REPRODUCE LOCALLY. Include form number and date on all reproductions. OMB No. 0581-0291

FV-309 (8/2016) 

American Pecan Council 

c/o Southeast Marketing Field Office

Marketing Order and Agreement Division 

1124 First Street South 

Winter Haven, Florida 33880 

GROWER NOMINATION FORM 

PROPOSED CANDIDATE TO BE INCLUDED ON THE

AMERICAN PECAN COUNCIL GROWER NOMINATION BALLOT

Each region shall be represented by three grower seats on the Council. Two seats shall be allocated to growers 

whose acreage is equal to or exceeds 176 pecan acres and one grower seat allocated to a grower whose acreage is 

less than 176 pecan acres. Proposed candidates will be listed on the nomination ballot sent to growers. 

Eastern Region consists of: Alabama, Florida, Georgia, North Carolina, South Carolina 

Central Region consists of: Arkansas, Kansas, Louisiana, Mississippi, Missouri, Oklahoma, Texas 

Western Region consists of: Arizona, California, New Mexico 

If a grower is engaged in producing pecans in more than one region, such grower shall nominate in the region in 

which they grow the largest volume of their production. 

The undersigned are eligible to submit nominations pursuant to section 986.46 of Marketing Order No. 986 (Order), 

and hereby petition the American Pecan Council (Council) to include on the nominating ballot the name of: 

_____________________________________________________________________________________________ 

NAME OF GROWER NOMINEE (as should appear on the ballot) EMAIL PHONE 

_____________________________________________________________________________________________ 

ADDRESS CITY STATE ZIP CODE 

as a candidate for the position of Grower Member to represent the _________ Region for the 2016-2020 term of 

office as set forth in the Order. 

Grower nominee farms pecan acreage  equal to or exceeding 176 acres or  less than 176 acres (check one). 

*Signature certifies that I have a proprietary interest in 30 acres or more of pecans or produce an annual 

average of at least 50,000 pounds of inshell pecans and I am a grower in the region of which I am nominating 

or supporting a nomination. 

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 

0581-0291. The time required to complete this information collection is estimated to average 20 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. 

GROWER’S NAME 

(print clearly) SIGNATURE* ADDRESS/PHONE/EMAIL 

(nominator) 

(supporter) 

(supporter) 
REPRODUCE LOCALLY. Include form number and date on all reproductions. OMB No. 0581-0291

FV-309 (8/2016) 

THIS PETITION MUST BE RECEIVED NO LATER THAN SEPTEMBER 6, 2016 IN ORDER TO BE 

VALID. 

Please mail the completed form to: 

American Pecan Council 

 c/o Southeast Marketing Field Office 

Marketing Order and Agreement Division 

1124 First Street South 

Winter Haven, Florida 33880 

or email to Jennie.Varela@ams.usda.gov

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.