Annual Report Packers Form PDF Details

In the realm of the agricultural economy, understanding the intricacies of annual reporting for packers is crucial, entailing a meticulous process governed by the U.S. Department of Agriculture's Grain Inspection, Packers and Stockyards Administration under the Packers and Stockyards Program. The Annual Report of Packers, a document fundamental for regulatory compliance and operational transparency, serves as a comprehensive collection of a packer's yearly business activities, financial health, and organizational structure. Detailed within this report are sections that cover a wide spectrum of information, from basic identifying data like legal and doing-business-as (DBA) names, addresses, and contact information, to more complex financial and operational details including the total value of livestock transactions, balance sheets, income statements, as well as specifics regarding plant operations, slaughtering, meat processing, and adjustments pertaining to livestock feeding operations. Integral to the report is the emphasis on accurate reporting, seen in instructions for representing zero values, non-applicable items, and the imperative to verify the completeness of the submission. The form not only facilitates oversight but also reinforces the importance of accountability and accuracy in representing a packer's business dealings, with significant penalties outlined for willful misreporting, underscoring the document’s critical role in ensuring fair practice and compliance within the agricultural sector.

QuestionAnswer
Form NameAnnual Report Packers Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesannual report packers, packers and stockyards form 3001, green bay packers financial statements 2020, packers financial statements

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For P&SP Use Only

P&SP Bar Code Only

U.S. Department of Agriculture

Grain Inspection,

Packers and Stockyards

Administration

Packers and

Stockyards

Program

ANNUAL REPORT OF PACKERS

Instructions: If an item's value is zero, enter "0". If an item does not apply, enter "NA". Upon completion please verify that all items have been answered. Return completed form to the P&SP Central Reporting Unit. See separate instructions for complete information about this report.

 

 

 

GENERAL INFORMATION - SECTION 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

101

Reporting Period

 

 

 

 

 

 

 

 

 

(mm/dd/yy)

a. from

 

 

b. to

 

 

 

 

102

Legal Business Name

 

 

 

 

 

 

 

 

103

Business Name (dba)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

104

Mailing Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

105

City, State, Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

106

Physical Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

107

City, State, Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

108

Contact Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

109

Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

110

Fax Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ORGANIZATIONAL STRUCTURE - SECTION 2

 

 

 

 

 

List owners, officers, partners, and managing members in control of this business

 

 

 

 

 

 

 

a. Name

 

 

b. Title

 

 

c. Percentage Ownership

201

 

 

 

 

 

 

 

 

 

202

 

 

 

 

 

 

 

 

 

203

 

 

 

 

 

 

 

 

 

204

 

 

 

 

 

 

 

 

 

205

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

206

Type of organization

Individual

Partnership

Corporation

L.L.C.

L.L.P.

Co-op

Other

207

Is this the same organization type reported last year?

 

Yes

No

 

 

 

 

208

Is this business owned or controlled by another business entity?

Yes

No

 

 

 

 

209

If line 208 is yes, identify the owner/controlling business name and address.

 

 

 

 

 

210

Does this business own or control other businesses within the livestock-meat sector?

Yes

 

No

 

 

211

212

213

214

If line 210 is yes, then provide the names of businesses that you own or control and percentage of control it items 211-214

a. Name of Business

b. Percentage of Control

 

 

 

 

 

 

 

 

Your response to this form is required under the Packers and Stockyards Act of 1921 (9 CFR 201.97 and 7 U.S.C. 181-229). According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information is 0580-0015. The time required to complete this information collection is estimated to average 7 hour per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection.

Form 3004

EXPIRES JANUARY 2015

Page 1 of 4

FINANCIAL INFORMATION - SECTION 3

301 Total value of livestock purchased for feeding

 

$

 

 

 

302 Total value of livestock purchased for slaughter

 

$

 

 

 

303 Total value of all livestock purchased (line 301 plus 302)

 

 

 

$

 

304

As of the end of the reporting period, were Accounts Receivable and/or Inventories, or any part thereof, pledged or assigned as

 

 

Yes

No

collateral under a financing or loan agreement?

