Application for Quota Share

OMB Control No.: 0648-xxxx
Expiration Date: mm/dd/yyyy

Revised: 05/21/2007

Application for Amendment 80
Quota Share (QS)

U.S. Dept. of Commerce/
NOAA National Marine Fisheries Service
Restricted Access Management
P.O. Box 21668
Juneau, AK 99802-1668
Telephone: 800-304-4846 toll free / 586-7202
in Juneau
Fax: 907-586-7354

This application must be completed and received by NMFS no later than 1700 hours A.l.t. on October 15, 2007, or
if sent by U.S. mail, postmarked by that time, for the applicant to be considered for initial issuance of Amendment
80 QS. Only applicants that are determined to be eligible under 50 CFR 679.90(a)(2) will receive an initial
allocation of Amendment 80 QS.
Indicate (U) whether you are applying as:
[__] The owner of an Amendment 80 vessel as defined in 50 CFR 679.2. Review and Complete Blocks A, B, and C
as applicable. Sign and date Block E.
[__] The holder of an Amendment 80 LLP license originally assigned to an Amendment 80 vessel that is no longer
able to be used in the Amendment 80 Program due to the actual total loss, constructive loss, or permanent
ineligibility of that vessel. Review and Complete Blocks A, B, and D as applicable. Sign and date Block E.
Refer to application instructions for a list of Amendment 80 vessels and Amendment 80 LLP licenses.
1. Applicant name

BLOCK A -- APPLICANT IDENTIFICATION
2. NMFS person ID

3. Permanent business mailing address

4. Business telephone number

5. Business FAX number

If YES, enter date of birth:

7. Is applicant a U.S. citizen?
[_] YES

[_] NO

8. Is applicant a U.S. corporation, partnership,

association, or other business entity?
[_] YES

If YES, enter the date of incorporation;

[_] NO

9. Is applicant a successor-in-interest to a deceased
individual or to a non-individual no longer in
existence?
[_] YES

6. e-mail address (if available)

If YES, attach evidence of death or dissolution;

[_] NO
Amendment 80 QS Application
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OMB Control No.: 0648-xxxx
Expiration Date: mm/dd/yyyy

BLOCK B -- AGREEMENT WITH AMENDMENT 80 OFFICIAL RECORD
[

]

I AGREE with the Amendment 80 Official Record Summary sent to me by NMFS. If you check this box, you are
accepting the Rockfish Program Official Record. Proceed to Block E, sign the application, and return the application to
NMFS.

[

]

I DO NOT AGREE with the Amendment 80 Official Record Summary sent to me by NMFS. Sign Block E and
attach additional pages outlining the nature of your disagreement and provide documentation supporting your claims.

[

]

I DID NOT RECEIVE an Amendment 80 Official Record Summary from NMFS. I believe that I am eligible to
receive an initial allocation of Amendment 80 QS. Complete Blocks C and/or D as applicable, signed Block E and
provide documentation supporting your claims

BLOCK C – OWNER OF AMENDMENT 80 VESSEL

For an applicant claiming Amendment 80 legal landings associated with an Amendment 80 vessel, enter the following
information for each Amendment 80 vessel. You may be required to provide documentation, such as an abstract of title or U.S.
Coast Guard Certificate of Documentation, establishing your ownership of each Amendment 80 vessel for which you are
applying for Amendment 80 QS.
Vessel Name
LLP No.
ADF&G No.
USCG No.
Vessel Name

LLP No.

ADF&G No.

USCG No.

Vessel Name

LLP No.

ADF&G No.

USCG No.

Vessel Name

LLP No.

ADF&G No.

USCG No.

BLOCK D – HOLDER OF AMENDMENT 80 LLP LICENSE
The holder of an Amendment 80 LLP license may only receive an initial allocation of Amendment 80 QS if an Amendment 80
vessel(s) originally assigned to the Amendment 80 LLP license(s) listed below is no longer able to participate in the Amendment
80 Program due to actual total loss, total constructive loss, or is permanently ineligible to receive a fishery endorsement under 46
U.S.C. 12108. If the Amendment 80 vessel does not fit these requirements, the Amendment 80 QS derived from that vessel’s
catch must be applied for by the owner of the vessel.
List each Amendment 80 LLP license for which you are applying for Amendment 80 QS, the Amendment 80 vessel originally
assigned to each license, and
[ ] attach clear and unambiguous documentation in written form that the Amendment 80 vessel has suffered an actual total loss,
total constructive loss, or is permanently ineligible to receive a fishery endorsement under 46 U.S.C. 12108.
[ ] attach a copy of the express terms of a written contract held by the applicant that clearly and unambiguously indicates that the
owner of the Amendment 80 vessel that has suffered an actual total loss, total constructive loss, or is permanently ineligible to
receive a fishery endorsement under 46 U.S.C. 12108 has transferred all rights and privileges to use Amendment 80 legal
landings and any resulting Amendment 80 QS or exclusive harvest privilege from that Amendment 80 vessel to the person
holding the Amendment 80 LLP license originally assigned to that Amendment 80 vessel.
Amendment 80
LLP No.

