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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
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 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-246 (Rev 05/2017)
OMB No. 0581-0215
ADMINISTRATIVE COMMITTEE FOR PISTACHIOS
DISTRICT X BALLOT
VOTING DEADLINE
April X, 20XX
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 that 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
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-246 (Rev 05/2017)
File Type | application/pdf |
Author | Pexton, Fiona - AMS |
File Modified | 2017-03-16 |
File Created | 2017-03-16 |