P&SP 3005 Supplement to Annual Report of Packers

Instructions to Complete
Supplement to Annual Report of Packers
Form P&SP–3005
As a packer, if you slaughter at more than one plant, you must submit a separate Form P&SP3005 for each plant, in addition to Form P&SP-3004. The total values reported in Section 2 of
each form P&SP-3005 will be combined and reported as the totals in Section 6 of Form PS&P3004.
All items with an asterisk (*) following them must be completed before submitting the form
to PSP. If the items are not completed when the form is received, the form will be returned
for completion by the reporting firm.
FORM HEADER – BUSINESS ENTITY ID
Business Entity ID should be completed using information provided by P&SP. If the information
is not already completed on the form, please contact your Regional P&SP office to obtain the
number.
FORM HEADER – PREFERENCE FOR FILING
Select the method by which you prefer to receive your Annual Report; Electronic or Paper Copy.
If you select Electronic, you will no longer receive a letter and forms via the Postal Service from
P&SP reminding you that your annual report is due.
GENERAL INFORMATION - SECTION 1
Enter name, address and contact information for entity.
LIVESTOCK FEEDING OPERATIONS, PROCUREMENT AND SLAUGHTER –
SECTION 2
Line 201-204: Enter plant name, mailing address of plant, and physical address of facility.
Line 205-206: Check highest level of inspection and inspection number if inspected.
Line 207: Check ownership status. Neither indicates plant performs custom slaughter for you.
Line 208-211: Enter name and address for four largest entities for whom you slaughtered on a
custom basis at this plant during the reporting period.
Line 212-217: For each of the four entities listed on lines 208-211, enter total number of head of
each category of livestock slaughtered by you on a custom basis during the reporting period.
Enter custom slaughter for all others on line 216. Enter column totals on line 217.
For lines 218 through 225 committed supply arrangements include marketing agreements,
forward contracts, and formula contracts agreed on more than 14 days before slaughter. The
term “formula contract” means the commitment of livestock for slaughter by any means other
than through a negotiated purchase or a forward contract, using a method for calculating price
in which the price is determined at a future date. Committed supply arrangements also include
written and verbal agreements on delivery volume and pricing terms in some combination
agreed on more than 14 days before slaughter, or to those commitments that only specify
number of livestock delivered or commitments that only specify how price will be settled if
livestock are delivered.
Line 218: Enter all livestock slaughtered that were owned, in whole or in part, more than 14 days
by your firm or its subsidiaries, your firm’s parent or ultimate parent firm, or another firm
owned, in whole or in part, by your firm’s parent or ultimate parent firm.

P&SP Form 3005-i

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Line 219: Enter all livestock slaughtered that were procured from other packers through
Committed Supply arrangements agreed on more than 14 days before slaughter.
Line 220: Enter all other livestock slaughtered that were procured through Committed Supply
arrangements agreed on more than14 days before slaughter.
Line 221: Enter column totals (218 through 220) on line 221.
Line 222: Enter all livestock slaughtered that were procured from other packers through noncommitted supply arrangements, which procure 14 days or less before slaughter.
Line 223: Enter the number of head procured directly at the packing plant, buying stations,
feedlots, etc. from non-committed supply arrangements, which procure 14 days or less before
slaughter.
Line 224: Enter the number of head procured through public markets from non-committed supply
arrangements, which procure 14 days or less before slaughter.
Line 225: Enter column totals (lines 222 through 224) on line 225.
Line 226: For each category of livestock procured but not slaughtered, enter the number of head
sold during the reporting period.
Line 227: For each category of livestock procured but not slaughtered, enter the number of head
that died or were condemned during the reporting period.
Line 228: Enter column totals (lines 226 and 227) on line 228.
Line 229: For each category of livestock, add lines 217, 221, 225, and subtract line 228; enter as
Total Slaughter.
Line 230: For each category of livestock, enter total number of livestock slaughtered that were
purchased and paid for on a dressed weight or a carcass merit basis (i.e., other than live weight
purchases).
Line 231-232: Check the appropriate box to indicate whether or not you use any type of
electronic evaluation device (other than scale) for payment determination. If yes, enter the type
of equipment and the manufacturer.

