SC-266-6 KISS Price/Shipment Report (paper version)

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Overview

Price pg. 1
Price pg. 2
Instruct. back of pg.1
Instruct. back of pg. 2

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Sheet 1: Price pg. 1

								OMB No. 0581-0189
KISS 20__/20__			Kiwifruit Administrative Committee (KAC)
PRICE/SHIPMENT REPORT			Email: [email protected]			COMPANY:
Page 1			Fax No.: (916) 446-1063			CONTACT:
			KAC Phone No.: (916) 441-0678			PHONE No.:
MARKET Circle one:		DOMESTIC EXPORT			Week of ____________ through ____________
GRADE Circle one:		FANCY/U.S.#1 KAC			Report Due by 5:00 p.m. each Tuesday
A separate report must be filed for each market and grade category					_____ Check if no shipments made during reporting period
If shipments to Export market, Page 2 must be completed.					_____ Check if final report for the season
SIZE		PACK STYLE - ENTER PACK STYLES AT THE TOP OF EACH COLUMN
18+	(No of Containers)
	Gross FOB Sales
20	(No. of Containers)
	Gross FOB Sales
23	(No. of Containers)
	Gross FOB Sales
25	(No. of Containers)
	Gross FOB Sales
27/28	(No. of Containers)
	Gross FOB Sales
30	(No. of Containers)
	Gross FOB Sales
33	(No. of Containers)
	Gross FOB Sales
36	(No. of Containers)
	Gross FOB Sales
39	(No. of Containers)
	Gross FOB Sales
42	(No. of Containers)
	Gross FOB Sales
45	(No. of Containers)
	Gross FOB Sales
	(No. of Containers)
TOTALS	Gross FOB Sales
I hereby certify to the best of my knowledge and belief that this report is true and complete. Shipments reported and FOB Sales are based on the best available information as of the report date.
Date:		Signature:					Title:
Paper version of Form SC-266-6 (Rev.9/2016. Destroy previous editions.)

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Sheet 2: Price pg. 2

								OMB No. 0581-0189
KISS 20__/20__			Kiwifruit Administrative Committee (KAC)
PRICE/SHIPMENT REPORT			Email: [email protected]			COMPANY:
Page 2			Fax No.: (916) 446-1063			CONTACT:
			KAC Phone No.: (916) 441-0678			PHONE No.:
WHEN EXPORT MARKET IS CIRCLED ON PAGE 1, INFORMATION ON PAGE 2 MUST BE COMPLETED.						Week of ____________ through ____________
						Report Due by 5:00 p.m. each Tuesday
EXPORT COUNTRY (fill in Countries as needed)		PACK STYLE - ENTER PACK STYLES AT THE TOP OF EACH COLUMN
Canada	(No of Containers)
	Gross FOB Sales
Mexico	(No of Containers)
	Gross FOB Sales
Korea	(No of Containers)
	Gross FOB Sales
	(No of Containers)
	Gross FOB Sales
	(No. of Containers)
	Gross FOB Sales
	(# of Containers)
	Gross FOB Sales
	(No. of Containers)
	Gross FOB Sales
	(No. of Containers)
	Gross FOB Sales
	(No. of Containers)
TOTALS	Gross FOB Sales
Paper version of Form SC-266-6 (Rev. 9/2016. Destroy previous editions.)

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Sheet 3: Instruct. back of pg.1

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 0581-0189. The time required to complete this information collection is estimated to average 60 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. 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.
REPORT IS DUE BY 5:00 P.M. EACH TUESDAY FROM THE TIME YOUR SHIPPING SEASON BEGINS UNTIL IT ENDS.
IF NO SHIPMENTS WERE MADE DURING REPORTING PERIOD CHECK THE APPROPRIATE BOX ON THE FORM AND RETURN.
Instructions for completing KISS Price Report - Page 1:
1.	Enter appropriate Handler/Marketer information.
2.	Circle appropriate market and grade. Separate forms must be completed for each market and each grade category. For instance, if all shipments were
	Domestic but included both US #1 and KAC grades, a form must be filed for Domestic - US #1, and a form for Domestic - KAC. If any fruit was
	exported another report must be filed for those shipments, also separated by grade.
3.	Enter beginning and ending dates for reporting week. Reporting period runs from Sunday through Saturday.
4.	If no shipments were made during the previous week, check the box and return report. Reports must be filed each week during the shipping season,
	even when no shipments are made.
5.	If final report of the season, check box. After final report is filed no further price reports are required.
6.	Across the top of columns, enter the type of pack styles shipped during reporting period. Select pack styles from the list below.
7.	For each pack style, enter the total number of containers shipped and gross FOB sales by size for the reporting period.
8.	Sign and date report.
	Description			Enter this pack style on report
	9kg (19.8 lb.) Volume Fill			Volume Fill
	Single layer tray			Trays
	Container with 3-layers			3-Layers
	125 lb. Bins			Bins
	Master Container with 20 - 1 lb. Bags			20/1# Bags
	Master Container with 10 - 1kg Bags			10/1kg Bags
	Master Container with 4 - 4lb. Clams			4/4# Clams
	Master Container with 8 - 2lb. Clams			8/2# Clams
	Master Container with 27 -.8lb Clams			27/.8# Clams
	Master Container with 18 - 8 ct. Clams			18/8ct. Clams and net wt. of master container
	Master Container with 20 - 6 ct. Clams			20/6ct. Clams and net wt. of master container
	Returnable Plastic Containers, 9kg			RPC
	Containers with 2-layers			2-Layers and net wt. of container
	Euro Containers, must include description and net wt. (i.e. Euro 2-layers, 20# )			Type and net wt. of container
	Any other container type/consumer pack must include the description and container net wt.			Type and net wt. of container

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Sheet 4: Instruct. back of pg. 2

WHEN EXPORT MARKET IS CIRCLED ON PAGE 1, INFORMATION ON PAGE 2 MUST BE COMPLETED.
Instructions for completing KISS Price Report - Page 2:
1.	Enter appropriate Handler/Marketer information.
2.	Enter beginning and ending dates for reporting week. Reporting period runs from Sunday through Saturday.
3.	Across the top of columns, enter the type of pack styles shipped during reporting period. Select pack styles from the list below.
4.	For markets not listed, enter in the first column.
5.	For each market, enter the total number of containers shipped and gross FOB sales for the reporting period.
	Description			Enter this pack style on report
	9kg (19.8 lb.) Volume Fill			Volume Fill
	Single layer tray			Trays
	Container with 3-layers			3-Layers
	125 lb. Bins			Bins
	Master Container with 20 - 1 lb. Bags			20/1# Bags
	Master Container with 10 - 1kg Bags			10/1kg Bags
	Master Container with 4 - 4lb. Clams			4/4# Clams
	Master Container with 8 - 2lb. Clams			8/2# Clams
	Master Container with 27 -.8lb Clams			27/.8# Clams
	Master Container with 18 - 8 ct. Clams			18/8ct. Clams and net wt. of master container
	Master Container with 20 - 6 ct. Clams			20/6ct. Clams and net wt. of master container
	Returnable Plastic Containers, 9kg			RPC
	Containers with 2-layers			2-Layers and net wt. of container
	Euro Containers, must include description and net wt. (i.e. Euro 2-layers, 20# )			Type and net wt. of container
	Any other container type/consumer pack must include the description and container net wt.			Type and net wt. of container