FV-94 Producer Referendum (So. TX Onions)

REPRODUCE LOCALLY. Include form number and date on all reproductions. OMB No. 0581-0178

U.S. DEPARTMENT OF AGRICULTURE

AGRICULTURAL MARKETING SERVICE

FRUIT AND VEGETABLE PROGRAM

PRODUCER REFERENDUM BALLOT

Marketing Order No. 959: Onions Grown in South Texas

BALLOTS POSTMARKED AFTER ___________, 20___, WILL NOT BE COUNTED IN THE REFERENDUM.

PART I. REFERENDUM INSTRUCTIONS:

1. COMPLETE PARTS II, III, AND IV. Incomplete or unsigned Ballots cannot be counted. Ballots must be postmarked by __________________, 20___.

2. ELIGIBLE VOTERS: Any person who produced onions for fresh market during the period _______________, 20___, through ________________, 20___, and who is now a producer, is eligible to vote. Additional Ballots may be obtained by contacting the Southeast Marketing Field Office or your County Extension Service Office.

1. A producer (or grower) is defined as:

(a) anyone who produces onions for fresh market in the counties of Val Verde, Kinney, Uvalde, Medina, Wilson, Karnes, Goliad, Victoria, Calhoun, Maverick, Zavala, Frio, Atascosa, Dimmit, La Salle, McMullen, Live Oak, Bee, Refugio, Webb, Duval, Jim Wells, San Patricio, Nueces, Zapata, Jim Hogg, Brooks, Kleberg, Kenedy, Starr, DeWitt, Aransas, Hidalgo, Willacy and Cameron;

(b) a renter or tenant of acreage producing onions for fresh market; or

(c) a landlord who received from a renter or tenant such onions as rent for the land on which such onions were grown. A cash landlord, lienholder, or person having only a financial interest in the crop is not an eligible voter.

2. A business unit, partnership, family enterprise, corporation, association, estate, or firm may vote; however, each such entity is entitled to one vote.

3. Proxy voting is not authorized.

3. VOTING INSTRUCTIONS:

Provide the voter information requested in Part II. In Part III, mark the block for or against continuing the order. Certify your answer by signing the appropriate section of Part IV. If you do not complete Parts II, III, and IV, your Ballot cannot be validated and your vote will not be counted.

Mail Parts II, III, and IV in the official envelope. If you do not have an official envelope, send the Ballot to the USDA’s Southeast Marketing Field Office, 799 Overlook Drive, Suite A, Winter Haven, FL 33884. Mark the envelope “Onion Referendum.”

PART II. VOTER INFORMATION:

1. NAME (Please print) ____________________________________________________________________

2. SPECIFIC LOCATION OF ONION ACREAGE REPRESENTED IN THIS BALLOT:________________

______________________________________________________________________________________

(Highway and Street Address, if applicable, and County, City, State, and Zip Code)

3. DO YOU RESIDE ON THE PROPERTY ON WHICH THE ONIONS ARE PRODUCED? □YES □NO

IF NO, PLEASE GIVE YOUR RESIDENTIAL ADDRESS: _____________________________

_______________________________________________________________________________

4. PHONE NUMBER: ____________________________ FAX NUMBER: _____________________

5. IF NOT VOTING AS AN INDIVIDUAL PRODUCER, PLEASE MARK AN “X” IN THE APPROPRIATE BOX BELOW AND WRITE THE NAME AND ADDRESS OF THE BUSINESS UNIT YOU REPRESENT.

 PARTNERSHIP  CORPORATION  OTHER (Please specify) ____________________

6. HOW MANY 50-POUND EQUIVALENTS OF ONIONS DID YOU PRODUCE DURING THE PERIOD _______________, 20___, THROUGH ______________, 20 ___? ___________ 50-lb. equivalents

7. HOW MANY ACRES OF ONIONS DID YOU HARVEST FOR FRESH MARKET DURING THE PERIOD _______________, 20___, THROUGH ______________, 20____? _____________ Acres

8. WHICH PACKINGHOUSE(S) HANDLED YOUR ONIONS DURING THIS PERIOD?

______________________________________________________________________________________

______________________________________________________________________________________

PART III. CONTINUING THE ORDER:

DO YOU FAVOR CONTINUING THE MARKETING ORDER FOR ONIONS GROWN IN SOUTH TEXAS?

 YES  NO

PART IV. CERTIFICATION STATEMENT:

A. If signing as an individual:

I am the producer named in Part II of this Ballot, and I certify that I am not a cash landlord, lienholder, or person having only a financial interest in the crop, and that the information provided on this Ballot and any attachment hereto is accurate and correct to the best of my knowledge.

__________________________________________________________________________________________

SIGNATURE OF PRODUCER OR AUTHORIZED PERSON

B. If signing as the representative of a producing entity other than an individual, indicate your title and sign below:

I certify that I have authority to cast this Ballot and will submit evidence of such authority at the request of an agent of the Secretary of Agriculture.

_____________________________________________ ____________________________________

SIGNATURE TITLE

Falsification of information on this government document may result in a fine or imprisonment, or both (18 U.S.C. 1001).

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 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, genetic information, political beliefs, 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.

FV-94 (Rev. 01/2014. Destroy previous editions.) Page 2 of 2