CIAB Form #5B Inventory Location Report

I

CIAB

FORM #5 B

OMB # 0581-0177

Original

Changed

(Mark Type)

NVENTORY LOCATION REPORT

C herry Industry Administrative Board

P.O. Box 388, DeWitt, MI 48820-0388

Tel: 517/669-1070 Fax: 517/669-1260

This report is required of all Handlers holding inventory as part of a Reserve Plan. Reports are due by close

of business, Eastern time, November 1 and at any other time that a rotation of reserve inventory is desired.

Handler: Handler ID#

Address:

City, ST Zip:

Telephone No.:

Warehouse

Location:

Address:

City, ST ZIP:

Warehouse Lot ID #	Container Codes	Form of Product	# of Units	Conversion Factor/Unit	RPE of Lot ¹
TOTAL2:

1. Conversion of actual pounds of finished product to its Raw Product Equivalent (RPE) should be calculated

using your company’s conversion factors or, in lieu thereof, first use regional and then national conversion factors.

2. The RPE total should equal the Form 4, Reserve Inventory less completed diversion activities less CIAB releases.

The undersigned herby certifies to the CIAB and the Secretary of Agriculture that this is the true and correct Inventory

Location Report for the undersigned Handler for the indicated crop year.

By:

Title:

Date:

Page of (see other side for additional information)

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 0581-0177. 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.

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.