Name

Amendment 80 Vessel originally assigned
ADF&G No.

Amendment 80 QS Application
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USCG No.

OMB Control No.: 0648-xxxx
Expiration Date: mm/dd/yyyy

BLOCK E -- APPLICANT CERTIFICATION

The applicant must sign and date the application certifying that all information is true, correct, and complete to the best of his/her
knowledge and belief. If the application is completed by an authorized representative, attach authorization to application.
Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, the
information presented here is true, correct, and complete.
1. Signature of Applicant (or Authorized Representative)

2. Date Signed

3. Printed Name of Applicant (or Authorized Representative); if representative, attach authorization

_______________________________________________________________________________________________________
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 Act (16 U.S.C. 1801, et seq.) as amended by Public Law 109-479; 3) Responses
to this information request are confidential under section 402(b) of the Magnuson-Stevens Act. They are also confidential under
NOAA Administrative Order 216-100, which sets forth procedures to protect confidentiality of fishery statistics.
_______________________________________________________________________________________________________

Amendment 80 QS Application
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OMB Control No.: 0648-xxxx
Expiration Date: mm/dd/yyyy

Instructions for Completion of
Application For Amendment 80 Quota Share

A person who wishes to receive an Amendment 80 QS permit must submit a timely and complete application for
Amendment 80 QS. Once a person submits a timely and complete application for Amendment 80 QS that is
approved by NMFS, an application for Amendment 80 QS is not required to be resubmitted.
A completed application to participate in the Amendment 80 Program must be received by NMFS no later than 1700
hours A.l.t. on October 15, 2007, or if sent by U.S. mail, postmarked by that time.
Forms are available through the internet on the NMFS Alaska Region website at http://www.fakr.noaa.gov.
This application may be submitted to NMFS using the following methods:
By mail:

NMFS Regional Administrator
c/o Restricted Access Management Program
P.O. Box 21668
Juneau, AK 99802-1668;

By fax:

(907) 586-7354; or

Hand Delivery or Carrier:
Room 713
709 West 9th Street
Juneau, AK 99801.
Type or print legibly in ink; retain a copy of completed application for your records.
If you need additional information, contact Restricted Access Management at (800) 304-4846 (#2) or
(907) 586-7202 (#2).
A completed application must contain the following information:
First, indicate whether the applicant is applying
(1) As the owner of an Amendment 80 vessel (Complete Blocks A, B and D)
(2) As the holder of an Amendment 80 LLP license originally assigned to an Amendment 80 vessel that is no
longer able to be used in the Amendment 80 Program due to the actual total loss, constructive loss, or
permanent ineligibility of that vessel (Complete Blocks A, C, and D).

Amendment 80 QS Application
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OMB Control No.: 0648-xxxx
Expiration Date: mm/dd/yyyy

The following table, from Table 31 to 50 CFR Part 679, lists each Amendment 80 vessel and the Amendment 80 LLP
license originally assigned to that vessel.
Column A:
Name of Amendment 80 vessel

Column B:
USCG
Documentation
Number

Column C:
Amendment 80 LLP license number
originally assigned to the Amendment 80
vessel

