Form 3003 PDF Details

In the complex world of agricultural business operations, the annual reporting process serves as a crucial checkpoint for entities engaged in the marketing, selling, and processing of livestock. Enter the 3003 form, a comprehensive document mandated by the U.S. Department of Agriculture under its Agricultural Marketing Service, specifically within the Fair Trade Practices Program of the Packers and Stockyards Division. This form not only tracks the financial transactions and organizational structure of market agencies selling on commission but also delves into operational details like livestock sold, details of transactions, custodial bank account analysis, and much more. With sections ranging from general information to detailed financial statements and certifications, the form is a critical tool for maintaining transparency and accountability in the agricultural marketplace. Entities are encouraged to opt for electronic notifications and filing to streamline the process, ensuring compliance with regulations. However, the responsibility lies heavy on the shoulders of those completing the form, as inaccuracies or omissions can lead to legal consequences under the Packers and Stockyards Act, emphasizing the importance of diligence and accuracy in its completion. Moreover, this form plays a part in enforcing civil rights regulations, prohibiting discrimination, and ensuring equitable treatment within USDA programs, showcasing its role beyond mere financial reporting.

QuestionAnswer
Form NameForm 3003
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namespsp 3003 form, form 3003, flw form 3003, gipsa form 3003

Form Preview Example

Business Entity ID Number

For PSD Stamp Only

OMB Control No. 0581-0308

PSD Bar Code Only

U.S. Department of Agriculture

ANNUAL REPORT OF

Agricultural Marketing Service

Fair Trade Practices Program

MARKET AGENCY SELLING

Packers and Stockyards Division

ON COMMISSION

Select this box if you want to receive electronic notification to file your annual report. This will begin in the next reporting cycle.

Electronic Filing

 

 

Instructions: If a line's value is zero, enter "0". If a line does not apply, enter "N/A". Return completed form to

 

 

 

the PSD Central Reporting Unit. If all lines are not completed when the form is received, the form will be

 

 

 

 

returned. See separate instructions for complete information about this report.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GENERAL INFORMATION - SECTION 1

 

 

 

 

 

 

 

 

 

 

 

 

101

Reporting Period

 

 

 

 

 

 

 

 

 

(mm/dd/yyyy)

 

a. FROM:

 

b. TO:

 

102

Entity Name

 

 

 

 

 

 

 

 

103

Trade Name/d.b.a.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

104

Mailing Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

105

City, State, Zip+4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

106

Operating Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

107

City, State, Zip+4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

108

Contact Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

109

Contact Telephone

 

 

 

 

 

 

 

 

 

 

111

E-Mail Address

 

 

 

110

Fax

 

 

 

 

 

 

 

 

 

 

 

112

Web Address

 

 

 

 

 

 

 

 

 

 

 

 

 

ORGANIZATIONAL STRUCTURE - SECTION 2

201

202

203

204

205

206

207

208

209

210

211

212

213

List owners, officers, partners, and members in control of this business with their ownership percentage.

a. Name

b. Title

c. %

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type organization:

 

 

Individual

 

Partnership

 

Corporation

 

L.L.C.

 

 

 

L.L.P.

 

 

Co-op

 

Association

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is this the same organization type reported last year?

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Does the entity own or operate a scale on which purchased livestock is weighed?

 

 

 

 

Yes

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. Manufacturer

 

 

 

 

 

b. Model

 

 

 

 

 

 

 

 

 

c. Serial Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

What is the basis of payment made to the entity for most livestock you sell?

 

 

 

Per Head

 

 

 

 

Live Wt.

 

 

Dressed Wt. or Carcass Basis

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is this business owned or controlled by another business entity? If Yes, list information on line 212

 

 

 

 

Yes

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Entity Name:

 

 

 

 

 

 

 

 

Entity Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Does this Business, including any Owners, Officers, Directors, Members or Employees,

own an

 

 

 

 

Yes

 

 

 

 

No

 

 

interest in any other Market Agency, Dealer Organization, or Packing Company?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

214

215

216

217

If line 213 is yes, give the name of related firms, name of person or firms with relationship, and percentage of ownership under lines 214-217

a. Name of Related Firm

b. Name of Person/Firm with Relationship

c. %

 

 

 

 

 

 

 

 

 

 

 

 

Form PSD 3003

Expires 02/28/2021

Page 1 of 4

 

 

 

 

 

 

 

OMB Control No. 0581-0308

 

 

 

 

 

 

 

SELLING ON COMMISSION OPERATION (CLAUSE 1 BOND) - SECTION 3

 

 

 

 

 

 

 

