SC-266-7 920-Kiwifruit End of Season F.O.B. Sales Rept.

OMB No. 0581 - 0189

END OF SEASON F.O.B. SALES REPORT INSTRUCTIONS

1.

Enter appropriate Handler/Marketer information.

2.

Across the top of columns, enter the type of pack styles shipped during the crop year. Select pack styles from list below.

3.

For each pack style, enter the total number of containers shipped and gross FOB sales by size for the given crop year.

4.

Sign and date report.

Description

Enter this pack style on report

9kg (19.8 lb.) Volume Fill

Volume Fill

Single layer tray

Trays

Container with 3-layers

3-Layers

125 lb. Bins

Bins

Master Container with 20 - 1 lb. Bags

20/1# Bags

Master Container with 10 - 1kg Bags

10/1kg Bags

Master Container with 6 - 4lb. Clams

6/4# Clams

Master Container with 6 - 3lb. Clams

6/3# Clams

Master Container with 27 -.8lb Clams

27/.8# Clams

Master Container with 18 - 8 ct. Clams

18/8ct. Clams and net wt. of master container

Master Container with 20 - 6 ct. Clams

20/6ct. Clams and net wt. of master container

Returnable Plastic Containers, 9kg

RPC 9kg

Containers with 2-layers

2-Layers and net wt. of container

Euro Containers, Must include description and net wt. (i.e. Euro 2-layers, 20# )

Type and net wt. of container

Any other container type/consumer pack must include the description and container net wt.

Type and net wt. of container

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 OMB 0581-0189. The time required to complete this information collection is estimated to average 45 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.

E ND OF SEASON F.O.B. SALES REPORT CROP YEAR 20__/20__ Report is due within 30 days after all fruit has been shipped
Kiwifruit Administrative Committee (KAC) 1521 "I" Street, Sacramento, CA 95814 Phone #: (916) 441-0678; Fax #: (916) 446-1063 Email: calkiwi@agamsi.com			COMPANY:
			CONTACT:
			PHONE NUMBER:
		PACK STYLE - ENTER PACK STYLES AT THE TOP OF EACH COLUMN
SIZE
18+	(# of Containers)
	Gross FOB Sales
20	(# of Containers)
	Gross FOB Sales
23	(# of Containers)
	Gross FOB Sales
25	(# of Containers)
	Gross FOB Sales
27/28	(# of Containers)
	Gross FOB Sales
30	(# of Containers)
	Gross FOB Sales
33	(# of Containers)
	Gross FOB Sales
36	(# of Containers)
	Gross FOB Sales
39	(# of Containers)
	Gross FOB Sales
42	(# of Containers)
	Gross FOB Sales
45	(# of Containers)
	Gross FOB Sales
TOTALS	(# of Containers)
	Gross FOB Sales
I hereby certify to the best of my knowledge and belief that this report is true and complete. I understand that records from which this report is compiled are subject to audit and must be preserved for a period of two years:
Date:		Signature:						Title:

SC-266-7 (Exp. X/XXXX) Destroy previous versions.