Application for Amendment 80 Intercooperative Transfer o

Revised: 12/09/09

OMB Control No. 0648-0565 Expiration Date: 08/31/2010

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

Application For
INTER-COOPERATIVE
TRANSFER OF AMENDMENT 80
COOPERATIVE QUOTA (CQ)
1. Name of Transferor:

BLOCK A – TRANSFEROR COOPERATIVE INFORMATION
2. NMFS Person ID:

3. Name of Designated Representative:
4. Permanent Business Mailing Address:

6. Business Telephone Number:

5. Temporary Business Mailing Address:

7. Business Fax Number:

8. e-Mail Address (if available):

9. Has transferor submitted an EDR, if required to do so under § 679.94?
YES [ ]

1. Name of Transferee:

NO [ ]

NOT APPLICABLE [ ]

BLOCK B – TRANSFEREE COOPERATIVE INFORMATION
2. NMFS Person ID:

3. Name of Designated Representative:
4. Permanent Business Mailing Address:

6. Business Telephone Number:

5. Temporary Business Mailing Address:

7. Business Fax Number:

8. e-Mail Address (if available):

9. Has transferee submitted an EDR, if required to do so under § 679.94?
YES [ ]

NO [ ]

NOT APPLICABLE [ ]

Application for Inter-Cooperative Transfer of Amendment 80 CQ
Page 1 of 5

BLOCK C1 – IDENTIFICATION OF AMENDMENT 80 COOPERATIVE QUOTA (CQ)
TO BE TRANSFERRED (LEASE) TO COOPERATIVE MEMBER(S)
(To Be Completed By Transferor)
If Transfer Application is for more CQ than the space provided on this form allows, duplicate this page as necessary to include all
intended transfers with one application. Distribute the CQ identified in Block C1 to cooperative members in Block C2.

Amendment 80 Species CQ
Type of CQ
Amount (mt)
(Area/Species)

Amendment 80 PSC CQ
Type of PSC
Amount (mt)
(Area/Species)

Number of
QS units

BLOCK C2 – IDENTIFICATION OF COOPERATIVE MEMBER(S)
(To Be Completed By Transferee)
The Transferee’s Qualifying Member(s) is the member(s) of the receiving Cooperative to whom the CQ pounds being transferred
will be attributed. If attributing the CQ amount to the Qualifying Member(s) would cause the member to exceed a CQ cap, a
different Qualifying Member must be identified. Duplicate this page as necessary.

1. Name of Qualifying Member (Print):

NMFS Person ID:

Species:

Amount of CQ:

2. Name of Qualifying Member (Print):

NMFS Person ID:

Species:

Amount of CQ:

3. Name of Qualifying Member (Print):

NMFS Person ID:

Species:

Amount of CQ:

4. Name of Qualifying Member (Print):

NMFS Person ID:

Species:

Amount of CQ:

5. Name of Qualifying Member (Print):

NMFS Person ID:

Species:

Amount of CQ:

6. Name of Qualifying Member (Print):

NMFS Person ID:

Species:

Amount of CQ:

7. Name of Qualifying Member (Print):

NMFS Person ID:

Species:

Amount of CQ:

8. Name of Qualifying Member (Print):

NMFS Person ID:

Species:

Amount of CQ:

Application for Inter-Cooperative Transfer of Amendment 80 CQ
Page 2 of 5

BLOCK C1 – IDENTIFICATION OF AMENDMENT 80 COOPERATIVE QUOTA (CQ)
TO BE TRANSFERRED (LEASE) TO COOPERATIVE MEMBER(S)
(To Be Completed By Transferor)

If Transfer Application is for more CQ than the space provided on this form allows, duplicate this page as necessary to include all
intended transfers with one application. Distribute the CQ identified in Block C1 to cooperative members in Block C2.

Amendment 80 Species CQ
Type of CQ
Amount (mt)
(Area/Species)

Amendment 80 PSC CQ
Type of PSC
Amount (mt)
(Area/Species)

Number of
CQ units

BLOCK C2 – IDENTIFICATION OF COOPERATIVE MEMBER(S)
(To Be Completed By Transferee)

The Transferee’s Qualifying Member(s) is the member(s) of the receiving Cooperative to whom the CQ pounds being transferred
will be attributed. If attributing the CQ amount to the Qualifying Member(s) would cause the member to exceed a CQ cap, a
different Qualifying Member must be identified. Duplicate this page as necessary.

1. Name of Qualifying Member (Print):

NMFS Person ID:

Species:

Amount of CQ:

2. Name of Qualifying Member (Print):

NMFS Person ID:

Species:

Amount of CQ:

3. Name of Qualifying Member (Print):

NMFS Person ID:

Species:

Amount of CQ:

4. Name of Qualifying Member (Print):

NMFS Person ID:

Species:

Amount of CQ:

5. Name of Qualifying Member (Print):

NMFS Person ID:

Species:

Amount of CQ:

6. Name of Qualifying Member (Print):

NMFS Person ID:

Species:

Amount of CQ:

BLOCK D – CERTIFICATION OF TRANSFEROR (SELLER)

Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, all
information presented here is true, correct, and complete.

1. Signature of Transferor Designated Representative:

2. Date:

3. Printed Name of Transferor Designated Representative; attach authorization:
BLOCK E – CERTIFICATION OF TRANSFEREE (BUYER)

Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, all
information presented here is true, correct, and complete.

