FV-245A Handler Member Nomination Form

REPRODUCE LOCALLY. Include form number and date on all reproductions.

OMB No. 0581-0215

NOMINATION FORM FOR
HANDLER MEMBERS AND ALTERNATE HANDLER MEMBERS
Marketing Order 983 (Order), regulating the handling of pistachios grown in California, Arizona and New Mexico became effective on
November 3, 2009. The Administrative Committee for Pistachios (Committee) is conducting the nomination process for membership on
the 12-member committee for the seats that expire June 30, 20___. The Committee consists of 9 producer members, 2 handler members,
1 public member and their alternates. Of the two handler members, one member shall be elected by handlers based on one vote for each
ton of assessed pistachios handled during the two preceding production years, while the other member is elected based on one vote for
each handler. [PICK APPROPRIATE STATEMENT FOR THIS ELECTION: The member position for which nominations are
currently being accepted is based upon one vote for each ton of pistachios handled. OR: The member position for which nominations
are currently being accepted is based upon one vote for each handler entity.] If you are interested in nominating yourself or another
individual to serve on the Committee as a handler member or alternate member, please read the following information and submit the
completed nomination form. To be valid, the completed nomination form must be signed, and postmarked, faxed, or hand-delivered no
later than
, 20 .

INSTRUCTIONS FOR COMPLETING THE ATTACHED NOMINATION FORM
1.

Please complete the attached form if you wish to nominate yourself and/or another eligible handler to run for office as a
handler member or alternate handler member on the Committee. Only handlers, including duly authorized officers or
employees of handlers, may participate in the nomination of handler member nominees and their alternates. To qualify as a
handler, your handling operation must receive, hull and dry pistachios and/or further prepare pistachios by sorting, sizing,
shelling, roasting, cleaning, salting, and/or packaging for marketing in or transporting to any and all markets in the current
of interstate or foreign commerce.

2.

The Order prescribes that: (a) Not more than two members and not more than two alternate members shall be persons
employed by, or affiliated with producers or handlers that are affiliated with the same handler and/or producer; (b) Only
one handler member and one alternate member representing handlers shall be employed by, or affiliated with the same
handler; (c) No handler, and all of its affiliated handlers, can be represented by more than one handler member; (d) A
cooperative that has as its members one or more other cooperatives that are handlers shall not be considered as a handler
for the purpose of nominating. Affiliation is defined as: normally appears as "affiliate of," or "affiliated with," and means
a person such as a producer or handler who is: a producer or handler that directly, or indirectly through one or more
intermediaries, owns or controls, or is controlled by, or is under common control with the producer or handler specified; or
a producer or handler that directly, or indirectly through one or more intermediaries, is connected in a proprietary capacity,
or shares the ownership or control of the specified producer or handler with one or more other producers or handlers. As
used in this part, the term “control” (including the terms “controlling,” “controlled by,” and “under the common control
with”) means the possession, direct or indirect, of the power to direct or cause the direction of the management and policies
of a handler or a producer, whether through voting securities, membership in a cooperative, by contract or otherwise.

3.

Once all nomination forms are received, nominees will be notified of their nomination, requested to complete a confidential
qualification and acceptance statement, and provided an opportunity to submit a short biographical statement, not to exceed
one half page in length. The short biographical information statement will be sent to eligible handlers with balloting
material.

4.

The Order specifies that a 2-year term of office shall be staggered for elected handler members and alternate handler
members serving on the Committee. For one handler member and alternate handler member nomination, each handler
entity is entitled to one vote (Position 1). For the other handler member and alternate handler member nomination, each
handler entity is entitled to cast one vote respectively for each ton of assessed weight of pistachios processed by that
handler during the two production years preceding the production year in which the nominations are made (Position 2). For
this nomination, the Position (1, 2) handler member position which expires on June 30, 20___ is being filled. The eligible
handler receiving the highest number of votes by position will be recommended to the U.S. Department of Agriculture
(USDA) as the handler member. The eligible handler receiving the next highest number of votes by position will be
recommended to the USDA as the alternate handler member. Each handler member and alternate handler member on the
Committee shall be, at the time of selection and during the term of office, a pistachio handler or an officer, employee, or
agent of the handler.

5.

The USDA prohibits discrimination in all its programs and activities. Please see the bottom of page 2 for more details.
We request that you be mindful of the USDA’s policy regarding Civil Rights and consider eligible women, minorities, and
the physically challenged for membership on the Committee.

6.

The completed nomination form must be signed, and postmarked, faxed, or hand-delivered by
, 20
.
Submit the form by mail in the return envelope provided, or fax to (559) 255-6485, or hand-deliver to: Administrative
Committee for Pistachios, 4938 East Yale Avenue, Suite 102, Fresno, CA 93727.

FV-245A (Rev. 05/2014. Destroy previous editions.)

REPRODUCE LOCALLY. Include form number and date on all reproductions.

OMB No. 0581-0215

UNITED STATES DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
FRUIT AND VEGETABLE PROGRAM

ADMINISTRATIVE COMMITTEE FOR PISTACHIOS
HANDLER MEMBER AND ALTERNATE HANDLER MEMBER NOMINATION FORM
HANDLER NOMINATION FOR POSITION (1, 2) - Nominations are for the term July 1, 20___ – June 30, 20___.
PICK APPROPRIATE STATEMENTS FOR THIS ELECTION:
Nominees for this position will be placed on a ballot and handlers will cast 1 vote. Each vote will be weighted
equally. OR: Nominees for this position will be placed on a ballot and handlers will cast 1 vote. Each vote
will be weighted based on the tons of assessed pistachios received and processed by that handler during the
two production years preceding the production year in which the nominations are made.
Nominations must be signed to be valid.
Name of Handler Nominee
Handler’s Phone Number

Name of Handler’s Operation the Nominee Represents
Handler’s Fax Number

Handler’s E-mail Address

Handler’s Mailing Address

Name of Handler Nominee
Handler’s Phone Number

Name of Handler’s Operation the Nominee Represents
Handler’s Fax Number

Handler’s E-mail Address

Handler’s Mailing Address
CERTIFICATION:
I certify that my employer or I currently handle pistachios and that I am eligible to nominate the above
candidate(s).
Handler Name

Address

Phone

Signature

Print Name

Date

The making of any false statements or representations in any matter within the jurisdiction of any agency of the United States, knowing it to be
false, is a violation of title 18, section 1001 of the United States Code, which provides for a fine or imprisonment, or both.
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 05810215. 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-245A (Rev. 05/2014. Destroy previous editions.)