California Walnut Board OMB NO. 0581-0178

101 Parkshore Drive, Suite 250

Folsom, CA 95630

Tel: (916) 932-7070 Fax: (916) 932-7071

BALLOT

CALIFORNIA WALNUT BOARD

ELECTION OF PRODUCER MEMBERS AND ALTERNATES

DISTRICT NO. 1 DISTRICT NO. 2

Consists of the counties in the State that lie north of a line 

drawn on the southern boundaries of San Mateo, Alameda, 

San Joaquin, Calaveras and Alpine counties.

Consists of all other counties in the State south of the boundary 

line set forth in the definition of District No. 1.

VOTING INSTRUCTIONS:

In accordance with the provisions of Section 984.35(a)(3),Section 984.35(a)(4) and Section 984.35(a)(5) of Marketing Order No. 

984, as amended, I hereby vote for the following members and alternates as representatives of producers of the California Walnut 

Board for the two-year term beginning September 1, 2019. 

For the district positions, you may vote for two members and two alternates from your district. Indicate your vote by placing an 

“X” in the box opposite the name of the member(s) and alternate(s) of your choice, according to your district. Write-in lines are 

provided if you wish to nominate qualified walnut producers from your district who are not shown on this ballot. Please 

type or print clearly your candidate’s name and address in the space provided. 

Producers who grow walnuts in more than one district must select one district in which they wish to vote. Your ballot will be 

invalidated if you vote for more than two persons for each position or if you vote in more than one district.

DISTRICT 1 – ONLY CAST YOUR VOTE FOR THESE CANDIDATES IF 

YOU ARE A DISTRICT 1 PRODUCER

Member (Producer)–District 1 Vote for two Alternate (Producer)-District 1 Vote for two

Write-In Candidate(s) for District 1: Write-In Candidate(s) for District 1:

DISTRICT 2 – ONLY CAST YOUR VOTE FOR THESE CANDIDATES IF 

YOU ARE A DISTRICT 2 PRODUCER

Member (Producer)–District 2 Vote for two Alternate (Producer)-District 2 Vote for two

Write-In Candidate(s) for District 2: Write-In Candidate(s) for District 2:

For the statewide positions, you may vote for one member and one alternate regardless of your district. Indicate your vote by 

placing an “X” in the box opposite the name of the member and alternate of your choice. Write-in lines are provided if you wish 

to nominate qualified walnut producers from either District 1 or District 2 who are not shown on this ballot.

For the statewide at-large position, your ballot will be invalidated if you vote for more than one person for each position.

STATE OF CALIFORNIA AT-LARGE POSITION

Member (Producer) Vote for one Alternate (Producer) Vote for one

Write-In Candidate: Write-In Candidate:

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CERTIFICATION OF ELIGIBILITY

I hereby certify that I am currently a qualified walnut producer in District 1  or District 2  and have voted in only one district.

Legal Name of Voting Entity Tax ID #

Address City State Zip

Authorized Signature Phone

Please indicate the following about the producer (legal entity) for which you are voting:

____ INDIVIDUAL ____ TRUST ____ PARTNERSHIP ____ CORPORATION ____ ESTATE 

IF PARTNERSHIP, LIST PARTNER(S) ____________________________________________

VOTING DEADLINE

______, 20___
BACKGROUND INFORMATION

In the event one handler does not handle 35% or more of the crop:

984.35(a)(3) Two grower members from District 1;

984.35(a)(4) Two grower members from District 2;

984.35(a)(5) One grower member nominated at large from the production area.

In the event one handler handles 35% or more of the crop:

984.35(b)(4) One member to represent growers from District 1 who market their walnuts through handlers that 

do not handle 35% or more of the crop;

984.35(b)(5) One member to represent growers from District 2 who market their walnuts through handlers that 

do not handle 35% or more of the crop; and

984.35(b)(6) One member to represent growers who market their walnuts through handlers that do not handle 

35% or more of the crop shall be nominated at large from the production area.

Grower Districts:

984.35(c) Grower Districts:

(1) District 1. District 1 encompasses the counties in the State of California that lie north of a line 

drawn on the south boundaries of San Mateo, Alameda, San Joaquin, Calaveras, and Alpine Counties.

(2) District 2. District 2 shall consist of all other walnut producing counties in the State of California 

south of the boundary line set forth in paragraph (c)(1) of this section.

At-large Member Position:

984.437(a) With regard to Board grower member positions specified in §984.35(a)(5) or (b)(6), any ten or more 

such growers who marketed an aggregate of 500 or more tons of walnuts through handlers who did not handle 35% 

or more of the crop during the marketing year preceding the year in which Board nominations are held, may petition 

the Board to include on the nomination ballot the name of an eligible candidate for this position, and the name of an 

eligible candidate to serve as his or her alternate. The names of the eligible candidates proposed pursuant to this 

paragraph shall be included on the ballot together with the names of any incumbents who are willing to continue 

serving on the Board.

District 1 and 2 Member Positions:

984.437(b) Any ten or more growers eligible to serve in the grower member positions specified in §984.35(a)(3) 

and (4), or §984.35(b)(4) and (5), and who marketed an aggregate of 500 or more tons of walnuts through handlers 

who did not handle 35% or more of the crop during the marketing year preceding the year in which Board 

nominations are held, may petition the Board to include on the nomination ballot for a district the name of an eligible 

candidate for the applicable position, and the name of an eligible candidate to serve as his or her alternate. The 

names of the eligible candidates proposed pursuant to this paragraph shall be included on the ballot together with 

the names of any incumbents who are willing to continue serving on the Board.

Note: The following statements are made in accordance with the Privacy Act of 1974 (5 U.S.C. 552a) and the Paperwork Reduction Act of 

1995. The authority for requesting this information to be supplied on this form is the Agricultural Marketing Agreement Act of 1937, Secs. 1-

19, 48 Stat. 31, as amended (7 U.S.C. 601-674). Furnishing the requested information is necessary for the administration of the marketing 

order program.

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-

0178. 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.

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.

Exp. 3/31/2024. Destroy previous versions.