PMC 10.1-B (993) PMD Application for Prune Plum Diversion Sunsweet

OMB No. 0581-0178

APPLICATION FOR PRUNE PLUM DIVERSION

SUNSWEET PRODUCER

To: PRUNE MARKETING COMMITTEE 1. Date: _____________________

3840 Rosin Court, Suite 170

Sacramento, CA 95834

The undersigned hereby certifies that all information contained in this application is true and correct to his best knowledge and belief and that he held proprietary interest in the prune plums for diversion as of July 1, 20___.

FOR PMC USE ONLY
A. Producer Number
B. Application Approved
C. Field Office
Telephone Number

2. Name of Member: ____________________________

___________________________________________

3. Address: ____________________________________

____________________________________________

4. Producer Status (check one): (1) Owner Operator □

(2) Share Landlord □

(3) Share Tenant □

(4) Cash Tenant □

4a. Name of other person(s) holding a financial interest in the prune plums for diversion: _________________

_________________________________________________________________________________________

DIVERSION
5. Maximum Green Tons Applied for		HARVESTED	UNHARVESTED	TOTAL
6. County(ies) of Production
7. Variety(ies) of Prune Plums
8. Location of Diversion	Dump Location		Orchard Location
9. Diversion Deposit: (Sunsweet Growers, Inc. will pay deposit.) If Line 5 Total is 28.5 GREEN tons or less the minimum deposit is $100. If Line 5 Total is greater than 28.5 GREEN tons multiply Line 5 Total by $3.50.				$

10. Orchard Operator’s Name: ________________________________________________________________

(IF DIFFERENT THAN LINE 2)

11. Applicant’s Signature and Title: ____________________________________________________________

12. Telephone Number: _____________________________________________________________________

(AREA CODE AND NUMBER)

13. Mail to the Prune Marketing Committee (Committee) at the address above.

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 10 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 – SUNSWEET PRODUCER

1. Study the example before filling out your application on the reserve side of this sheet.

2. Do not write anything in the block marked “For PMC Use Only.”

3. Be sure the application is otherwise completed in full to avoid rejection.

4. If you are a dehydrator or green fruit buyer acting as a diversion agent for one or more producers, please contact the Committee/Sacramento for special instructions in filling out your application (s).

5. The following instructions are numbered to correspond to the line numbers on the application.

1. Fill in the data on which the application is filled out.

2. The name of the member on line 2 should correspond with the member’s membership account name as it appears on the records of Sunsweet.

3. Address of 2.

4. On line 4, check the appropriate block(s) that applies (apply) to the status of the producer named on line 2. For example, if the name on line 2 is the Share Landlord, check box no. 2 on line 4.

4a. If a portion of the proceeds from the prune plums being diverted is payable to someone other than the applicant as evidenced by a crop assignment on record with Sunsweet, enter the person(s) to whom payment is to be made.

5. On line 5, enter in each box the green tons you intend to divert (not dried equivalent). If you intend to divert only HARVESTED (Dipper), enter the green tons applied for in the “Harvested” box, enter NONE in the “Unharvested” box, and repeat the figure entered in the “Harvested” box in the TOTAL box. If you intend to divert both harvested and unharvested, enter in the appropriate box the green tons to be diverted by each method, and show the total in the TOTAL box.

6. The county(ies) in which the prune plums for diversion were actually produced.

7. The variety(ies) of prune plums to be diverted. If interplants, enter the predominant varieties and the percentage of each variety.

8. The physical location where diversion will take place. Provide sufficient instructions to allow Committee representatives to locate the diversion location.

9. The fee for Sunsweet members will be paid by Sunsweet Growers Inc.

Sunsweet Growers Inc. will compute the fee on the basis of $100 for 28.5 tons or less and at $3.50/ton over 28.5 tons.

10. Print the title (ranch foreman, manager, etc.) and name of the person to be contacted at the diversion location if other than the applicant.

11. Member’s signature (or signature of authorized representative) and title which has been filed in writing with Sunsweet Growers Inc.

12. Telephone number at which you can be reached to during the day. If you are there only during certain hours of the day so indicate, for example (916) 123-4567 (12:00-1:00 p.m.).

13. Mail application to this address. If you have questions, call (916) 565-6235, or write to the address shown on line 13 of the application.

IMPORTANT NOTICE: The issuance of a false certificate knowing it to be false is a violation of title 18, section 1001 of the United States Code, which provides a penalty of a fine or imprisonment, or both.

AUTHORITY: § 993.62 of Marketing Order No. 993, as amended, and § 993. 162(c) of the Administrative Rules and Regulations established pursuant thereto.

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 10.1B (Exp. x/xxxx) Destroy previous editions.