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UNITED STATES DEPARTMENT OF AGRICULTURE

AGRICULTURAL MARKETING SERVICE

SPECIALTY CROPS PROGRAM

PRODUCER REFERENDUM BALLOT

Marketing Order No. 925: Grapes Grown In a Designated Area of Southeastern California

PART I - REFERENDUM INSTRUCTIONS

A. COMPLETE PARTS II, III, AND IV. Incomplete or unsigned Ballots cannot be counted. Ballots 

must be postmarked by ______. 

B. ELIGIBILITY REQUIREMENTS: Any person who produced grapes for the fresh market during 

the period _____ through _____, and who is now a producer, is eligible to vote by using the enclosed 

Ballot. Additional Ballots may be obtained by contacting the West Region Branch at (559) 487-5901. 

1. A producer (or grower) is defined as: 

(a) any person who produces grapes for the fresh market in the designated production area of 

Southeastern California; 

(b) a renter or tenant of acreage producing grapes for the fresh market; or 

(c) a landlord who received from a renter or tenant such grapes as rent for the land on which 

such grapes were grown. A cash landlord, lienholder, or person having only a financial 

interest in the crop is not an eligible voter. 

2. Each separate business unit, partnership, family enterprise, corporation, association, estate, or 

firm is entitled to one vote.

3. Proxy voting is NOT authorized.

C. INSTRUCTIONS FOR VOTING: Provide the voter information requested in Part II. In Part III, 

mark the blocks in favor or against each of the three proposed amendments, certify your vote by 

signing the appropriate section of Part IV. If you do not complete Parts II, III, and IV, your Ballot 

cannot be validated, and your vote will not be counted.

Remove the pages containing Parts II, III, and IV, and mail them in the self-addressed envelope. If 

you do not have an official envelope, mark your envelope “GRAPE REFERENDUM,” and mail the 

Ballot to: 

USDA-AMS-Specialty Crops Program

West Region Branch

2202 Monterey Street

Suite 102B

Fresno, CA 93721

Please call (559) 487-5901 if you have any questions.

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 

0581-0189. 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.
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PART II - VOTER INFORMATION

This information will be held in strict confidence.

A. Your name ________________________________________________________________________ 

(Please print clearly)

B. What is the specific location of your grape acreage represented in this Ballot? 

_________________________________________________________________________________ 

(Highway or street address, if applicable, and county)

_________________________________________________________________________________ 

(City, State, and Zip Code)

C. Do you reside on the above property which produces the grapes? □ Yes □ No

If no, please provide your residence address and telephone number: ___________________________ 

_________________________________________________________________________________ 

(Street and No. or R.F.D. No., City, State, and Zip Code)

_________________________________________________________________________________ 

(Telephone number (include area code)) 

D. If you are not voting as an individual producer, please check the appropriate box indicating your 

voting status and write the name and address of the business unit you represent.

□ Partnership □ Corporation □ Other entity (specify) ___________________

_________________________________________________________________________________ 

(Name and address of business unit)

E. How many 18-pound lug equivalents of grapes did you produce for fresh market during the period

_____, through ____? 18-pound lugs

F. How many acres of grapes for fresh market did you harvest during the period _____ through _____? 

Acres

G. Which packing house(s) handled your grapes during the period _____ through _____? 

 _________________________________________________________________________________ 

(Name of packing house(s))

PART III – PROPOSED AMENDMENTS TO THE MARKETING ORDER FOR DESERT GRAPES

A. This referendum is for amendment of the marketing order. Indicate your vote by placing an “X” in the 

appropriate box for each amendment.

YES



NO



Do you favor amending the marketing order to provide authority to increase the term 

lengths of Committee members and alternates from one to four fiscal periods? 

YES



NO



Do you favor amending the marketing order to provide authority to all new members and 

alternates to agree to accept their nominations prior to selection?

YES



NO



Do you favor amending the marketing order to add authority for periodic continuance 

referenda, which would allow producers to indicate whether or not there is continuing

support for the marketing order?

PART IV - VOTER CERTIFICATION
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All information provided in this Ballot will be subject to on-site verification by officials of the Office of 

Inspector General, U.S. Department of Agriculture.

The information on this Ballot is required to determine the voter eligibility and vote of desert grape producers. 

Falsification of information on this government document may result in a fine or imprisonment, or both. (18 

U.S.C. 1001)

A. Your signature, if signing as an individual.

I am the producer named in Part II of this Ballot, and I certify that I am not a cash landlord, lienholder, 

or person having only a financial interest in the crop, and that the information provided on this Ballot 

and any attachment hereto is accurate and correct to the best of my knowledge.

___________________________________________ ___________________

Signature Date

B. If signing as the representative of a producing entity other than an individual, state your title and sign 

below.

I hereby certify that I have authority to cast the Ballot of the producer named in Part II D of this 

Ballot, and that I will submit evidence thereof at the request of an authorized agent of the U.S. 

Secretary of Agriculture.

___________________________________________ ___________________

Signature * and Title Date

BALLOTS POSTMARKED AFTER _________, 

WILL NOT BE COUNTED IN THE REFERENDUM.

*Your signature certifies that you have the authority to take such action and will submit supplementary evidence of such authority at the request 

of an agent of the Secretary of Agriculture. The information provided in this ballot is required to determine voter eligibility and vote of grape 

growers in a designated area of Southeastern California. Falsification of information on this government document may result in a fine or 

imprisonment, or both (18 U.S.C. 1001).

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.