P&SP Form 3005-i

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For P&SP Stamp Only

Business Entity ID*

U.S. Department of Agriculture
Grain Inspection,
Packers and Stockyards
Administration
Packers and
Stockyards
Program

P&SP Bar Code Only

SUPPLEMENT TO ANNUAL REPORT
OF PACKERS

Indicate your preference to submit forms
electronically, or by paper copy

Electronic Filing
Manual Filing

Instructions: If an item's value is zero, enter "0". If an item does not apply, enter "NA". Upon completion please verify that all items have been
answered. Return completed form to the P&SP Central Reporting Unit. See separate instructions for complete information about this report. You must
complete a separate Form 3005 for each plant you operate and enter total values for all plants on Form 3004.
You must complete Form P&SP-3005 for each plant that you use for your firm's operations. The total values reported in
Section 2 of this form will be combined and reported as the totals in Section 6 of Form P&SP-3004
GENERAL INFORMATION - SECTION 1

Reporting Period*
(mm/dd/yy-mm/dd/yy)
Legal Name of Reporting*
102
Packer
101

a. from

b. to

103 Business Name (dba)*
104 Mailing Address*
105 City, State, Zip*

LIVESTOCK FEEDING OPERATIONS, PROCUREMENT, AND SLAUGHTER - SECTION 2

Plant Information.
Report the plant used for your slaughter operations below. Enter total firm values on Form 3004.
201 Plant Name*
202 Plant Mailing Address*
203 City, State, Zip*
204

Plant Physical Address (if
different from 202)*

205 Is this plant federally or state inspected?

Federal

State

Neither

Own

Lease

Neither

206 FSIS or state plant inspection number:*
207 Do you own or lease this plant?

Custom Slaughter: If you custom slaughter for other businesses in the plant listed in line 201, complete lines 208-217, otherwise skip to line 218.
List the names and addresses of the four largest entities for which you provided custom slaughter services at this plant in lines 208-211. List only entities for which you custom
slaughter at least 100 head.
Entity Name
208

1st Entity

209

2nd Entity

210

3rd Entity

211

4th Entity

Entity Address

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 is 0580-0015. The time required to complete this information collection is estimated to average 3 hours
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.

OMB No. 0580-0015
Expires: xx/xx/20xx

Form 3005

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Custom Slaughter continued.
Enter the number of head slaughtered for each entity listed in lines 209-212. Add total slaughter for entities not in your largest four and less than 100 head together and list on
line 216. Total all values on line 217.
Steer/Heifer (hd)
212

1st Entity

213

2nd Entity

214

3rd Entity

215

4th Entity

216

All others

217

Total

Cow/Bull (hd)

Hog (hd)

Sheep/Goat (hd)

Other (hd)

Hog (hd)

Sheep/Goat (hd)

Other (hd)

Calf (hd)

Hog (hd)

Sheep/Goat (hd)

Other (hd)

Calf (hd)

Hog (hd)

Sheep/Goat (hd)

Other (hd)

Calf (hd)

Hog (hd)

Sheep/Goat (hd)

Other (hd)

Hog (hd)

Sheep/Goat (hd)

Other (hd)

Calf (hd)

Committed Procurement: Livestock procured more than 14 days before slaughter.
Steer/Heifer (hd)

Cow/Bull (hd)

Calf (hd)

Packer
218
owned
From other
219
packers
All other
220 committed
sources
221 Total

Non-Committed Procurement: Livestock procured 14 days or fewer before slaughter.
Steer/Heifer (hd)

Cow/Bull (hd)

From other
222
packers
223 Direct
Through
224 public
markets
225 Total

Slaughter Adjustments: Livestock procured but not slaughtered.
Steer/Heifer (hd)

Cow/Bull (hd)

Livestock
226
sold
Dead or
227
condemned
228 Total

Total Slaughter.
Line 229 equals line 217 plus line 221 plus line 225 minus line 228
Steer/Heifer (hd)

Cow/Bull (hd)

Total
229
slaughter
Number of Livestock Purchased Based on Carcass Basis and Dressed Weight (i.e., not liveweight).
Steer/Heifer (hd)
230

Cow/Bull (hd)

Calf (hd)

Carcass and
Dressed

231 Do you use an electronic instrument to measure carcass characteristics to determine payment to sellers?

Yes

No

232 If you answered yes in item 231, list the manufacturer and the type of instrument.
Submitted information is confidential (9 CFR 201.96). Failure to report will result in forfeiture to the United States $110 per day until report receipt 7 (U.S.C. 222). Enclose this form
and all completed 3005 forms required with Form 3004, Annual Report of Packers.

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.

Form 3005

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