CDAC-4 CA Dates--Date Product Manufacturers Rept.

OMB No. 0581-0178

Send one signed copy no later than October 10 to:

CALIFORNIA DATE ADMINISTRATIVE COMMITTEE

P.O. Box 1736

Indio, CA 92202-1736

Tel: (760) 347-4510 Fax: (760) 347-6374

DATE PRODUCTS MANUFACTURER’S REPORT

In accordance with our agreements with the California Date Administrative Committee (Committee), this is a report of our beginning and ending inventories of product dates, the quantity received during the crop year, the quantity used, the type and quantity of product manufactured, and our year-end inventory of products from the crop year ending September 30, 20___.

	Deglet Noor	Halawy	Khadrawy	Zahidi
	State in terms of whole dates
Product Dates
Beginning Inventory of whole dates October 1
Quantity received from handlers in crop year
Quantity manufactured into date products
Ending inventory of whole dates September 30	0	0	0	0

	Quantity Manufactured
Types of Date Product Manufactured	Actual Date	Whole Date Equivalent

Date Product Inventory on September 30, 20___:

Actual Pounds of Products: __________ Equivalent Whole Date Pounds of Products: ___________

I hereby certify to the U.S. Department of Agriculture and to the Committee that the information contained in this report is complete and accurate.

Date Products Manufacturer: _____________________________________ Date: _______________________

By: ____________________________________________ Title: ______________________________________

The making of false statement or representation on this form, knowing it to be false, is a violation of title 18 section 1000 of the United States Code, which provides for the penalty of a fine or imprisonment, or both. This report is required by law (7 USC 608(d), 7 CFR 987.51, 987.151). Failure to report can result in a fine for each violation and each day during which such violation continues shall be deemed a separate violation.

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 30 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 of 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, political beliefs, genetic information, 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.

CDAC-4 (Rev. 10/2010) Destroy previous editions.