Form Ccc 846 1 – Fill Out and Use This PDF

This form is available electronically.

CCC-846-1	U.S. DEPARTMENT OF AGRICULTURE
(08-19-08)	Commodity Credit Corporation

LOAN AND LOAN DEFICIENCY PAYMENT (LDP) RECERTIFICATION FOR

APPROVED COOPERATIVE MARKETING ASSOCIATIONS (CMA's)

NOTE: The authority for collecting the following information is Pub. L. 110-246. This authority allows for the collection of information without prior OMB approval mandated by the Paperwork Reduction Act of 1995. 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.

The following statements are made in accordance with the Privacy Act of 1974 (5 USC 552a). The authority for requesting the information to be supplied on this form is the Agricultural Act of 1949, as amended, the Food, Conservation, and Energy Act of 2008 (Pub. L. 110-246), and the Commodity Credit Corporation Charter Act, as amended. The information is necessary in order to participate in the Loan and Loan Deficiency Payment Program. No further monies or other benefits may be paid out under this program unless this form is completed and filed as required by existing law and regulations (7 CFR Parts 1421, 1425, and 1427). No cooperative marketing association participating in an authorized Loan and Loan Deficiency Payment Program may have continuing approval unless this completed form has been received (Pub. L. 81-439). The information may be furnished to other USDA agencies, IRS, Department of Justice, or other State and Federal law enforcement agencies, and in response to orders of a court magistrate or administrative tribunal. Section 15(a) of the Commodity Credit Corporation Charter Act (62 Stat 1070) provides a fine of not more than $10,000 or not more than five years imprisonment for making any statement knowing it to be false for the purpose of influencing the action of CCC or of obtaining money under any act applicable to CCC . The making of such false statements will also subject the person to civil liability including liability under 31 USC 231.

RETURN THIS COMPLETED FORM TO THE DIRECTOR, PRICE SUPPORT DIVISION, USDA, FARM SERVICE AGENCY, STOP 0512, ROOM 4095-S, 1400 INDEPENDENCE AVENUE, SW, WASHINGTON, DC 20250-0512.

1. Date Due (MM-DD-YYYY)

2. For Fiscal Year Ending

3. Return To:

Director, Price Support Division

USDA, FSA, Stop 0512, Room 4095-S

1400 Independence Avenue, SW

Washington, D.C. 20250-0512

4. CMA's Name

5. CMA Program Location

6. Regular Mail Address

7. Overnight Mail Address

8. Contact Person and Title

9. Telephone No. (Include area code)

11. E-Mail Address

13. Number of Member Cooperatives

10. FAX No. (Include area code)

12. BBS User Name

A. ACTIVE

B. INACTIVE

C. TOTAL

14.

Number of Voting Members:

+

=

A. ACTIVE

B. OTHER

C. TOTAL

15.

Number of Board Members:

+

=

A. ACTIVE

B. INACTIVE

C. UNALLOCATED

D. OTHERS

E. TOTAL

16.

Amount of Equity:

+

+

+

=

17.

Have there been any changes in the Articles of Incorporation?

YES

NO

If ''YES'', attach a copy of the change

18.

Have there been any changes in the Uniform Marketing Agreement?

YES

NO

Attach a copy of the marketing agreement and

addenda

CCC-846-1 (08-19-08) (Page 2)

	19. Authorized Commodity Volume Report:			1 / Bu.= Bushels	CWT = Hundredweight
	A.	B.	C.	D.	E.	F.	G.
	Authorized Commodity	Crop Year	Unit 1 /	Member Volume	Non-Member	Member Cooperative	Total Volume
						Volume

Barley			Bu.
Canola			Cwt.
Corn			Bu.
Cotton:			Bale
Upland
Dry Peas			Tons
ELS			Bale
Flaxseed			Cwt.
Lentils			Cwt.
Mohair			Lbs.
Mustard Seed			Cwt.
Oats			Bu.
Peanuts			Tons
Rapeseed			Cwt.
Rice			Cwt.
Safflower			Cwt.
Small Chickpeas			Cwt.
Grain Sorghum			Cwt.
Soybeans			Bu.
Sunflower Seed			Cwt.
Wheat			Bu.
Wool			Lbs.
Other
		H. TOTALS
20. Information submitted is correct and completed to the best of my knowledge.
20A. SIGNATURE (This application must be signed by an authorized					20B. TITLE		20C. DATE (MM-DD-YYYY)
	official of the Cooperative)
				PENALTY STATEMENT

Section 15(a) of the Commodity Credit Corporation (CCC Chapter Act of 15 USC 714 (m)(a)) provides a fine of not more than $10,000 or not more than five years imprisonment, or both, for making any statement knowing it to be false for the purpose of influencing the action of CCC or of obtaining money under any act applicable to CCC. The making of such false statements may be subject entity to civil liability, including liable under 31 USC 231.

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (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 USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400 Independence Avenue, SW, Washington, D. C. 20250-9410 or call (202) 720-5964 (voice or TDD). USDA is an equal opportunity provider and employer.