 

 

 

 

Livestock Sold at Market

a. Cattle

b. Hogs

c. Sheep & Goats

d. Horses & Mules

e. Total (a+b+c+d)

 

Livestock consigned by others to your market

 

 

 

 

 

301(number of head)

Livestock consigned by you to your market

302(number of head)

Total livestock consigned to your market

303(number of head)

304 Gross value of livestock sold on commission

$

$

$

$

$

305Number of Public Sales days covered by this report

DEALER AND BUYING ON COMMISSION OPERATION (CLAUSE 2 BOND) - SECTION 4

401

402

403

404

405

406

407

408

Livestock Dealer Purchases

a. Cattle

b. Hogs

c. Sheep & Goats

d. Horses & Mules

e. Total (a+b+c+d)

Cost of livestock purchased on a dealer basis

$

$

$

 

$

 

$

for registrant's account

 

 

 

 

 

 

 

 

 

Number of head of livestock purchased on a

 

 

 

 

 

 

 

dealer basis for registrant's account

 

 

 

 

 

 

 

Dealer Volume by quarter

a. First Quarter

b. Second Quarter

c. Third Quarter

d. Fourth Quarter

e. Total (a+b+c+d)

Cost of livestock purchased as a dealer, per

$

$

$

 

$

 

$

quarter (403e is equal to 401e)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Livestock Bought on Commission

a. Cattle

b. Hogs

c. Sheep & Goats

d. Horses & Mules

e. Total (a+b+c+d)

Cost of livestock bought on commission

$

$

$

 

$

 

$

(BOC) for the account of others regardless of

 

 

who paid for the livestock

 

 

 

 

 

 

 

Number of head of livestock bought on

 

 

 

 

 

 

 

commission for the account of others

 

 

 

 

 

 

 

regardless of who paid for the livestock

 

 

 

 

 

 

 

BOC Volume by quarter

a. First Quarter

b. Second Quarter

c. Third Quarter

d. Fourth Quarter

e. Total (a+b+c+d)

Cost of livestock bought on commission, per

$

$

$

 

$

 

$

quarter (406e is equal to 404e)

 

 

 

 

 

 

 

Total Cost of Livestock Purchased - line 401e plus line 404e

 

$

 

 

 

Number of days livestock was purchased during the reporting year

 

 

 

 

 

 

CLEAREE AND CLEAROR DESIGNATIONS - SECTION 5

501

Select this box if you are a clearee (Cleared and under the bond coverage of another entity for your livestock purchases)

 

 

 

 

502

Provide the name of the clearor if line 501 is checked:

 

 

 

 

503

 

 

 

 

 

 

 

 

Select this box if you are a clearor providing clearing services for clearees.

 

 

 

 

 

 

 

 

If the checkbox is selected on line 503, you must enter the required information for lines 504-514

 

 

 

 

 

 

Clearee's Name as Registered

 

 

Dollar Value of Livestock Purchased

504

 

 

 

505

$

 

 

 

506

 

 

 

507

$

 

 

 

508

 

 

 

509

$

 

 

 

510

 

 

 

511

$

 

 

 

512

 

 

 

513

$

 

 

 

 

 

Total Livestock Purchases of all Clearees

514

$

 

 

 

 

 

 

 

 

 

 

ANALYSIS OF CUSTODIAL BANK ACCOUNT FOR SHIPPERS' PROCEEDS - SECTION 6

 

 

 

Date of Custodial Analysis ( as of mm/dd/yyyy - should be same as reporting year end)

601

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance as per Bank Statement

602

$

 

 

 

 

 

 

 

 

 

 

 

 

Deposits in transit in mail or bank, but not on statement

603

$

 

 

 

Certificates of Deposit/Savings designated as custodial funds

 

 

 

 

 

604

$

 

 

 

Proceeds on hand

605

$

 

 

 

 

 

 

 

 

 

 

 

 

Proceeds receivable

606

$

 

 

 

 

Total of Lines 602 through 606

 

 

 

 

 

 

 

607

$

 

 

Outstanding checks and drafts that have not cleared bank

608

$

 

 

 

Proceeds due consignors of livestock for which checks have not yet been issued

609

$

 

 

 

 

 

 

 

 

 

 

 

 

Unpaid expense items deducted from consignors' proceeds remaining in account

610

$

 

 

 

 

Total of Lines 608 through 610

 

 

 

 

 

 

 

611

$

 

 

Overage or Shortage in Account (Line 607 minus 611)

 

612

$

 

 

 

 

 

 

 

 

 

 

 

Accounts Receivable - (from sales of livestock not classified as Proceeds Receivable)

 

613

$

 

 

 

 

 

 

 

 

 

 

Form PSD 3003

Expires 02/28/2021

Page 2 of 4

OMB Control No. 0581-0308

STATEMENT OF ASSETS, LIABILITIES, AND EQUITY - SECTION 7

Include values only for the reporting entity.

