SC-246 Official Ballot Material

OMB No. 0581-0215

ADMINISTRATIVE COMMITTEE FOR PISTACHIOS
FEDERAL MARKETING ORDER 983
OFFICIAL BALLOT MATERIAL

First Last
Producer
Address1
Address2
City, CA 99999

PRODUCER BALLOT INSTRUCTIONS
DISTRICT BALLOT: The attached ballot is for the district in which you produce pistachios (contact the Committee office if your
production area is in a different district).
♦
♦

Vote for the candidate(s) of your choice up to the maximum number indicated on the ballot.
And/or write in the candidate(s) name(s) of your choice in the spaces provided

The candidate(s) receiving the highest number of votes shall be the member nominee(s), and the next highest votes shall be the
alternate member nominee(s). In case of a tie vote, the nominee(s) shall be selected by a drawing.
VOTER ELIGIBILITY: The Administrative Committee for Pistachios has producer members and member alternates that represent four
districts. Only producers (individuals, partnerships, LLCs, corporations, trust, association, or any other business unit), including duly
authorized officers or employees of producers, shall participate in the election of producer members and alternate producer members
of the Committee.
VOTING RESTRICTIONS: No producer shall participate in the election of Committee members in more than one district. If a producer
commercially produces pistachios during the current production year in more than one district, the producer must vote in the same
district in which he or she participated in the nomination process previously conducted. If the producer did not participate in the
nominations process, he or she may choose which district in which to vote.
VOTING PERIOD: March xx, 20xx through April xx, 20xx
BALLOT CERTIFICATION: Print your name and title (if applicable), and certify your eligibility to vote by signing and dating the
ballot. Ballot without a signature will not be counted.

Only ballots must be signed, and received by April xx, 20xx (postmarked, faxed, or delivered) to be counted.

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 0581-0215 The time required to complete this information
collection is estimated to average 15 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.

SC-246 (Rev. 01/2017)

OMB No. 0581-0215

ADMINISTRATIVE COMMITTEE FOR PISTACHIOS

VOTING DEADLINE
April X, 20XX

DISTRICT ___ BALLOT

District __ consists of _________________________________________________________________________________________
___________________________________________________________________________________________________________
You must be a producer of pistachios in District __ to vote on this ballot. If you produce pistachios in more than one district, choose
one district in which to vote. District __ has __ producer member and __ alternate producer member positions to be filled for a two
year term that begins July 1, 20xx. You may vote for two (2) candidates (number of member positions available). Check the box
next to the candidates of your choice and/or submit write-in candidates.
Ballots with more than 2 votes will not be counted.
Candidate One

Candidate Two

Candidate Three

Candidate Four

Candidate Five

Candidate Six

Write-In Candidate

Write-In Candidate

*Contact Info (phone, email)

*Contact Info (phone, email)

*Contact information needed for write-in candidates

CERTIFICATION OF VOTER ELIGIBILITY (only ballots certified with a signature will be counted)
I certify I or my employer currently produce(s) pistachios for market in District ___, and that I have voted in
only one district in this election process. If I am casting a ballot on behalf of my employer, I certify that I have
authority to do so.
Producer Name

Producer Tax ID

Print Your Name

Signature

Date

Title (if voting on behalf of a corporation, estate or trust)

Mail, email, or fax your ballot by April X, 20XX (ballots not received or postmarked by this date will not be counted):
ADMINISTRATIVE COMMITTEE FOR PISTACHIOS
4938 East Yale Avenue, Suite 102, Fresno, CA 93727
Tel (559) 255-6480; Fax (559) 255-6485
Email: [email protected]
If you need more information contact the ACP office (559-255-6480) or visit the ACP website (www.acpistachios.org).
The following statements are made in accordance with the Privacy Act of 1974 (U.S.C. 552a) and the Paperwork Reduction Act of 1995, as amended. The authority for
requesting the information to be supplied on this form is the Agricultural Marketing Agreement Act of 1937, Secs. 1-19, 48 Stat. 31, as amended, (7 U.S.C. 601-674).
Furnishing the requested information is necessary for the administration of the marketing order program. Submission of the Tax Identification Number (TIN) is
mandatory, and will be used to validate ballots and determine affiliation or entity identity. Please note that ballots will not become invalid if a TIN is not disclosed. 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 fine or imprisonment, or both.
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, SW, Washington, D.C. 20250-9410, or call (800)
795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

SC-246 (Rev. 01/2017)