Application for cooperative and cooperative quota permit

Revised: 03/12/2015 OMB Control No. 0648-0565 Expiration Date 01/31/2016

Amendment 80 Cooperative Membership Agreement or Contract

U .S. Dept. of Commerce/NOAA National Marine Fisheries Service (NMFS) Restricted Access Management (RAM) P.O. Box 21668 Juneau, AK 99802-1668 (800) 304-484ll free / 586-7202 in Juneau (907) 586-7354 fax

Any fishery cooperative formed for the purpose of applying for and fishing with Amendment 80 Cooperative Quota (CQ) must submit to NMFS on an annual basis an Application for Amendment 80 Cooperative Quota along with a copy of the membership agreement or contract that specifies

♦ How the Amendment 80 cooperative intends to catch its CQ and

♦ The obligations of Amendment 80 Quota Share (QS) holders who are members of an Amendment 80 cooperative to ensure the full payment of Amendment 80 fee liabilities that may be due.

If the Amendment 80 cooperative membership agreement or contract is modified during the fishing year, e.g., changes in the membership in an Amendment 80 cooperative, such as members joining or departing during the relevant year, or changes in the amount of Amendment 80 QS holdings of those members, a copy of the revised agreement must be sent to NMFS.

When completed, submit

♦ By mail to Regional Administrator

NMFS Alaska Region

c/o Restricted Access Management Program

P.O. Box 21668

Juneau, AK 99802-1668

♦ By fax to 907-586-7354

♦ Or, by hand delivery or carrier to

NMFS Alaska Region

709 West 9th St., Suite 401

Juneau, AK 99801

Deadline: A completed CQ application, and attached cooperative agreement, must be received by NMFS no later than 1700 hours A.l.t. on November 1 of the year prior to the calendar year for which the applicant is applying, or if sent by U.S. mail, the application must be postmarked by that time.

Amendment 80 Cooperative Agreement or Contract

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