Form 3003 PDF Details

Every year, businesses and individuals file taxes with the IRS. One of the most important forms to fill out is Form 3003, which is used to request tax exemption status. This form must be filed in order to receive tax-exempt status for your organization or business. There are several requirements that must be met in order to qualify for tax exemption, so it's important to understand the process before filing. In this blog post, we will discuss what Form 3003 is and how to complete it correctly. We'll also outline the eligibility requirements for tax exemption and provide some tips for submitting a successful application. So if you're wondering whether your business qualifies for tax-exempt status, keep reading!

Question	Answer
Form Name	Form 3003
Form Length	4 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min
Other names	psp 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	ANNUAL REPORT OF
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.
103	Trade Name/d.b.a.
104	Mailing Address
104	Mailing Address
105	City, State, Zip+4
105	City, State, Zip+4
106	Operating Address
106	Operating Address
107	City, State, Zip+4
107	City, State, Zip+4
108	Contact Name
108	Contact Name
109	Contact Telephone
109	Contact Telephone				111	E-Mail Address
110	Fax
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

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

Yes

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

Entity Name:

Entity Address:

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

own an

Yes

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	$	$	$	$	$
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)	$	$	$	$	$
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)
501
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
		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
		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)	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:
Other Assets:
Investments in Subsidiaries and Related Companies			717	$
Due from Owners, Officers, and Related Entities (Due in 1
Due from Owners, Officers, and Related Entities (Due in 1			718	$
year or more)			718	$
year or more)
Livestock Inventory not related to sales to customers
Livestock Inventory not related to sales to customers			719	$
(feeding, backgrounding, depreciable assets)			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
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

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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.

Writing segment 3 in printable packers and stockyards 3003

It is easy to make errors while completing the If line is yes give the name of, hence make sure to look again before you decide to finalize the form.

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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