 

 

 

 

Enter name and location of bank used for livestock payments

 

 

 

 

 

305

Bank Name

 

 

 

 

 

 

306

Physical Address

 

 

 

 

 

 

 

 

 

 

 

 

307

City, State, Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BALANCE SHEET - SECTION 4

 

 

 

 

 

Include values only for the reporting entity.

 

 

 

 

 

Assets

 

 

 

 

 

Current Assets

 

 

 

 

 

Cash (Enter overdrafts under Current Liabilities - line 418)

 

401

$

 

Temporary Cash Investments (Marketable Securities, Certificates

 

 

 

 

 

 

of Deposit, Commercial Paper, etc.)

 

402

$

 

Accounts Receivable (Due in One Year or Less)

 

 

 

 

 

 

From sources not related to company

403

$

 

 

 

 

From sources related to company

404

$

 

 

 

Total Accounts Receivable

 

405

$

 

Notes and Loans Receivable (Portion due in One Year or Less)

 

406

$

 

Inventory

 

 

 

 

 

 

Livestock

407

$

 

 

 

 

Meat and Meat Food Products

408

$

 

 

 

 

Other Inventory

409

$

 

 

 

Total Inventory

 

410

$

 

Other Current Assets

 

411

$

 

Total Current Assets

 

412

$

 

Long-Term Assets

 

 

 

 

 

Investments

413

$

 

 

 

Property, Plant, & Equipment (Net of Depreciation and Amortization)

414

$

 

 

 

Other Long-Term Assets

415

$

 

 

 

Total Long-Term Assets

 

416

$

 

Total Assets

 

417

$

 

Liabilities and Net Worth

 

 

 

 

 

 

 

 

 

 

Liabilities

 

 

 

 

 

Current Liabilities

 

 

 

 

 

Bank Overdraft

 

418

$

 

Accounts Payable

 

 

 

 

 

 

Livestock Purchases

419

$

 

 

 

 

Other payables to sources not related to company

420

$

 

 

 

 

Other payables to sources related to company

421

$

 

 

 

Total Accounts Payable

 

422

$

 

Notes and Loans Payable (Demand Notes and Portion of

 

 

 

 

 

 

Long-Term Notes due in One Year or Less)

 

423

$

 

Other Current Liabilities

 

424

$

 

Total Current Liabilities

 

425

$

 

Long-Term Liabilities (Due after One Year)

 

426

$

 

Total Liabilities

 

427

$

 

Total Net Worth

 

428

 

 

 

$

 

Total Liabilities and Net Worth (Equals Total Assets)

 

429

 

 

 

$

 

 

 

 

 

 

 

 

 

Form 3004

EXPIRES JANUARY 2015

Page 2 of 4

 

 

INCOME STATEMENT - SECTION 5

 

 

 

 

 

 

 

 

Include values only for reporting entity.

 

 

 

 

 

 

Income Statement

 

 

 

 

 

 

Net Sales (Gross sales less sales returns & allowances)

 

 

 

501

$

Cost of Sales

 

 

 

 

 

 

Opening Inventory

502

$

 

 

 

 

Livestock Purchases

503

$

 

 

 

 

Meat and Meat Food Product Purchases

504

$

 

 

 

 

Other Purchases

505

$

 

 

 

 

Subtotal (sum lines 502 to 505)

 

506

$

 

 

Closing Inventory

 

507

$

 

 

Total Cost of Sales (line 506 less 507)

 

 

 

508

$

Gross Profit

 

 

 

509

$

Operating Expenses

 

 

 

 

 

 

Manufacturing

 

510

$

 

 

General, Sales, and Administrative

 

511

$

 

 

Depreciation & Amortization

 

512

$

 

 

Total Operating Expenses

 

 

 

513

$

Operating Income or Loss

 

 

 

514

$

Adjustments to Operating Income

 

 

 

 

 

 

Other Additions to Income

 

515

$

 

 

Interest Expense

 

516

$

 

 

Other Deductions from Income

 

517

$

 

 

Total Adjustments to Operating Income

 

 

 

518

$

Net Profit or Loss before Income Tax

 

 

 

519

$

 

 

 

 

 

 

 

LIVESTOCK FEEDING OPERATIONS, PROCUREMENT, SLAUGHTER, AND MEAT PROCESSING - SECTION 6

Plant Information.