 

 

 

 

 

 

 

 

ASSETS

 

 

 

 

 

 

 

 

Current Assets:

 

 

 

 

 

 

 

 

Cash in Non-Custodial Accounts (Enter overdrafts on Line 723)

 

 

701

 

$

 

 

 

Overage in Custodial Bank Account (From Line 612, if a positive amount)

 

702

 

$

 

 

 

Current Cash Equivalents (CD's, Savings, etc.)

 

 

703

 

$

 

 

 

Trade Accounts Receivable-Net (Due in 1 year or less):

 

 

 

 

 

 

 

 

Owners, Officers, and Affiliated Companies

704

$

 

 

 

 

 

 

All Others (Sources Not Related to Company)

705

$

 

 

 

 

 

 

Total Trade Accounts Receivables-Net (Due in 1 year or less) (Total of lines 704 and 705)

706

 

$

 

 

 

Inventory:

 

 

 

 

 

 

 

 

Livestock Inventory

707

$

 

 

 

 

 

 

Other Inventory (Inventory to be consumed in the business

708

$

 

 

 

 

 

 

during the year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Inventories (Total lines 707 and 708)

 

 

709

 

$

 

 

 

Notes and Loans Receivable (Due in 1 Year or Less):

 

 

 

 

 

 

 

 

Owners, Officers, and Related Entities

710

$

 

 

 

 

 

 

Others (Sources Not Related to Company)

711

$

 

 

 

 

 

 

Total Notes and Loans Receivable (Due in 1 Year or Less) (Total lines 710 and 711)

712

 

$

 

 

 

Advances Made on Livestock

 

 

713

 

$

 

 

 

Other Current Assets

 

 

714

 

$

 

 

 

Total Current Assets (Total lines 701, 702, 703, 706, 709, 712, 713, and 714)

 

 

 

715

 

$

 

Property, Plant, & Equipment Net of Depreciation and Amortization

 

 

 

716

$

 

Other Assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Investments in Subsidiaries and Related Companies

 

 

717

 

$

 

 

 

Due from Owners, Officers, and Related Entities (Due in 1

 

 

 

 

 

 

 

 

 

 

718

 

$

 

 

 

year or more)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Livestock Inventory not related to sales to customers

 

 

 

 

 

 

 

 

 

 

719

 

$

 

 

 

(feeding, backgrounding, depreciable assets)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Long-Term Assets

 

 

720

 

$

 

 

 

Total Other Assets (Total lines 717, 718, 719, and 720)

 

 

 

 

721

 

$

 

TOTAL ASSETS (Total of lines 715, 716, and 721)

 

 

 

 

722

$

 

LIABILITIES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Liabilities:

 

 

 

 

 

 

 

 

Overdraft

 

 

723

 

$

 

 

 

Shortage in Custodial Account (from line 612, if a negative amount)

 

724

 

$

 

 

 

Trade Account Payables:

 

 

 

 

 

 

 

 

Livestock Payables

725

$

 

 

 

 

 

 

Other Payables to Owners, Officers, and Related Entities

726

$

 

 

 

 

 

 

Other Payables (Sources Not Related to Company)

727

$

 

 

 

 

 

 

Total Trade Account Payables (Total Lines 725, 726, and 727)

 

 

728

 

$

 

 

 

Current Maturities of Long-Term Debt: (Demand notes and portion of long-term notes due in 1 year or less)

 

 

 

 

 

Owners, Officers, and Related Entities

729

$

 

 

 

 

 

 

Others (Sources Not Related to Company)

730

$

 

 

 

 

 

 

Total Current Maturities of Long-Term Debt (Total lines 729 and 730)

 

731

 

$

 

 

 

Other Current Liabilities

 

 

732

 

$

 

 

 

Total Current Liabilities (Total lines 723, 724, 728, 731, and 732)

 

 

 

 

733

$

 

Other Liabilities:

 

 

 

 

 

 

 

 

Long -Term Debt, Less Current Maturities: (Due in 1 year or more)

 

 

 

 

 

 

 

Owners, Officers, and Related Entities

 

 

734

 

$

 

 

 

Others (Sources Not Related to Company)

 

 

735

 

$

 

 

 

