OMB No. 0581-0189

Exp. 1/31/2027. Destroy previous editions.

FRESH PEAR COMMITTEE 

4382 SE International Way, Suite A 

Milwaukie, OR 97222-4635

Phone: (503) 652-9720

HANDLER STATEMENT OF FRESH PEAR SHIPMENTS

(as required by Federal Marketing Order No. 927)

20___ - 20___ SEASON ORGANIC AND CONVENTIONAL RATES

Submission of this statement and payment of assessments is mandatory as required in the Federal Marketing Order. Refer to the regulations for late 

charges and interest penalties that apply after 45 days. Please furnish this statement to the Fresh Pear Committee as of every other Friday beginning 

August 23, 2019, covering all fresh pear varieties shipped interstate, intrastate or exported.

Interest and Late Payment Charges will apply to payments received more than 45 days after the date on which they are due, and are subject to a late 

payment charge of $25.00 or 2% of the total due, whichever is greater. Payments received more than 60 days after the date in which they are due shall be 

subject to a 1 1⁄2 percent interest charge per month, until payment is made and interest shall be applied to the total unpaid balance, including the late 

payment charge and any accumulated interest.

ENCLOSED FIND A CHECK / MONEY ORDER FOR $ ________________ COVERING:

_______ Organic Pears - STANDARD BOX EQUIVALENT (44 POUNDS) @ $._____ PER STD BOX

(Assessments above the $_____ minimum per box are voluntary and will be tracked separately. Voluntary assessments can be 

made to help support promotions conducted by the Pear Bureau that help educate consumers and promote pears in general.)

_______ Conv. PEARS - STANDARD BOX EQUIVALENT (44 POUNDS) @ $._____ PER STD BOX

Winter Pear varieties include, but are not limited to, Anjou, Bosc, California, Cascade, Comice, Concorde, Crimson Gem, Forelle, Nelis, Packham, 

Red Angelo, Red Anjou, Red Comice, Red Satin, Red Silk, Regal Red, Rubaiyat, Seckel, Taylor's Gold, etc.

Summer/Fall Pear varieties include, but are not limited to Bartlett, Canal, Crimson Red, Red Bartlett, Red Blush, Red Crimson, Red Early, Red Gold, 

Red Max, Red Sensation, Rosi Red, Starkrimson, Tosca, etc.

THIS REPORT IS FOR THE TWO-WEEK PERIOD FROM _________, 20___ TO _________, 20___. (REPORTING PERIODS LISTED ON BACK)

If shipped in bulk or in any container other than an equivalent standard container, 44 pounds is equivalent to one standard box.

______________________________________________ ______________________________________________

Signature Name of Handler

_________________________________________ __________________________________________

Date Address of Handler

DATE

SHIPPED

STANDARD

BOXES EQUIV. VARIETY

ULTIMATE DESTINATION –

NOT GATEWAY

(CITY & STATE or CITY& COUNTRY)

TOTAL:
OMB No. 0581-0189

Exp. 1/31/2027. Destroy previous editions.

Reporting Periods for Handler Statement of Fresh Pear Shipments

Report shipments made before the close of business every other Friday. (Include all shipments made prior to that date, not 

already reported in a previous report.)

20___ - 20___ Season

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Contact the Fresh Pear Committee for additional forms. Photocopies are also permissible. If computer printouts are used to 

report shipments and destination cities, then use this form to summarize boxes paid and the amount of assessments paid with 

the enclosed check. Make assessment checks payable to “Fresh Pear Committee” for all fresh pears, and enclose with the 

report of shipments. Mail to the Fresh Pear Committee at the address on page 1 of this form.

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 0581-0189. 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.