REPRODUCE LOCALLY. Include form number and date on all reproductions. OMB No. 0581-0215

SC-245 (Exp. 6/30/2024. Destroy previous editions.) 

NOMINATION FORM 

PRODUCER MEMBERS AND ALTERNATE PRODUCER MEMBERS

Marketing Order No. 983 (Order), regulating the handling of pistachios grown in California, Arizona, and New 

Mexico became effective on November 3, 2009. The Administrative Committee for Pistachios (Committee) is 

conducting the nomination process for membership on the 12-member committee for the seats that expire June 30, 

20___. The Committee consists of 9 producer members, 2 handler members, 1 public member and their alternates. 

Of the 9 producer members, 4 are producer members and their respective alternates from District 1 (Southern 

California), 3 are producer members and their respective alternates from District 2 (Central California), 1 is a 

producer member and his/her respective alternate from District 3 (Northern California), and 1 is a producer member 

and his/her respective alternate from District 4 (Arizona/New Mexico). The Order provides authority for pistachio 

producers in each of the four districts to submit the names of candidates for nomination for membership on the 

Committee. If you are interested in nominating yourself or another producer to serve on the Committee for Districts 

1, 2, 3, or 4, please read the following information and submit the completed nomination form. To be valid, the 

completed nomination form must be signed, and postmarked, faxed, or hand-delivered no later than , 

20 . 

INSTRUCTIONS FOR COMPLETING THE ATTACHED NOMINATION FORM

1. Please complete a nomination form for the district in which you wish to nominate yourself or another eligible 

producer to run for office on the Committee for the seats that expire on June 30, 20___. If you produce 

pistachios in more than one district, you may nominate a candidate from only one district of your choice. List 

the name of your nominee and accompanying information in the spaces provided on the form. Only 

producers, including duly authorized officers or employees of producers, may participate in the nomination of 

candidates for producer members and their alternates. If you are both a producer and a handler of pistachios, 

you may participate in both producer and handler nominations.

2. The Order prescribes that not more than two members and not more than two alternate members shall be 

persons employed by, or affiliated with producers or handlers that are affiliated with the same handler and/or 

producer. “Affiliation” normally appears as “affiliate of,” or “affiliated with,” and means a person such as a 

producer or handler who is: a producer or handler that directly, or indirectly through one or more 

intermediaries, owns or controls, or is controlled by, or is under common control with the producer or handler 

specified; or a producer or handler that directly, or indirectly through one or more intermediaries, is 

connected in a proprietary capacity, or shares the ownership or control of the specified producer or handler 

with one or more other producers or handlers. As used in this part, the term “control” (including the terms 

“controlling,” “controlled by,” and “under common control with”) means the possession, direct or indirect, of 

the power to direct or cause the direction of the management and policies of a handler or a producer, whether 

through voting securities, membership in a cooperative, by contract or otherwise.

3. Once all nomination forms are received, nominees will be notified of their nomination, asked to complete a 

confidential qualification and acceptance statement, and provided an opportunity to submit a short 

biographical statement not to exceed one half page in length. The short biographical information statement 

will be sent to eligible handlers with balloting material.

4. The Order specifies that a two-year term of office shall be staggered for elected producer members and their 

alternates. For this nomination, producer member positions that expire on June 30, 20__ are being filled. 

The eligible producer(s) receiving the highest number of votes by position will be recommended to the U.S. 

Department of Agriculture (USDA) as the producer member(s). Those eligible nominees receiving the next 

highest number of votes by position will be recommended to the USDA as alternate producer members. Each 

producer member and alternate producer member on the Committee shall be, at the time of selection and 

during the term of office, a pistachio producer, or an officer or an employee of a producer.

 

5. The USDA prohibits discrimination in all its programs and activities. Please see the bottom of the district 

ballot for more details. We request that you be mindful of the USDA’s policy regarding Civil Rights and 

consider eligible women, minorities, and the physically challenged for membership on the Committee.

