OMB No. 0581-0178

CDAC-5 (Exp. 3/31/2024) Destroy previous editions.

Send one signed copy no later than March 10/October 10 to:

CALIFORNIA DATE ADMINISTRATIVE COMMITTEE

P.O. Box 1736

Indio, CA 92202-1736

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

REPORT OF HANDLER CARRYOVER

The following quantities of dates were held by me for my account (whether or not sold) on: 

□ March 1, 20___ □ October 1, 20___

Deglet Noor Halawy Khadrawy Zahidi

State in terms of whole dates (divide quality of pitted dates 

by .83 to determine whole date equivalent quantity)

Marketable Dates

Certified Dates on Hand

Certified Domestic and Canadian (DAC)

Certified Further Processing (FP)

Certified Export (EXP)

Certified Products (report only certified product 

still in whole date form, not finished product.

Include certified products acquired for 

manufacturing from other handlers)

Graded Dates on Hand

Graded for Domestic and Canadian, Further 

Processing

Graded for Export

Graded for Products

Field Run Held

Estimate of Domestic and Canadian, Further 

Processing content

Estimate of Export content

Estimate of Products content

Marketable Sub-total

Non-Marketable Dates

Culls awaiting pick-up

Estimate of field run culls

Non-Marketable Sub-total

Total Dates Held

I hereby certify to the U.S. Department of Agriculture and to the California Date Administrative Committee that the 

information contained in this report is complete and accurate.

Handler: ___________________________________________ 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.
OMB No. 0581-0178

CDAC-5 (Exp. 3/31/2024) Destroy previous editions.

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.