COC-17 (932) Olives-Final Assessment Payment

Vegetable and Specialty Crops

COC-17 Final Assessment Payment updated

OMB: 0581-0178

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OMB No. 0581-0178

FINAL ASSESSMENT PAYMENT

20___ CROP YEAR

Date: _________________________, 20___


  1. TO: California Olive Committee

2565 Alluvial Avenue, Suite 152

Clovis, CA 93611

(2) FROM:



(3) Report of olives first handled and used in the production of canned ripe olives.

VARIETY

CANNING

LIMITED

EXEMPT

ESTIMATED EXEMPT

TOTAL EXEMPT

TOTAL ASSESSED TONS

Sevillano







Ascolano







Manzanillo







Mission







Barouni







Obliza







TOTAL








(4) TOTAL ASSESSMENTS (ASSESSABLE TONNAGE x ____ PER TON) $_____________


(5) LESS TOTAL PAYMENTS TO DATE $_____________


(6) BALANCE OF ASSESSMENT NOW DUE AND PAYABLE $_____________


(7) OLIVES FOR THIS CROP YEAR HAVE ALL BEEN PACKED? YES NO


(8) CERTIFICATION AND SIGNATURE: The undersigned, on behalf of the reporting handler, certifies to the California Olive Committee and the Secretary of Agriculture of the United States that this report represents a complete and accurate record of all olives handled (as defined in section 932.16 of Marketing Order No. 932.)


______________________________ _________________ ___________ _____________________

Authorized Signature Title Date EIN


Attach schedule (form COC-14) for computing exempt tonnage to date. If exempt estimate is used for storage olives, report on reverse side “STORAGE HOLDINGS.” OLIVES HELD IN STORAGE AS OF ______________________, 20____.


VARIETY

CANNING TONNAGE

LIMITED TONNAGE










TOTAL







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 OMB 0581-0178. The time required to complete this information collection is estimated to average 15 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.


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.

COC-17 (Exp. 3/31/2024) Destroy previous editions.

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