1. Signature of Transferee Designated Representative:

2. Date:

3. Printed Name of Transferee Designated Representative; attach authorization:

Application for Inter-Cooperative Transfer of Amendment 80 CQ
Page 3 of 5

Instructions for
APPLICATION FOR TRANSFER
OF AMENDMENT 80 COOPERATIVE QUOTA
GENERAL INFORMATION
In order for an inter-cooperative transfer to be approved, both parties must be already established and recognized by NMFS as a cooperative.
NMFS will notify the transferor and transferee once the application has been received and approved. A transfer of CQ is not effective until
approved by NMFS.
An Amendment 80 cooperative may transfer all or part of its CQ to another Amendment 80 cooperative. Amendment 80 cooperatives may
transfer CQ during a calendar year with the following restrictions:
♦

An Amendment 80 cooperative may only transfer CQ to another Amendment 80 cooperative.

♦

An Amendment 80 cooperative may only receive CQ from another Amendment 80 cooperative.

♦

An Amendment 80 cooperative receiving Amendment 80 species CQ by transfer must assign that Amendment 80 species CQ to a
member(s) of the Amendment 80 cooperative for the purposes of use caps calculation as established under § 679.92(a).

This application cannot be processed or approved unless all parties to the proposed transfer (including the proposed transferor, the
proposed transferee, and the receiving Qualifying Member) have met all the requirements and conditions of the Amendment 80 Program.
Any person who held an Amendment 80 CQ permit during a calendar year must submit to NMFS an EDR for that calendar year for each
Amendment 80 CQ permit held by that person (see § 679.94).
To request that a printed Amendment 80 EDR be mailed to you (at no cost), contact
NMFS, Alaska Fisheries Science Center
Amendment 80 Economic Data Reports
7600 Sand Point Way NE, F/AKC2
Seattle, WA 98115.
Fax: 206-526-6723
Telephone: 206-526-6414
EDR forms are available through the Internet on the NMFS Alaska Region Web site at http://www.alaskafisheries.noaa.gov A completed
EDR must be received by NMFS no later than 1700 hours A.l.t. on June 1 of the year following the calendar year during which the
Amendment 80 CQ permit was held, or if sent by U.S. mail, postmarked by that date.

ADDITIONALLY
♦

Print information in the application legibly in ink or type information.

♦

Retain a copy of completed application for your records.

♦

Do not wait until right before an opening to apply for your permit, as you may not receive it on time. Please allow up to ten working
days for a transfer application to be reviewed, processed, and approved; the parties will be notified upon approval or disapproval of the
transfer.

♦

Submit the completed application:

By mail to:

Alaska Region, NOAA Fisheries (NMFS)
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, AK 99802-1668

By fax to:

907-586-7354

Or, hand deliver to:

NOAA Fisheries
Alaska Region (NMFS/RAM)
Federal Building
709 W. 9th Street, Suite 713
Juneau, Alaska 99801

Applications may be faxed to RAM at 907-586-7354; however, permits will not be returned by fax. The original, signed permit must
be on board the vessel.

Application for Inter-Cooperative Transfer of Amendment 80 CQ
Page 4 of 5

Items will be sent to you by first class mail, unless you provide alternate instructions and include a prepaid mailer with
appropriate postage or a corporate account number for express delivery. Additional information is available from RAM, as
follows:
Website:
http://www.alaskafisheries.noaa.gov/ram/default.htm
Telephone (toll free):
800-304-4846 (press “2”)
Telephone (in Juneau): 907-586-7202 (press “2”)
e-Mail:
RAM.Alaska@noaa.gov
COMPLETING THE FORM

An application for CQ transfer requires that the following information be provided:
BLOCK A – TRANSFEROR COOPERATIVE INFORMATION
1-2.
3.
4-5.
6-8.
9.

Name and NMFS Person ID of Transferor
Name of Transferor’s designated representative
Permanent business mailing address and temporary business mailing address (if appropriate)
Business telephone number, business fax number, and e-mail address (if available)
Indicate whether transferor submitted an EDR, as required under § 679.94.

BLOCK B – TRANSFEREE COOPERATIVE INFORMATION
1-2.
3.
4-5.
6-8.
9.

Name and NMFS Person ID of Transferee
Name of Transferee’s designated representative
Permanent business mailing address and temporary business mailing address (if appropriate)
Business telephone number, business fax number, and e-mail address (if available)
Indicate whether transferee submitted an EDR, as required under § 679.94.

BLOCK C1 – IDENTIFICATION OF AMENDMENT 80 COOPERATIVE QUOTA TO BE TRANSFERRED (LEASE)
TO COOPERATIVE MEMBER(S) (To Be Completed By Transferor)
If Transfer Application is for more CQ than the space provided on this form allows, duplicate this page as necessary to include all intended
transfers with one application. Distribute the CQ identified in Block C1 to cooperative members in Block C2.
1.
For each Amendment 80 species, enter:
Type (area/species) of CQ
Amount (mt) of CQ
Number of CQ units
2.

For each Amendment 80 PSC species, enter:
Type (area/species) of CQ
Amount (mt) of CQ
Number of CQ units

BLOCK C2 – IDENTIFICATION OF COOPERATIVE MEMBER(S) (To Be Completed By Transferee)

The Transferee’s Qualifying Member(s) is the member(s) of the receiving Cooperative to whom the CQ pounds being transferred will be
attributed. If attributing the CQ amount to the Qualifying Member(s) would cause the member to exceed a CQ cap, a different Qualifying
Member must be identified. Duplicate this page as necessary.
For each qualifying member, enter name (print), NMFS Person ID, Species, and Amount of CQ.

BLOCK D – CERTIFICATION OF TRANSFEROR

Printed name and signature of Transferor Designated Representative and date signed.

BLOCK E – CERTIFICATION OF TRANSFEREE

Printed name and signature of Transferee Designated Representative and date signed.
______________________________________________________________________________________________________________
PUBLIC REPORTING BURDEN STATEMENT
Public reporting 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 this 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 in 2006; 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.
_________________________________________________________________________________________________________________

Application for Inter-Cooperative Transfer of Amendment 80 CQ
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