If you use only one plant for slaughter operations, report values here. If you use more than one plant, then use Supplement Form 3005 for each plant and report totals here.

601Plant Name

602Mailing Address

603City, State, Zip

604Plant Physical Address (if different from 106)

605

Is this plant federally or state inspected?

Federal

State

Neither

606. FSIS or state plant inspection number:

 

 

 

 

 

 

607

Do you own or lease this plant?

Own

Lease

Neither

 

Custom Slaughter: If you custom slaughter for other businesses in the plant listed in line 601, complete lines 608-617, otherwise continue to line 618.

List the names and addresses of the four largest entities you slaughter for in lines 608-611. List only entities for which you slaughter at least 100 head. Add total slaughter for entities not in your largest four and less than 100 head together and list on line 616. Total all values on line 617.

6081st Entity

6092nd Entity

6103rd Entity

6114th Entity

Entity Name

Entity Address

Enter the number of head slaughtered for each entity listed in lines 608-611

Steer/Heifer (hd)

Cow/Bull (hd)

Calf (hd)

Hog (hd)

Sheep/Lamb (hd)

Other (hd)

6121st Entity

6132nd Entity

6143rd Entity

6154th Entity

616All others

617

Total

Form 3004

EXPIRES JANUARY 2015

Page 3 of 4

If you answered yes in item 631, list the manufacturer and the type of instrument.

Committed Supply: Livestock procured more than 14 days before slaughter.

Steer/Heifer (hd)

Cow/Bull (hd)

Calf (hd)

Hog (hd)

Sheep/Lamb (hd)

Other (hd)

618Packerowned

619From other packers

All other

620committed sources

621Total

Non-Committed Supply: Livestock procured 14 days or fewer before slaughter.

Steer/Heifer (hd)

Cow/Bull (hd)

Calf (hd)

Hog (hd)

Sheep/Lamb (hd)

Other (hd)

622From other packers

623Direct Through

624public markets

625Total

Slaughter Adjustments: Livestock procured but not slaughtered.

Steer/Heifer (hd)

Cow/Bull (hd)

Calf (hd)

Hog (hd)

Sheep/Lamb (hd)

Other (hd)

626Livestocksold

627Dead or condemned

628Total

Total Slaughter.

Line 629 equals line 617 plus line 621 plus line 625 minus line 628

629

Steer/Heifer (hd)

Cow/Bull (hd)

Calf (hd)

Hog (hd)

Sheep/Lamb (hd)

Other (hd)

Total slaughter

Number of Livestock Paid for Based on Carcass Basis and Dressed Weight (i.e., not liveweight).

630

Steer/Heifer (hd)

Cow/Bull (hd)

Calf (hd)

Hog (hd)

Sheep/Lamb (hd)

Other (hd)

Carcass and

Dressed

631 Do you use an electronic instrument to determine payment for carcasses or livestock?

Yes

No

632

Meat Processing Activities (Slaughtering Plants Only)

633

634

Beef (1000 lbs)

Pork (1000 lbs)

Veal (1000 lbs)

Lamb/Mutton (1000 lbs)

Other (1000 lbs)

Purchased externally or transferred in

Total products shipped

(exclude offal)

CERTIFICATION - SECTION 7

Under the Packers and Stockyards Act any person who willfully makes, or causes any false entry or statement of fact in this report shall be deemed guilty of offense against the United States, and be subject to a fine of $1,000 to $5,000, or to imprisonment for a term of not more than 3 years, or to both fine and imprisonment.

I certify that this report has been prepared by me or under my direction, and to the best of my knowledge and belief correctly reflects reporting entity operations.

701 Print Name

702 Signature (Must be signed by a person listed on 201-205)

703 Phone Number

704 Date

705 Title

Submitted information is confidential (9 CFR 201.96). Failure to report will result in forfeiture to the United States $110 per day until report receipt 7 (U.S.C. 222). Enclose with

this form all completed Form 3005's, Supplement Packer Annual Reports, for multiplant operations.

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

Form 3004

EXPIRES JANUARY 2015

Page 4 of 4