REPRODUCE LOCALLY. Include form number and date on all reproductions. OMB No. 0581-0177

CIAB Form 3A (Exp. 1/31/2024) Destroy previous versions.

REPORT OF EXPORT SALES ACTIVITY

Cherry Industry Administrative Board

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

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

Handler: Handler ID# 

Address, City, State, Zip: 

 Telephone No.: 

PORTS of ENTRY*

(Report in Units)

Hot Pack IQF 5 + 1 Dried Other Total

Europe

 Belgium

 France

 Germany

 Netherlands

 United Kingdom

 Other(s) (specify)

Pacific Rim

 Australia

 Hong Kong

 Japan

 Korea

 Singapore

 Taiwan

 Other(s) (specify)

North America

 Canada

 Mexico

South or Central 

America

 Other(s) (specify)

Mid. East and Africa

 Egypt

 Israel

 Saudi Arabia

 Other(s) (specify)

Grand Total

The undersigned hereby certifies to the Secretary of Agriculture and the Cherry Industry Administrative Board that 

this is a true and correct statement of the sales activity of this handler for the listed years. 

 By: 

Title: 

Date: 

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-

0177. The time required to complete this information collection is estimated to average 5 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. 

CIAB

FORM 3A

Crop Year 
REPRODUCE LOCALLY. Include form number and date on all reproductions. OMB No. 0581-0177

CIAB Form 3A (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.