APC Form 3 Exports by Country of Destination

REPRODUCE LOCALLY. Include form number and date on all reproductions.

OMB 0581-0291

EXPORTS BY COUNTRY OF DESTINATION
APC Form 3 - Instructions

This report is submitted pursuant to 7 CFR 986.178 and is subject to audit
verification by the American Pecan Council (7 CFR 986.79)
The completed form must be delivered to the American Pecan Council no later than the tenth day of the month.
Please note:
Only insert data in the blank WHITE cells. The APC staff will complete any information in the 'SHADED' cells. If
completing the form electronically, once the information is entered, the column totals will be calculated automatically.
If completing the form by hand, the amounts you provide will be added to the data submitted in the previous periord
and totaled by the APC staff.
The following are instructions for completing APC Form 3 - Exports by Country of Destination
Month: Enter the Month being reported upon.
Handler Number: Enter the Handler Number
Current Period - Shelled / Inshell / Substandard, Exported
Report the total quantity shipped during the month to each applicable foreign country - by product type
(Shelled / Inshell / Substandard). Report all pecans shipped, not just pecans of US origin. If the country is not
listed on page 1 of the form, enter the name of the country on page 2 along with the amounts of each product
shipped to that country.
Unless the pecans are shipped to a warehouse overseas where ownership of the pecans is retained by the
reporting Handler, report the country of first entry. If ownership is retained, report the country of destination
once ownership changes hands.
UPON COMPLETION: Read the Certification statement at the bottom of the form and write in/type the
Handler/Company name. Then sign in the space provided and fax or email form to ___________: (____) _________
or ________@________.

§986.81   Confidential information.
All reports and records submitted by handlers to the Council staff, which include data or information constituting a trade secret or
disclosing the trade position, or financial condition or business operations of the handler, shall be kept in the custody of one or more
employees of the Council and shall be disclosed to no person except the Secretary of Agriculture.
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 0581-0307. The time required to complete this information collection is estimated to average 15 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.

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: program.intake@usda.gov. USDA
is an equal opportunity provider, employer, and lender.

APC Form 3 (12/2018)

REPRODUCE LOCALLY. Include form number and date on all reproductions.
American Pecan Council

OMB No. 0581-0291

EXPORTS BY COUNTRY OF DESTINATION
This report is submitted pursuant to 7 CFR 986.178 and is subject to audit verification by the American Pecan Council (7 CFR 986.79)
Month
Destination
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

Algeria
Australia
Belgium
Canada
China
Czech Republic
Denmark
Egypt
France
Germany
Greece
Hong Kong
India
Israel
Italy
Japan
Jordan
Lebanon
Malaysia
Mexico
Netherlands
Russia
Saudi Arabia
Singapore
South Korea
Spain
Sweden
Switzerland
Taiwan
Turkey
United Arab Emirates
United Kingdom
Vietnam
Subtotal From Pg.2
TOTAL
Handler/Company

Handler Number
Current Period
Shelled Meats (lbs)

Current Period
Inshell (lbs)

Current Period
Sub-Standard (lbs)

0.00
0.00

0.00
0.00

0.00
0.00

Handler Address

Current Period
TOTAL (lbs))
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

Previous Period
Year-to-Date (lbs)

0.00
0.00

Year-to-Date
TOTAL (lbs)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

Signature

The making of any false statements or representations in any matter within the jurisdiction of any agency of the United States, knowing it to be false, is a violation of title 18, section 1001, of the United States
Code, which provides for a penalty of a fine for individuals and for organizations or imprsonment, or both

Upon completion, fax or email form to ________: Fax - (____) ____-______; Email -__________@_______
APC Form 3 (12/2018)

REPRODUCE LOCALLY. Include form number and date on all reproductions.
American Pecan Council

OMB No. 0581-0291

EXPORTS BY COUNTRY OF DESTINATION
This report is submitted pursuant to 7 CFR 986.178 and is subject to audit verification by the American Pecan Council (7 CFR 986.79)
Month
Destination

TOTAL
Handler/Company

Handler Number
Current Period
Shelled Meats (lbs)

Current Period
Inshell (lbs)

Current Period
Sub-Standard (lbs)

0.00

0.00
Handler Address

0.00

Current Period
TOTAL (lbs)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Signature

Previous Period
Year-to-Date (lbs)

0.00

Year-to-Date
TOTAL (lbs)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

The making of any false statements or representations in any matter within the jurisdiction of any agency of the United States, knowing it to be false, is a violation of title 18,
section 1001, of the United States Code, which provides for a penalty of a fine for individuals and for organizations or imprsonment, or both.

Upon completion, fax or email form to ____________: Fax - (___) ___-____; Email -____________@_________
APC Form 3 (12/2018)