vote for the following:

Producer Members		Alternate Producer Members

I hereby certify to the U. S. Department of Agriculture and the Committee that I am a producer of Deglet Noor, Halawy, Khadrawy, or Zahidi dates and am qualified to vote for producer representatives to serve on the Committee, and further, that if this Ballot is cast on an absentee basis, that I have personally completed this Ballot.

Signature: _______________________________________________ Date: _______________________________

Name of Firm: ___________________________________________ Phone No. : __________________________

Title: ___________________________________________________

NOTE: Completed Ballots must be received by the Committee no later than ___ p.m., June ___, 20___ in order to be counted. Ballots may be mailed or faxed to the Committee at the address above, or delivered to the Committee at USDA Service Center, 82-901 Bliss Avenue, Indio, CA. BALLOTS THAT ARE RECEIVED LATE OR RECEIVED WITHOUT COMPLETION OF THE CERTIFICATION OF VOTER ELIGIBILITY WILL BE CONSIDERED INVALID. NO PROXY VOTING IS PERMITTED.

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 5 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 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.