QS Holder: Identification of ownership interest

Revised: 02/20/2018

OMB Control No. 0648-0272 Expiration Date: 03/31/2018

QUOTA SHARE (QS)
HOLDER:IDENTIFICATION OF
OWNERSHIP INTEREST

U.S. Dept. of Commerce/NOAA
National Marine Fisheries Service (NMFS)
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, AK 99802-1668

BLOCK A -- IDENTIFICATION OF QUOTA SHARE HOLDER
1. Name of QS holder: _________________________________________________________________
2. Is this business a publicly held corporation?
If YES, proceed to Block C.

[ ] YES

[ ] NO

3. Is this a corporation, association, partnership, or other non-individual entity? [ ] YES

[ ] NO

If YES, is this entity still active?
4. Is this an estate that has been probated?
If YES, on what date was probate finalized:

[ ] YES

[ ] NO

[ ] YES

[ ] NO

_____________________

BLOCK B - - IDENTIFICATION OF MEMBERS
SHAREHOLDERS, PARTNERS, JOINT VENTURERS, SUCCESSORS-IN-INTEREST
NOTE: if ownership consists of separate/additional corporations or partnerships the individual owners of those
entities and the percentage of interest those individuals hold in their respective corporations or partnerships must
also be listed.
2. % Interest Held
1. Name of Owner(s)

3. Indicate whether the ownership percentages represent the addition of any new owners since QS initially was issued.
[ ] YES

[

] NO
TOTAL OWNERSHIP:

QS Holder:
Identification of Ownership Interest
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100 %

BLOCK C – CERTIFICATION
Under penalty of perjury, I declare that I have examined this form, and to the best of my knowledge and belief, the
information I have presented here is true, correct, and complete.
1. Signature
2. Date

3. Printed Name

4. Title, if Authorized Representative

_______________________________________________________________________________
PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 2 hours per response, including the
time for reviewing the instructions, searching the existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding the burden estimate or any other
aspect of this collection of information, including suggestions for reducing the burden, to Assistant Regional
Administrator, Sustainable Fisheries Division, NOAA National Marine Fisheries Service, P.O. Box 21668, Juneau, AK
99802-1668.
ADDITIONAL INFORMATION
Before completing this form please note the following: 1) Notwithstanding any other provision of law, no person is
required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of
information subject to the requirements of the Paperwork Reduction Act, unless that collection of information displays a
currently valid OMB Control Number; 2) This information is mandatory and is required to manage commercial fishing
efforts under 50 CFR part 679 and under section 402(a) of the Magnuson-Stevens Fishery Conservation and
Management Act (16 U.S.C. 1801, et seq.); 3) Some information collected on this application form is made available to
the public on the NMFS, Alaska Region, webpage (www.alaskafisheries.noaa.gov). Other information is confidential
under section 402(b) of the Magnuson-Stevens Act and NOAA Administrative Order 216-100, which sets forth
procedures to protect confidentiality of fishery statistics.
PRIVACY ACT STATEMENT
AUTHORITY: The collection of this information is authorized by the Magnuson-Stevens Fishery Conservation and
Management Act, 16 U.S.C. 1801 et seq.
PURPOSE: NMFS uses the information provided on this application to determine compliance with Individual Fishing
Quota (IFQ) requirements including to 1) determine if persons who hold QS have exceeded their allowable use limits
under the “individually and collectively” language set out in the IFQ regulations at 50 CFR 679.42(e) and (f); 2)
determine changes in corporations or partnerships; 3) identify first-time applicants; 4) affirm an entity’s continuing
existence; 5) ensure corporations and partnerships are not erroneously issued annual IFQ resulting from the collectively
held QS; and 6) determine indirect ownership of vessels for purposes of the hired master provisions of the IFQ Program.
ROUTINE USES: Disclosure of this information is subject to the published routine uses identified in the Privacy Act
System of Records Notice COMMERCE/NOAA-19, Permits and Registrations for the United States Federally
Regulated Fisheries. NMFS may post some information from this form on its public website
(www.alaskafisheries.noaa.gov. In addition, NMFS may share information submitted on this form with other State and
Federal agencies or fishery management commissions, including staff of the North Pacific Fishery Management Council
and Pacific States Marine Fisheries Commission.
DISCLOSURE: Providing this information is voluntary; however, the failure to provide complete and accurate
information will prevent the participation in the IFQ Program.
________________________________________________________________________________________________
QS Holder:
Identification of Ownership Interest
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INSTRUCTIONS
QS HOLDER: IDENTIFICATION OF OWNERSHIP INTEREST
This form must be submitted by corporations, partnerships, associations, and other non-individual entities that hold quota
share (QS) under the Pacific halibut and sablefish Individual Fishing Quota (IFQ) Program (50 CFR part 679). The
information requested herein is needed by RAM to determine compliance with IFQ program requirements, including:
♦

