CIAB 5 B Inventory Location Report (Rev. 2016)

OMB No. 0581-0177

I

CIAB

FORM #5 B

Crop Year

Due Dates:

Oct. 1 _____

May 31 _____

NVENTORY LOCATION REPORT

Cherry Industry Administrative Board

P.O. Box 388, DeWitt, MI 48820-0388

Tel: 517/669-1070 Fax: 517/669-1260

This report is required of all Handlers holding inventory. Reports are due by the close of business Eastern Time on

October 1and May 31 and at any other time that a rotation of stock in inventory reserves is desired.

Handler: Handler ID#

Address, City, State, Zip:

Telephone No.:

Warehouse Address: ___________________________________________________________________________

	Warehouse Lot ID #	Producing Handler1	Container Codes	Form of Product	# of Units	RPE Factor/Unit	RPE of Lot 2
1.
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17.17
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25.
	TOTAL3:

1. Please provide the name of the handler that manufactured the product you are placing in the reserves.

2. Conversion of finished product to its Raw Product Equivalent (RPE) should be calculated using your company’s conversion factor if the product was manufactured by your firm or the originating handler’s RPE factor if you are using another handler’s product.

3. The RPE total should equal the Form 4, Reserve Inventory less completed diversion activities less CIAB releases.

The undersigned herby certifies to the CIAB and the Secretary of Agriculture that this is the true and correct Inventory

Location Report for the undersigned Handler for the indicated crop year.

Page: ____ of ____ By:

Title:

Date:

According the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number to this information collection is 0581-0177. The time required to complete this information collection is estimated to average 10 minutes per response, including the time for 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.

CIAB Form #5B (Rev. 12/2016)