ALASKA JURIS

569276

LLG 2082

ALASKA RANGER

550138

LLG 2118

ALASKA SPIRIT

554913

LLG 3043

ALASKA VOYAGER

536484

LLG 2084

ALASKA VICTORY

569752

LLG 2080

ALASKA WARRIOR

590350

LLG 2083

ALLIANCE

622750

LLG 2905

AMERICAN NO I

610654

LLG 2028

ARCTIC ROSE

931446

LLG 3895

ARICA

550139

LLG 2429

BERING ENTERPRISE

610869

LLG 3744

CAPE HORN

653806

LLG 2432

CONSTELLATION

640364

LLG 1147

DEFENDER

665983

LLG 3217

ENTERPRISE

657383

LLG 4831

GOLDEN FLEECE

609951

LLG 2524

HARVESTER ENTERPRISE

584902

LLG 3741

LEGACY

664882

LLG 3714

OCEAN ALASKA

623210

LLG 4360

OCEAN PEACE

677399

LLG 2138

BLOCK A. APPLICANT IDENTIFICATION
Applicant’s name and NMFS person ID (if applicable)
Permanent business mailing address
Business telephone number, business fax number, and e-mail address (if available)
Indicate (YES or NO) if the applicant is a U.S. citizen; if YES, enter his or her date of birth
Indicate (YES or NO) if the applicant is a U.S. corporation, partnership, association, or other business entity
if YES, enter the date of incorporation
Indicate (YES or NO) if the applicant is a successor-in-interest to a deceased individual or to a
non-individual no longer in existence; if YES attach evidence of death or dissolution;
Amendment 80 QS Application
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OMB Control No.: 0648-xxxx
Expiration Date: mm/dd/yyyy

BLOCK B. AGREEMENT WITH AMENDMENT 80 OFFICIAL RECORD
Select the statement in Block B that best represents your application:
• I AGREE with the Amendment 80 Official Record Summary sent to me by NMFS. If you check this box,
you are accepting the Rockfish Program Official Record. Proceed to Block E, sign the application, and
return the application to NMFS.
• I DO NOT AGREE with the Amendment 80 Official Record Summary sent to me by NMFS. Sign Block
E and attach additional pages outlining the nature of your disagreement and provide documentation
supporting your claims.
• I DID NOT RECEIVE an Amendment 80 Official Record Summary from NMFS. I believe that I am
eligible to receive an initial allocation of Amendment 80 QS. Complete Blocks C and/or D as applicable,
signed Block E and provide documentation supporting your claims
If you received more than one Amendment 80 Official Record Summary, and you do not agree with all Amendment
80 Official Record Summaries sent to you, mark the box that you Do Not Agree, and identify in your attached
documentation which Amendment 80 Official Record Summaries you agree or disagree with.
If you did not receive an Amendment 80 Official Record Summary you must complete all block on the application
that pertain to your situation.

BLOCK C. OWNER OF AMENDMENT 80 VESSEL
For an applicant claiming Amendment QS as the owner of an Amendment 80 vessel enter the following information
for each Amendment 80 vessel. You may be required to provide documentation, such as an abstract of title or U.S.
Coast Guard Certificate of Documentation, establishing your ownership of each Amendment 80 vessel for which you
are applying for Amendment 80 QS.
USCG documentation numbers of vessel
Vessel name and ADF&G vessel registration number
LLP licenses held by that person at the time of application

BLOCK D. HOLDER OF AMENDMENT 80 LLP
The holder of an Amendment 80 LLP license may only receive an initial allocation of Amendment 80 QS if the
Amendment 80 vessel(s) originally assigned to the Amendment 80 LLP license(s) listed below is no longer able to
participate in the Amendment 80 Program due to the actual total loss, constructive loss, or permanent ineligibility of
the vessel. If the Amendment 80 vessel does not fit these requirements, the Amendment 80 QS derived from that
vessel’s catch must be applied for by the owner of the vessel.
List each Amendment 80 LLP license for which you are applying for Amendment 80 QS, the Amendment 80 vessel
originally assigned to each license, and
•

attach documentation that was submitted by the Amendment 80 vessel owner of an Amendment 80 vessel
that has suffered an actual total loss, total constructive loss, or is permanently ineligible to participate in the
Amendment 80 Program.

•

attach a copy of the express terms of a written contract held by the applicant that clearly and unambiguously
provides that the owner of the Amendment 80 vessel has transferred all eligibility to participate in the
Amendment 80 Program based on the legal Amendment 80 landings from that Amendment 80 vessel to the
person holding the Amendment 80 LLP license originally assigned to that Amendment 80 vessel.
Amendment 80 QS Application
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OMB Control No.: 0648-xxxx
Expiration Date: mm/dd/yyyy

BLOCK E. APPLICANT CERTIFICATION
The applicant must sign and date the application certifying that all information is true, correct, and complete to the
best of his/her knowledge and belief. If the application is completed by a designated representative, then explicit
authorization for the designated representative signed by the applicant must accompany the application.

Amendment 80 QS Application
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