6. The completed nomination form must be signed, postmarked, faxed, or hand-delivered by , 20 . 

Submit the form by mail in the return envelope provided, fax to (559) 255-6485, or hand-deliver to the

Administrative Committee for Pistachios, at 4938 East Yale Avenue, Suite 102, Fresno, CA 93727.
REPRODUCE LOCALLY. Include form number and date on all reproductions. OMB No. 0581-0215

SC-245 (Exp. 6/30/2024. Destroy previous editions.) 

UNITED STATES DEPARTMENT OF AGRICULTURE

AGRICULTURAL MARKETING SERVICE

SPECIALTY CROPS PROGRAM

ADMINISTRATIVE COMMITTEE FOR PISTACHIOS 

PRODUCER MEMBER AND ALTERNATE PRODUCER MEMBER NOMINATION FORM

You may nominate yourself or other pistachio producers for one district in which you and your candidate produce 

pistachios. NOTE: Nominations must be signed to be valid.

DISTRICT 1 (SOUTHERN CALIFORNIA) - Tulare, Kern, San Bernardino, San Luis Obispo, Santa Barbara, 

Ventura, Los Angeles, Orange, Riverside, San Diego, and Imperial counties. You may nominate FOUR producers 

and their respective alternates.

___________________________________________ ____________ _____________ ________________________

Name of Producer Member Nominee Phone Number Fax Number Email Address

___________________________________________ ________________________________________________________

Mailing Address City, State, Zip code

___________________________________________ ____________ _____________ ________________________

Name of Producer Member Nominee Phone Number Fax Number Email Address

___________________________________________ ________________________________________________________

Mailing Address City, State, Zip code

___________________________________________ ____________ _____________ ________________________

Name of Producer Member Nominee Phone Number Fax Number Email Address

___________________________________________ ________________________________________________________

Mailing Address City, State, Zip code

___________________________________________ ____________ _____________ ________________________

Name of Producer Member Nominee Phone Number Fax Number Email Address

___________________________________________ ________________________________________________________

Mailing Address City, State, Zip code

CERTIFICATION: I certify that I, or my employer, currently produce pistachios for market in District 1 (you may nominate 

a candidate in only one district).

 Producer’s Name Address Telephone Number 

Signature Print Name Date

The making of any false statements or representations in any matter within the jurisdiction of any agency of the United States, knowing it to be 

false, is a violation of title 18, section 1001 of the United States Code, which provides for a fine or imprisonment, or both.

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 0581-0215. 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. 

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.
REPRODUCE LOCALLY. Include form number and date on all reproductions. OMB No. 0581-0215

SC-245 (Exp. 6/30/2024. Destroy previous editions.) 

UNITED STATES DEPARTMENT OF AGRICULTURE

AGRICULTURAL MARKETING SERVICE

SPECIALTY CROPS PROGRAM

ADMINISTRATIVE COMMITTEE FOR PISTACHIOS 

PRODUCER MEMBER AND ALTERNATE PRODUCER MEMBER NOMINATION FORM

You may nominate yourself or other pistachio producers for one district in which you and your candidate produce 

pistachios. NOTE: Nominations must be signed to be valid.

DISTRICT 2 (CENTRAL CALIFORNIA) - Kings, Fresno, Madera, and Merced counties. You may nominate 

THREE producers and their respective alternates. 

___________________________________________ ____________ _____________ ________________________

Name of Producer Member Nominee Phone Number Fax Number Email Address

___________________________________________ ________________________________________________________

Mailing Address City, State, Zip code

___________________________________________ ____________ _____________ ________________________

Name of Producer Member Nominee Phone Number Fax Number Email Address

___________________________________________ ________________________________________________________

Mailing Address City, State, Zip code

___________________________________________ ____________ _____________ ________________________

Name of Producer Member Nominee Phone Number Fax Number Email Address

___________________________________________ ________________________________________________________

Mailing Address City, State, Zip code

___________________________________________ ____________ _____________ ________________________

Name of Producer Member Nominee Phone Number Fax Number Email Address

___________________________________________ ________________________________________________________

Mailing Address City, State, Zip code

CERTIFICATION: I certify that I, or my employer, currently produce pistachios for market in District 2 (you may nominate 

a candidate in only one district).

