FV-240-A Producer-Amendment Referendum Ballot

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OMB No. 0581-0215

United States Department of Agriculture
Agricultural Marketing Service
Fruit and Vegetable Program
California Marketing Field Office
2202 Monterey Street, Suite 102-B
Fresno, CA 93721

PISTACHIO
BALLOT

__________
TO PISTACHIO PRODUCERS:
The U.S. Department of Agriculture is submitting, for producer consideration, proposed
amendments to Marketing Order No. 983 (order), regulating the handling of pistachios grown in
California, Arizona, and New Mexico. The proposed amendments will not be made effective
unless they are favored by at least two-thirds of the eligible producers voting in this Referendum
or by producers representing at least two-thirds of the volume of pistachios voted in the
Referendum. If approved, the proposed amendments would:
(SUMMARY OF AMENDMENTS TO BE PROVIDED HERE)
A Producer Referendum Ballot is on the reverse side of this page. Also enclosed are:
1) Voting Instructions and Rules Governing Producer Eligibility to Vote;
2) The news release announcing the referendum; and
3) A copy of the Referendum Order dated (_______, 20___).
The voting period for the referendum is (_______, 20___) through (_______, 20___). Please vote
promptly because ballots postmarked later than (_______, 20___) cannot be opened or counted.
Each ballot will be held in strict confidence.
___________________, Referendum Agent
Phone: (559) 487-5901

FV-240A (Rev. 05/2014. Destroy previous editions.)

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OMB No. 0581-0215

PRODUCER REFERENDUM BALLOT
Marketing Order No. 983
Pistachios Grown in California, Arizona and New Mexico
Please read the enclosed VOTING INSTRUCTIONS AND RULES GOVERNING PRODUCER
ELIGIBILITY TO VOTE before completing this ballot.
A.

This referendum is for amendment of the marketing order. Indicate your vote by placing an ‘X’ in the
appropriate box.

YES

YES


NO

NO


YES

YES


NO

NO


YES

YES

YES

YES

YES

YES

YES


NO

NO

NO

NO

NO

NO

NO


1) Do you favor amending the order to ______?
2) Do you favor amending the order to ______?
3) a. Do you favor amending the order to ______?
b. Do you favor amending the order to ______?
4) Do you favor amending the order to ______?
5) Do you favor amending the order to ______?
6) Do you favor amending the order to ______?
7) Do you favor amending the order to ______?
8) Do you favor amending the order to ______?
9) Do you favor amending the order to ______?
10) Do you favor amending the order to ______?

FV-240A (Rev. 05/2014. Destroy previous editions.)

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OMB No. 0581-0215

VOTER CERTIFICATION ELIGIBILITY STATEMENT
I hereby certify that I am an eligible producer of pistachios and that during the representative period
(______, 20___), through (______, 20___), I produced:

B.

______________________ on _____________ in ______________________________ in ____________________
Pounds (assessable weight)
Acres
County/Counties
State/States
(SIGNATURE REQUIRED BELOW – SECTION D)
C.

Producer’s Name

Phone Number

Name of Business
Mailing Address
City

D.

State

Zip

If this ballot is cast by an officer or employee of a partnership, corporation, association or other business
unit, my signature below further certifies that I am duly authorized to vote on behalf of the producing entity
name on this ballot and that I will submit evidence of such authority at the request of an Agent of the
Secretary.
Partnership

LLC

Corporation

Signature*

Association

Other

Title

If Partnership or Joint Venture, list name(s).

E.

I hereby certify that the information I provided on this ballot is accurate and correct to the best of
my knowledge.

Signature*

Title

*Your signature certifies that you have the authority to take such action and will submit supplementary evidence of such authority at
the request of an agent of the Secretary of Agriculture. The information provided in this ballot is required to determine voter
eligibility and vote of California, Arizona and New Mexico producers.

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to 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 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-240A (Rev. 05/2014. Destroy previous editions.)

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OMB No. 0581-0215

PISTACHIO BALLOT
UNITED STATES DEPARTMENT OF AGRICULTURE
Agricultural Marketing Service
Fruit and Vegetable Program
Marketing Field Office
2202 Monterey Street, Suite 102-B
Fresno, CA 93721

PLACE STAMP
HERE
POST OFFICE
WILL NOT
DELIVER
WITHOUT
POSTAGE

Referendum Agent
USDA-AMS-F&V-MFO
2202 MONTEREY STREET, SUITE 102-B
FRESNO, CA 93721

FOLD HERE, TAPE AT THE TOP, AND MAIL PROMPTLY 

PISTACHIO
BALLOT

FV-240A (Rev. 05/2014. Destroy previous editions.)

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OMB No. 0581-0215

VOTING INSTRUCTIONS AND RULES
GOVERNING PRODUCER ELIGIBILITY TO VOTE
I.

VOTING PERIOD: (_______, 20___) through (_______, 20___).

II.

REPRESENTATIVE PERIOD: (_______, 20___) through (_______, 20___).

III.

PRODUCTION AREA: The States of California, Arizona and New Mexico.

IV.

PERSONS ELIGIBLE TO VOTE: Any person who currently produces pistachios in any or all
of the States of California, Arizona, or New Mexico, and produced such pistachios during the
representative period (_______, 20___) through (_______, 20___), is entitled to cast one ballot.
Each separate business unit, partnership, family enterprise, corporation, association, estate,
or firm is entitled to one vote.
“Producer” means any individual, partnership, corporation, association, or other business unit
who:




V.

Owns and farms land producing pistachios for market;
is a renter or tenant of a farm producing pistachios for market; or
is a landlord who received from a renter or tenant a portion of the production as rent for the
land on which pistachios were produced for market. (A landlord who rents for cash, a lienholder or a person having only a financial interest in the crop is NOT eligible to vote.)

HOW TO VOTE:
A. Indicate your vote by placing an ‘X’ in the appropriate box.
B. Certify your pistachio production by listing the pounds of pistachios produced for market by
you (or by the producer for whom this Ballot is cast) during the period (_______, 20___)
through (_______, 20___).
C. Print or type your name, phone number, business name, and address.
D. Proxy voting is not authorized. If ballot is cast by an officer or employee of a partnership,
corporation, or other business unit, check box to indicate your business designation, and sign
to indicate authority to vote. If partnership or joint venture, list names of partners.
E. Sign below the certification. Incomplete or unsigned ballots cannot be counted. Fold your
ballot so the Referendum Agent’s address is displayed, seal with tape and mail to
Referendum Agent, USDA-AMS-F&V-MFO, 2202 MONTEREY ST, SUITE 102-B,
FRESNO, CA 93721. For further information, please call (______________________) or
(______________________) at (_ _ _ - _ _ _ - _ _ _ _).

Ballots must be postmarked by (______, 20___).

FV-240A (Rev. 05/2014. Destroy previous editions.)

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