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pdfOMB No. 0581-0215
ADMINISTRATIVE COMMITTEE FOR PISTACHIOS
FEDERAL MARKETING ORDER 983
OFFICIAL BALLOT MATERIAL
First Last
Handler
Street
City, State
HANDLER BALLOT INSTRUCTIONS
HANDLER BALLOT: There is one handler member and one alternate handler member position to be filled on the
Committee. For the Position 1 handler member and alternate handler member position, each handler entity is entitled
one vote. For the Position 2 handler member, each handler entity is entitled to one vote respectively for each ton of
assessed weight of pistachios processed by that handler during the two production years preceding the current
production year. The candidate receiving the highest number of votes by position will be the handler member and
the candidate receiving the second highest number of votes will be the alternate handler member. In case of a tie
vote, the nominee(s) shall be selected by a drawing.
HANDLER POSITION: This year the voting is for the Position X member. Each handler entity is entitled to one
vote for each ton of assessed weight of pistachios processed by that handler during the 20XX/20XX and
20XX/20XX production years. Volume for voting purposes will be determined based upon handler reports provided
to the Committee. Vote for one candidate of your choice or write in the name and contact information of the
candidate of your choice.
VOTER ELIGIBILITY: Any business entity currently engaged in the handling of pistachios within the states of
California, Arizona and New Mexico is eligible to vote for the handler member positions.
AFFILIATION: The two handler member and alternate handler member positions must be represented by handlers
that are not affiliated with each other. Only one member and one alternate representing handlers shall be employed
by, or affiliated with the same
handler and/or producer.
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.
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 5 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-244 (Rev 05/2017)
OMB No. 0581-0215
VOTING DEADLINE
April X, 20XX
HANDLER POSITION X BALLOT
You must be a handler of pistachios in California, Arizona, or New Mexico to vote on this ballot.
The ballot is for the July 1, 20XX – June 30, 20XX two year term for (choose appropriate handler position for
this election year)
Handler Position 1 (one vote per handler entity – each vote weighted equally) (or)
Handler Position 2 (one vote per handler entity – each vote weighted based on tons of assessed pistachios
received and processed by the handler during the two productions years preceding the current production year)
Vote for 1 of the following or submit a write-in candidate:
Candidate One
Candidate Three
Candidate Five
Candidate Two
Candidate Four
Candidate Six
Write-In Candidate
*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 that I or my employer currently handles pistachios. If I am casting a ballot on behalf of my employer, I
certify that I have the authority to do so.
Handler Name
Address
Phone Number
Print Name
Signature
Date
Title
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
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its
Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on
race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status,
family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in
any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by
program or incident.
Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American
Sign Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA
through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at
http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA and provide in the letter all of
the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to
USDA by: (1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW
Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: [email protected]. USDA is an equal opportunity provider,
employer, and lender.
SC-244 (Rev 05/2017)
File Type | application/pdf |
Author | Pexton, Fiona - AMS |
File Modified | 2017-03-16 |
File Created | 2017-03-16 |