No Form number CA Date Producer-Handler Ballot

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-HANDLER BALLOT NO. ____

Six producer-handler members and six producer-handler alternates serve on the California Date Administrative Committee (Committee). They are selected from: (1) handlers or directors, officers, or employees of a handler, of Deglet Noor, Halawy, Khadrawy or Zahidi dates; or (2) producers who are also handlers or directors, officers, or employees exercising a supervisory or managerial function of such handler. The two-year term of office begins August 1, 20___.

You must qualify as a producer-handler yourself in order to vote in nominations for this group. You may vote for one member and one alternate. Your vote will be weighted by the quantity of marketable dates your firm has handled from October 1, 20___ through April 30, 20___.

Listed below are the candidates who have submitted their names and are willing to serve on the Committee. Make your selection from this list, 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. You may nominate yourself if you are interested in serving on the Committee. Do not list the same person for more than one position or your Ballot will be invalidated.

Candidates:

I vote for the following: MEMBER: ____________________________________

ALTERNATE: ____________________________________

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

Signature: _______________________________________________ Date: _____________________

Name of Firm: ___________________________________________ Phone No.: ________________

NOTE: Completed absentee Ballots must be received by the Committee no later than ___ p.m., June ___, 20___ in order to be counted. Absentee 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.

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.