PMC 8.9 (993) CA Dried Prunes--Prune Grower Number Assignment

OMB No. 0581-0178

PRUNE GROWER NUMBER ASSIGNMENT

TO: Prune Marketing Committee _______________________________________

3840 Rosin Court, Suite 170 Handler Name

Sacramento, CA 95834

Date: __________________________________

Please assign grower number _______________ and lot code(s) ______________________ to our growers as indicated below and mail the number assignment to our Receiving Station _____________ Main Office at ________________________________________________________________________.

PMC Number	Grower’s Name and Address	Lot No.	Share % or $	Status2	County3

¹ Prune Marketing Committee (Committee) to fill in space.

² O = Owner-Operator; L = Share Landlord; T = Tenant; P = Partnership

³ County of Production

Handler’s Main Office Address:

__________________________________

__________________________________ Signed: __________________________

Receiving Station Address: Title: ___________________________

__________________________________

__________________________________

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- 0178. The time required to complete this information collection is estimated to average 5 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.

INSTRUCTIONS

Refer to “PREFERRED PRACTICE IN ARRANGING GROWER NAMES” for guidance in setting forth in the space provided on this form all data needed to identify a grower. The numbers used below refer to the numbered sections of the above noted guide.

1. Where an Owner-Operator receiving 100% proceeds for his prunes desires several lots to be distinguished from each other, list his name and address and the first lot designation or number in a block on the face of this form. Ditto succeeding lower blocks in the “Grower’s Name and Address” section and enter the desired lot number in the space marked “Lot No.”. If lot names are desired, instead of numbers, just write across the next column to the right since this space is not used (Ex.: James C. Prune (Home Lot)). Insert the designation “0” in the “Status” column of the form.

2. In “Share” situations be sure to list together in vertical sequence all entities having a percentage of the proceeds of either a consolidation of several deliveries or of a single lot as identified to a given producer entity. This will be your only direction to us as to what entities belong together. Be sure the share percentage entities add to 100%.

3. These differ from 2. In that shares of the partnership govern net prune proceeds distribution on the same basis as all other partnership net income. Such shares are not to be shown on this form.

4. Self-explanatory.

5 Lien holders usually have a priority dollar interest in a crop. After such amount is paid, remainder of proceeds reverts to the producer entity as otherwise established under 1, 2, 3, and 4, above. Be sure that you identify Lien holders to their proper grower by listing a Lien holder immediately below the data for the producer entity in which he has an interest. This procedure is used only when a Reserve Pool is in effect.

General: Where multiple names of persons are needed for a single address, it is important that the person whose address is used be the first person named. This will avoid postage mail being returned as “undeliverable” because the mailman/mail does not recognize the first named person as the occupant of the address given.

AUTHORITY: This report is required by law (7 U.S.C. 608(d), 7 CFR 993.73).

FAILURE TO REPORT can result in a fine for each such violation and each day during which such violation continues shall be deemed a separate violation.

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.

PMC 8.9 (Rev. 01/2017) Destroy previous editions.