Total Long-Term Debt, Less Current Maturities (Total lines 734 and 735)

 

 

 

736

 

$

 

All Other Liabilities

 

 

 

 

737

$

 

TOTAL LIABILITIES (Total of lines 733, 736, and 737)

 

 

 

 

738

$

 

EQUITY

 

 

 

 

 

 

 

 

Owner's Equity (Unincorporated)

 

 

739

 

$

 

 

 

OR

 

 

 

 

 

 

 

 

Stock Issued (Incorporated)

 

 

740

 

$

 

 

 

Additional Paid-in Capital

 

 

741

 

$

 

 

 

Retained Earnings

 

 

742

 

$

 

 

 

TOTAL EQUITY (Total of lines 739 through 742), (should equal line 722 minus 738)

 

 

743

 

$

 

TOTAL LIABILITIES AND EQUITY (should equal line 722)

 

 

 

 

744

$

 

 

 

 

 

 

 

 

 

 

Form PSD 3003

Expires 02/28/2021

 

 

 

 

 

Page 3 of 4

OMB Control No. 0581-0308

STATEMENT OF REVENUES AND EXPENSES - SECTION 8

Selling Commissions of Market

801

$

Gross Dealer Profit (+) or Loss (-)

802

$

Buying Commission

803

$

Other Income

804

$

Total Income (Total of lines 801 through 804)

Total Expenses

Net Profit (+) or Loss (-) (Line 805 less 806)

CERTIFICATION - SECTION 9

805$

806$

807$

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.

Section 10 of the FTC Act, made applicable by Section 402 of the Act (7 U.S.C. 222).

With my signature, I certify the information provided on this form is true and correct to the best of my knowledge and belief,

I am an owner, officer, or have been authorized by responsible management to certify this report.

901Print Name:

903Phone Number:

904 Date:

902Signature:

905Title:

Submitted information is confidential (9 CFR 201.96). Failure to report will result in forfeiture to the United States $559 per day until report receipt. Section 10 of the FTC Act, made applicable by Section 402 of the Act (7 U.S.C. 222).

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 is 0581-0308. The time required to complete this information collection is estimated to average 2 hours 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 law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, disability, and reprisal or retaliation for prior civil rights activity. (Not all prohibited bases apply to all programs.) 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 State or local Agency that administers the program 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 is also available in languages other than English.

To file a complaint alleging discrimination, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office or write a letter addressed to USDA and provided 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: (a) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (b) fax: (202) 690-7442; or (c) email: program.intake@usda.gov.

Form PSD 3003

Expires 02/28/2021

Page 4 of 4

How to Edit Form 3003 Online for Free

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Stage no. 1 for filling in printable packers and stockyards 3003

2. Once your current task is complete, take the next step – fill out all of these fields - EMail Address Web Address, ORGANIZATIONAL STRUCTURE SECTION, Reporting Period mmddyyyy Entity, List owners officers partners and, a Name, b Title, Type organization Is this the same, Partnership, Individual, Corporation, a Manufacturer, b Model, LLC, LLP, and Coop with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

printable packers and stockyards 3003 completion process outlined (step 2)

3. The following part is considered relatively simple, What is the basis of payment made, Live Wt Yes, Entity Name, Entity Address, Dressed Wt or Carcass Basis No, Does this Business including any, Yes, If line is yes give the name of, a Name of Related Firm, b Name of PersonFirm with, Form PSD, Expires, and Page of - each one of these form fields is required to be filled out here.

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4. This next section requires some additional information. Ensure you complete all the necessary fields - a Cattle, b Hogs, c Sheep Goats, Livestock Sold at Market Livestock, d Horses Mules, Gross value of livestock sold on, Number of Public Sales days, DEALER AND BUYING ON COMMISSION, a Cattle, b Hogs, c Sheep Goats, d Horses Mules, e Total abcd, e Total abcd, and Livestock Dealer Purchases Cost of - to proceed further in your process!

Filling out section 4 in printable packers and stockyards 3003

5. As you get close to the last parts of the document, you'll notice a few extra requirements that must be met. Mainly, Total Cost of Livestock Purchased, Select this box if you are a, CLEAREE AND CLEAROR DESIGNATIONS, Clearees Name as Registered, Dollar Value of Livestock Purchased, Total Livestock, ANALYSIS OF CUSTODIAL BANK ACCOUNT, Date of Custodial Analysis as of, Total of Lines through, and Outstanding checks and drafts that must be done.

CLEAREE AND CLEAROR DESIGNATIONS, Select this box if you are a, and Total of Lines  through in printable packers and stockyards 3003

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