MAN-NOM Mangos Nomination Form - English

Approved OMB No. 0581-0093

NATIONAL MANGO BOARD
NOMINATION TO SERVE ON THE NATIONAL MANGO BOARD
(Under the Mango Promotion, Research, and Information Order (7 CFR Part 1206))

The Mango Promotion, Research, and Information Order provides that importers, first handlers, domestic producers, and foreign producer
organizations may submit nominees to serve on the National Mango Board. Nominees for first handlers and domestic producers may be
submitted by respective entities; importers may submit nominees for their respective region(s); and eligible foreign producer organizations
may submit nominees for foreign producer positions. The National Mango Board shall nominate wholesaler and/or retailer members.
Attach a separate sheet if additional space is needed. Please submit a separate form for each nominee.
NAME, BUSINESS ADDRESS, AND TELEPHONE NUMBER OF
NOMINEE

CHECK ONE
( ) DOMESTIC PRODUCER
Domestic Producer means any person who is engaged in the production
and sale of mangos in the United States and who owns, or shares the
ownership and risk of loss of, the crop or a person who is engaged in the
business of producing, or causing to be produced, mangos beyond the
person’s own family use and having value at first point of sale.

( ) FIRST HANDLER
First Handler means any person, (excluding a common or contract carrier), receiving

500,000 or more pounds of mangos from producers in a calendar year and
who as owner, agent, or otherwise ships or causes mangos to be shipped as
specified in the Order. This definition includes those engaged in the
business of buying, selling and/or offering for sale; receiving; packing;
grading; marketing; or distributing mangos in commercial quantities. The
term first handler includes a producer who handles or markets mangos of
the producer’s own production.

( ) IMPORTER
Importer means any person importing 500,000 or more pounds of mangos
into the United States in a calendar year as a principal or as an agent,
broker, or consignee of any person who produces or handles mangos
outside of the United States for sale in the United States, and who is listed
as the importer of record for such mangos.

( ) FOREIGN PRODUCER
1.

2.

Foreign Producer means any person:
Who is engaged in the production and sale of mangos outside of the
United States and who owns, or shares the ownership and risk of loss
of the crop for sale in the U.S. market or
Who is engaged, outside of the United States, in the business of
producing, or causing to be produced, mangos beyond the person’s
own family use and having value at first point of sale.

NAME AND MAILING ADDRESS OF PARTY OR ELIGIBLE ORGANIZATION SUBMITTING NOMINATION

NAME OF RESPONDING OFFICIAL (PRINT)

SIGNATURE

TITLE OF RESPONDING OFFICIAL (PRINT)

DATE

RETURN ORIGINAL TO:

NATIONAL MANGO BOARD
Street
City, State Zip Code

MAN-NOM (03/17) Destroy previous editions.
(English)

OMB No. 0581-0093

DIVERSTIY STATEMENT
The National Mango Board (NMB) encourages industry members without regard to race, color, national
origin, sex, religion, age, disability, political beliefs, sexual orientation, size of business/operation, and
marital or family status or other basis protected by U.S. law to participate in NMB activities and seek a
position on the NMB.

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
0581-0093. The time required to complete this information collection is estimated to average 15 minute 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.

MAN-NOM (Rev. 03/17) Destroy previous editions.
(English)