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CIAB Form 4 (Exp. 1/31/2024) Destroy previous versions.

HANDLER RESERVE PLAN and

FINAL PACK REPORT

Cherry Industry Administrative Board

P.O. Box 388, DeWitt, MI 48820-0388

Tel: 517/669-1070 Fax: 517/669-1260

The report is required of all handlers processing tart cherries. It is due by close of business Eastern time October 1. 

Please note: appropriate certificates will be required for each diversion activity. Complete both sides of this form.

Handler: Handler ID# 

Address, City, State, Zip: 

 Telephone No.: 

HANDLER RESERVE PLAN

The sum of “Fruit Processed” + “At-Plant Diversion” must equal the total for all Form 1’s, Weekly Raw Product Report, 

submitted for the season.

1. Each handler’s default inventory reserve obligation is the “Restricted Pounds” calculated above. This amount of product that 

must be in inventory reserves until the planned diversion activities are completed and submitted to the CIAB for diversion 

credits.

2. Forms 5A, Inventory Reserve Summary, and 5B, Inventory Location Report, must accompany this report and document the 

locations and the specific products placed into inventory reserves. 

The undersigned hereby certifies to the CIAB and the Secretary of Agriculture that this is a true and correct Handler 

Reserve Plan and Final Pack Report for the undersigned Handler of the indicated crop year.

 By: 

Title: 

Date:

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid 

OMB control number. The valid OMB control number to this information collection is 0581-0177. The time required to complete this 

information collection is estimated to average 15 minutes per response, including the time for reviewing the collection of information. 

TREATMENT or ALLOCATION of

RED TART CHERRIES

REGULATED

DISTRICTS

(actual pounds)

UNREGULATED 

or

EXEMPT

DISTRICTS

(actual pounds)

TOTAL

ALL DISTRICTS

(actual pounds)

(Sum of Col. 1 & 2)

CHERRIES HANDLED:

FRUIT PROCESSED

AT-PLANT DIVERSION

(certificates required) +

GROSS POUNDS HANDLED1 =

1

RESTRICTED VOLUME:

RESTRICTION % x

RESTRICTED POUNDS

(Gross Pounds Handled x Restriction %) =

COMPLIANCE PLAN:

AT-PLANT

IN-ORCHARD +

EXPORTS +

NEW MARKET/NEW PRODUCT +

RESERVE INVENTORY 2, 3 +

TOTAL, COMPLIANCE ACTIVITIES

(Must equal “Restricted Pounds”, above.) =

CIAB

FORM 4

FRONT

Crop Year
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CIAB Form 4 (Exp. 1/31/2024) Destroy previous versions.

FINAL PACK REPORT

FINAL INVENTORY FULFILLMENT

Handler ID#: _____________ 

FORM and TYPE

of PRODUCT 

SIZE of

UNITS # of UNITS

CONVERSION 

FACTORS

RPE OF PRODUCT

(actual pounds)

FROZEN

(5 + 1) 1. 30#

Variants of sugar pack

 2. _________ 

 3. _________

IQF 1. 40#

 2. _________ 

 3. _________

DRYING STOCK

(5 + 1) 1. 30#

Variants of sugar pack

 2. _________ 

 3. _________

IQF 1. 40#

 2. _________ 

 3. _________

Other (describe)

OTHER

1. ________________

2. 

WATERPACK 6/#10

24/#300

Other (Describe)

PIEFILL 6/#10

12/#2

Other (Describe)

DRIED Pounds

PUREE 

Concentrated (30°

Brix)

Single strength

JUICE 

Concentrate (68°

Brix) Gallons

Concentrate (0, 68°

Brix) Gallons

Juice Stock Pounds

Juice Stock (0 

RPE) Pounds

Single Strength

OTHER (Describe)

1. _______________

2. _______________

3. 

TOTAL:

CIAB Crop Year

FORM #4

BACK
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CIAB Form 4 (Exp. 1/31/2024) Destroy previous versions.

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.