LPS-26-1 Nomination of Cattle Importers

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 IMPORTERS FOR APPOINTMENT TO THE BEEF PROMOTION AND RESEARCH BOARD

Pursuant to the Beef Promotion and Research Act of 1985, the following names of importers of beef, beef products, or cattle are submitted as nominees to the
Cattlemen’s Beef Promotion and Research Board.
1.

NAME(S) OF NOMINEE(S)

(Last name(s) for each allotted position on the Board.)

2.

CERTIFICATION NUMBER OF ORGANIZATION REPRESENTED

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

IF MORE SPACE IS NEEDED, USE ADDITIONAL FORMS.

3. 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.
4. 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‐26‐1

(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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