LPS-26 Nomination of Cattle Producers

REPRODUCE LOCALLY. Include form number and date on all reproductions.

FORM APPROVED. – OMB NO. 0581‐0093

U.S. DEPARTMENT OF
AGRICULTURE AGRICULTURAL
MARKETING SERVICE

NOMINATION OF CATTLE PRODUCERS FOR APPOINTMENT TO THE BEEF
PROMOTION AND RESEARCH BOARD
Pursuant to the Beef Promotion and Research Act of 1985, the following names of cattle producers are submitted as nominees to the
1. State
Cattlemen’s Beef Promotion and Research Board.
2.
NAME(S) OF NOMINEE(S)
3.
CERTIFICATION NUMBER OF ORGANIZATION REPRESENTED
(Last name(s) for each allotted position on the Board.)

(List only if different from organization/association submitting this nomination.)

IF MORE SPACE IS NEEDED, USE ADDITIONAL FORMS.

4. When nominations are the result of a caucus, list the certification numbers of organizations or associations participating in the caucus.
A.
E.
I.
B.
F.
J.
C.
G.
K.
D.
H.
L.
5. IDENTIFICATION OF PERSON AND ORGANIZATION/ASSOCIATION SUBMITTING THESE NOMINATIONS
A Name and address of organization/association

B Certification number

C Name and title (type or print)

D Signature

RETURN ORIGINAL FORMS TO:

LPS‐26 (rev. 04/17)

Research and Promotion Division
Livestock, Poultry, and Seed Program, AMS
U.S. Department of Agriculture
Street
City, State Zip

Date

FAX – (202) 720-1125

See reverse for burden/non-discrimination statement

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