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pdfOMB No. 0581-0215
ADMINISTRATIVE COMMITTEE FOR PISTACHIOS
FEDERAL MARKETING ORDER 983
OFFICIAL BALLOT MATERIAL
«First_Name» «Last_Name»
«Processor_Name»
«Street»
«City», «State» «Zip»
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. OR Each handler entity is entitled to one vote
with each vote weighted equally.] 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 0581-0215 The time required to complete this information
collection is estimated to average 15 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 following statements are made in accordance with the Privacy Act of 1974 (U.S.C. 552a) and the Paperwork Reduction Act of 1995, as amended. The authority for
requesting the information to be supplied on this form is the Agricultural Marketing Agreement Act of 1937, Secs. 1-19, 48 Stat. 31, as amended, (7 U.S.C. 601-674).
Furnishing the requested information is necessary for the administration of the marketing order program. Submission of the Tax Identification Number (TIN) is mandatory,
and will be used to validate ballots and determine affiliation or entity identity. Please note that ballots will not become invalid if a TIN is not disclosed. The making of
any false statements or representations in any matter within the jurisdiction of any agency of the United States, knowing it to be false, is a violation of title 18, section
1001 of the United States Code, which provides for fine or imprisonment, or both.
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.
SC-244 (Rev. 07/2017)
OMB No. 0581-0215
HANDLER POSITION X BALLOT
VOTING DEADLINE
April X, 20XX
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 (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 one (1) candidate or submit a write-in candidate. Election/candidate information is available at
www.acpistachios.org.
____ Candidate One
____ Candidate Two
____ Candidate Three
____ Candidate Four
____ Candidate Five
____ 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, fax, or email 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, call the office or visit the website: www.acpistachios.org.
SC-244 (Rev. 07/2017)
File Type | application/pdf |
Author | juanitao |
File Modified | 2017-07-25 |
File Created | 2017-07-25 |