Limitations On Use of QS and IFQ.
This information is needed to determine if persons who hold QS have exceeded their allowable use limits under the
“individually and collectively” language set out in the IFQ regulations at 50 CFR 679.42(e) and (f); and,

♦

Changes in corporations or partnerships.
This information is also needed to determine if a corporation or partnership that holds catcher vessel QS has changed
(i.e., the addition of a new member).
An entity must notify NMFS of any change within 15 days of its effective date and must then transfer its QS to a
qualified individual.

♦

Identify first-time applicants.

♦

Affirm an entity’s continuing existence.

♦

Ensure corporations and partnerships are not erroneously issued annual IFQ resulting from the collectively
held QS.

♦

Indirect ownership of vessels for purposes of the hired master provisions of the IFQ Program.

GENERAL INFORMATION
Please type or print legibly in ink. Copy and attach additional sheets as necessary. Please sign in ink, and retain a copy for
your records.
When completed, submit the original application:
by mail to:
NMFS Alaska Region
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, AK 99802-1668
by delivery to:

Room 713, Federal Building
709 West 9th Street
Juneau, AK

By fax to:

(907) 586-7354

Applications submitted via fax will be accepted only if the faxed copy is legible

QS Holder:
Identification of Ownership Interest
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Items will be sent to you by first class mail, unless you provide alternate instructions and include a prepaid mailer with
appropriate postage or a corporate account number for express delivery. Additional information is available from RAM, as
follows:
Website: https://alaskafisheries.noaa.gov/
Telephone (toll free): 800-304-4846 (press “2”)
Telephone (in Juneau): 907-586-7202 (press “2”)
e-Mail: [email protected]

COMPLETING THE APPLICATION
BLOCK A - IDENTIFICATION OF QS HOLDER
1. Provide name of QS holder.
2. Indicate whether the QS Holder is a publicly held corporation.
If YES, sign the certification in Block C and return the form to RAM.
3. Indicate whether the QS Holder is a corporation, association, partnership, or other non-individual entity.
If YES, indicate whether the entity is still active; If YES, go to Block B.
If NO, sign the certification in Block C and return the form to RAM.
4. Indicate whether the QS Holder is an estate that has been probated.
You must answer YES if the non-individual QS Holder is an estate and all estate matters with regard to the
disposition of the assets, including QS, have been finalized.
Provide the date the estate was settled.
BLOCK B - IDENTIFICATION OF MEMBERS
1. List the individual owners of entities if ownership consists of separate or additional shareholders, partners, joint
venturers, successors-in-interest, associations, corporations, partnerships, or other non-individual entities.
2. Enter the percentage of ownership interest that each constituent member holds; for example, if there are three equal
owners, enter "33-1/3" for each. The total interest of all members should equal 100 percent.
3. Indicate whether the ownership percentages represent the addition of any new owners since QS initially was issued.
If any of the owners listed were added since QS were issued, you must answer YES.
BLOCK C - CERTIFICATION
Sign and date the application and print your name. Note: Authorized representatives must submit proof of
authorization from QS owner and state title.

QS Holder:
Identification of Ownership Interest
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