Application to become an RQE

ntrol No. 0648 Revised: OMB Control Number: 0648-0272 Expiration Date:

	Application for a Non-profit Corporation to be Designated as a Recreational Quota Entity (RQE)			U.S. Dept. of Commerce/NOAA N ational Marine Fisheries Service (NMFS) Restricted Access Management Program (RAM) P.O. Box 21668 Juneau, AK 99802-1668 (800) 304-4846 toll free / 586-7202 in Juneau (907) 586-7354 fax
BLOCK A - IDENTIFICATION OF APPLICANT
1. Name of Non-Profit Organization:			2. Name of Contact Person:
3. Permanent Business Mailing Address:
4. Business Telephone Number:		5. Business Fax Number:			6. E-mail address (if available):

BLOCK B – REQUIRED ATTACHMENTS

Attach the following information to this application. The application will not be processed unless appropriate information and documentation is provided.

[ ] The applicant's Articles of Incorporation

[ ] The applicant's Corporate By-laws

[ ] A list of the applicant's key personnel, including its Board of Directors, officers, representatives, and managers

[ ] The applicant's Organizational Chart or, at a minimum, a written explanation that fully reveals the applicant's line and staff responsibilities and relationships

BLOCK C - NOTARY CERTIFICATION
I am a duly authorized representative of the applicant. By my signature below, I declare that I have examined this application in its entirety, and to the best of my knowledge and belief, the information presented here is true, correct, and complete.
1. Signature of Applicant (or Authorized Representative):		2. Date:
3. Printed Name of Applicant (or Authorized Representative): If representative, attach authorization.
4. Notary Public Signature: ATTEST	6. Affix Notary Stamp or Seal Here:
5. Commission Expires:

­­­­­­­­­­­­­­­__________________________________________________________________________________________________

PUBLIC REPORTING BURDEN STATEMENT

Public reporting burden for this collection of information is estimated to average 200 hours per response, including time for reviewing the instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden to Assistant Regional Administrator, Sustainable Fisheries Division, NOAA National Marine Fisheries Service, Alaska Region, P.O. Box 21668, Juneau, AK 99802-1668.

ADDITIONAL INFORMATION

Before completing this form, please note the following: 1) Notwithstanding any other provision of law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control Number; 2) This information is mandatory and is required to manage commercial fishing efforts under 50 CFR part 679 and under section 402(a) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.); 3) Responses to this information request are confidential under

section 402(b) of the Magnuson-Stevens Act as amended in 2006. They are also confidential under NOAA Administrative Order

216-100, which sets forth procedures to protect confidentiality of fishery statistics.

_______________________________________________________________________________________________________________

INSTRUCTIONS

APPLICATION FOR A NON-PROFIT CORPORATION

TO BE DESIGNATED AS A

RECREATIONAL QUOTA ENTITY (RQE)

A non-profit organization that intends to establish itself as a recreational quota entity (RQE) for the purposes of acquiring quota share (QS) and individual fishing quota (IFQ) must complete this application for approval. Only a non-profit organization approved by NMFS will be eligible to purchase and/or transfer QS.

Type or print legibly in ink and retain a copy of completed application for your records. Please allow at least 10 working days for your application to be processed. Items will be sent by first class mail, unless you provide alternate instructions and include a prepaid mailer with appropriate postage or corporate account number for express delivery.

An application may be submitted to NMFS by mail or delivery. Fax submittal is not acceptable due to the Notary requirements. RAM will not process an application that does not bear original signatures (faxed applications will be returned). All signatures must be witnessed by a Notary Public (or, in some remote areas, the community Postmaster or Postmistress).

When completed, submit application

by mail to: NMFS Alaska Region

Restricted Access Management (RAM)

P.O. Box 21668

Juneau, Alaska 99802-1668

or deliver to: 709 West 9^th Street, Room 713

Juneau, AK 99801

Items will be sent to you by first class mail, unless you provide alternate instructions and include a prepaid mailer with appropriate postage or corporate account number for express delivery. Additional information is available from RAM, as follows:

Website: http://www.alaskafisheries.noaa.gov/ram/default.htm

Telephone (toll free): 800-304-4846 (press “2”)

Telephone (in Juneau): 907-586-7202 (press “2”)

e-Mail: [email protected]

COMPLETING THE APPLICATION

BLOCK A - IDENTIFICATION OF APPLICANT

1. Provide the name of the non-profit entity seeking to become an RQE

2. Name of the contact person for the non-profit organization applying to become an RQE

3. Enter permanent business mailing address, including street or P.O. Box, city, state, and zip code

4-6. Business telephone number, business fax number, and business e-mail address (if available)

BLOCK B - REQUIRED ATTACHMENTS

The non-profit organization applying to become an RQE must provide appropriate information and documentation listed in this section. Failure to provide any of the required documentation will result in a denial of this application.

BLOCK C - NOTARY CERTIFICATION

1-3. Enter applicant printed name, signature, and date of application in the presence of a Notary Public. As a result of this requirement, we cannot process faxed applications. Representatives acting on behalf of an applicant must supply proof of agent authorization to submit this application on the applicant’s behalf.

4-6. A Notary Public must Attest (sign), indicate date when commission expires, and affix his/her Notary Stamp. The Notary Public cannot be completed by the person submitting this application.

Application for a Non-Profit Corporation to be Designated as an RQE

Page 4 of 4