 Producer’s Name Address Telephone Number 

Signature Print Name Date 

The making of any false statements or representations in any matter within the jurisdiction of any agency of the United States, knowing it to be 

false, is a violation of title 18, section 1001 of the United States Code, which provides for a fine or imprisonment, or both.

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 0581-0215. 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. 

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.
REPRODUCE LOCALLY. Include form number and date on all reproductions. OMB No. 0581-0215

SC-245 (Exp. 6/30/2024. Destroy previous editions.) 

UNITED STATES DEPARTMENT OF AGRICULTURE

AGRICULTURAL MARKETING SERVICE

SPECIALTY CROPS PROGRAM

ADMINISTRATIVE COMMITTEE FOR PISTACHIOS 

PRODUCER MEMBER AND ALTERNATE PRODUCER MEMBER NOMINATION FORM

You may nominate yourself or other pistachio producers for one district in which you and your candidate produce 

pistachios. NOTE: Nominations must be signed to be valid.

DISTRICT 3 (NORTHERN CALIFORNIA) - consists of all counties in California where pistachios are produced 

that are not included in Districts 1 and 2. You may nominate ONE producer and their respective alternate.

___________________________________________ ____________ _____________ ________________________

Name of Producer Member Nominee Phone Number Fax Number Email Address

___________________________________________ ________________________________________________________

Mailing Address City, State, Zip code

___________________________________________ ____________ _____________ ________________________

Name of Producer Member Nominee Phone Number Fax Number Email Address

___________________________________________ ________________________________________________________

Mailing Address City, State, Zip code

CERTIFICATION: I certify that I, or my employer, currently produce pistachios for market in District 3 (you may nominate 

a candidate in only one district).

 Producer’s Name Address Telephone Number 

Signature Print Name Date 

The making of any false statements or representations in any matter within the jurisdiction of any agency of the United States, knowing it to be 

false, is a violation of title 18, section 1001 of the United States Code, which provides for a fine or imprisonment, or both.

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 0581-0215. 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. 

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.
REPRODUCE LOCALLY. Include form number and date on all reproductions. OMB No. 0581-0215

SC-245 (Exp. 6/30/2024. Destroy previous editions.) 

UNITED STATES DEPARTMENT OF AGRICULTURE

AGRICULTURAL MARKETING SERVICE

SPECIALTY CROPS PROGRAM

ADMINISTRATIVE COMMITTEE FOR PISTACHIOS 

PRODUCER MEMBER AND ALTERNATE PRODUCER MEMBER NOMINATION FORM

You may nominate yourself or other pistachio producers for one district in which you and your candidate produce 

pistachios. NOTE: Nominations must be signed to be valid.

DISTRICT 4 (THE STATES OF ARIZONA AND NEW MEXICO) – consists of the States of Arizona and New 

Mexico. You may nominate ONE producer and their respective alternate.

___________________________________________ ____________ _____________ ________________________

Name of Producer Member Nominee Phone Number Fax Number Email Address

___________________________________________ ________________________________________________________

Mailing Address City, State, Zip code

___________________________________________ ____________ _____________ ________________________

Name of Producer Member Nominee Phone Number Fax Number Email Address

___________________________________________ ________________________________________________________

Mailing Address City, State, Zip code

CERTIFICATION: I certify that I, or my employer, currently produce pistachios for market in District 4 (you may nominate 

a candidate in only one district).

 Producer’s Name Address Telephone Number 

Signature Print Name Date 

The making of any false statements or representations in any matter within the jurisdiction of any agency of the United States, knowing it to be 

false, is a violation of title 18, section 1001 of the United States Cod e, which provides for a fine or imprisonment, or both.

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 0581-0215. 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. 

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.