DA-24 Annual Report of Cooperative Milk Marketing Association

Form Approved OMB No.
0581-0032; Exp. XX/XXXX
U S. DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
DAIRY PROGRAMS

ANNUAL REPORT OF COOPERATIVE MILK MARKETING ASSOCIATION
(Including actions taken at the annual meeting following close of the year)

FOR FISCAL YEAR ENDED

PLEASE RETURN ORIGINAL TO:

USDA-AMS-DAIRY PROGRAMS
CHIEF, ORDER OPERATIONS BRANCH
ROOM 2968-SOUTH Stop 0225
1400 INDEPENDENCE AVE., SW.
WASHINGTON, DC 20250-0225

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
0MB control number. The valid OMB control number for this information is 0581-0032. 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. This report is required by 7 CFR 900.355 from cooperatives desiring to maintain their qualification as a cooperative association under the Federal Milk Order Program. Failure
to report can result in termination of your qualification as a cooperative.

NOTE:

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.

Complete each item. Submit all requested information to Dairy Programs at the above address. Send a copy of this
completed form and all requested information to the market administrator of each Federal milk order you list in item 8.
YES

NO

Were any amendments made to the Articles of Incorporation? (If “Yes “, submit a copy of the amendments or a copy of the Articles
now in force as amended.)
Were any amendments made to the Bylaws? (if “Yes”, submit a copy of the amendments made or a copy of the Bylaws now in force
as amended.)
Was the form of membership certificate, membership contract or producer marketing agreement changed? (if “Yes”, submit a copy
of the new form.
Were the stock certificates changed during the year? (if “Yes”, submit copies of the new certificates.)
Submit a copy of your Balance Sheet at the close of the year and a copy of all auditor’s notes and reports.
Submit a copy of the Operating Statement for the year, with supporting schedules and notes showing sources of income.
Submit a list of officers and members of the Board of Directors and give the length of service for each individual as an officer and
director, and the date the present term expires. Also, submit a list of principal employees and position titles.
GRADE A PRODUCERS, BY INDIVIDUAL FEDERAL ORDER MARKET, AS OF END OF FISCAL YEAR

8.

NAME OF FEDERAL ORDER MARKET

9. Number of Grade A producers delivering to plants operated by the association.

NO. OF PRODUCERS

_______________________

10. Number of Grade B producers.

_______________________

11. Number of inactive and retired members with voting rights.

_______________________

12. Value of nonmember business during year.
13. If stock dividends were paid, list the class stock and dividend rate on each class.
DA-24

(07-05)

_$_____________________
_______________________
(Continued on reverse)

Describe in detail any changes during the year in your marketing services program for Grade A producers. Distinguish by markets, plants,
or other operating units. Cover methods and frequency of sampling, butterfat testing and your weight verification program for farm bulk
tanks.

Submit a recent copy of your market information publication sent to Grade A producers, stating how frequently such publication is sent. (If
a publication is not used to provide Grade A producers with market information, explain how this information is provided).

CERTIFICATION

I certify that no officer, director, manager, or principal employee or any of their close relations has a financial interest in any
competitor of the Association or in any business organization selling to or purchasing from the Association, other than the
person’s own farm. I also certify that the information herein and in the accompanying documents and schedules is true, correct,
and complete to the best of my knowledge.
NAME OF ASSOCIATION

DATE (Mo., Day, Yr.)

DA-24 Reverse

(07-05)

GNATURE AND TITLE OF REPORTING OFFICIAL