2008 Aquaculture Grant Program
American Recovery & Reinvestment Act of 2009
Wisconsin Department of Agriculture Trade and Consumer Protection
APPLICATION FOR FEED COST REIMBURSEMENT
This area to be completed by DATCP
Reference Number: / Notes:Date received by DATCP:
BUSINESS INFORMATION
- LEGAL NAME OF APPLICANT:
- TYPE OF BUSINESS:
- DUNS # (For producers that are NOT individuals):
- Fish Farm registration Number(s):
- TRADE NAME (d.b.a):
- ADDRESS (Include City, State and Zip Code):
- CONTACT PERSON:
- TITLE:
- TELEPHONE NUMBER (Include Area Code):
- EMAIL ADDRESS:
- Are you an aquaculture producer in another state? Yes No
- Are you applying for more than the $100,000 payment limit? Yes No
SUPPORTING DOCUMENTATION
INCLUDE THE FOLLOWING WITH YOUR APPLICATION:
W-9
A Statement or Ledger of Input Expenses used for farm business recordkeeping to certify 2008 feed costs as a percentage of total input costs or a copy of 2008 Schedule F or Schedule C (Form 1040).
A Statement or letter from your feed supplier(s) confirming 2008 feed purchases and average feed prices; or copies of feed invoices for 2008. Only documented 2008 feed purchases will be considered eligible for grant payments.
Average Adjusted Gross Income Statement (Form CCC-526) – On file at FSA and copy here
Highly Erodible Land Conservation (HELC) and Wetland Conservation (WC) Certification (Form AD-1026) – On file at FSA and copy here
2008 Aquaculture Grant Program
American Recovery & Reinvestment Act of 2009
Wisconsin Department of Agriculture Trade and Consumer Protection
2008 AQUACULTURE INPUT COSTS SUMMARY
Feed costs must be at least 25% of total [aquaculture] farm input costs.$ value of Feed Purchases in 2008
$ value of all aquaculture farm expenses in 2008
% feed purchases of total aquaculture farm expenses
AQUACULTURE FEED PURCHASE SUMMARY
Please supply copies of eligible invoices for aquaculture feed from the year 2008 or a letter from your feed company certifying feed purchases made by your farm.Only documented 2008 feed purchases will be considered eligible for grant payments.
Total $ value of Feed Purchased / Total pounds of
feed purchased / Average Feed Cost ($/pound)
2003 / ÷ / =
2004 / ÷ / =
2005 / ÷ / =
2006 / ÷ / =
2007 / ÷ / =
5 Year Total / ÷ / =
2008 (list species) / ÷ / =
÷ / =
÷ / =
÷ / =
÷ / =
÷ / =
÷ / =
Total for 2008 / ÷ / =
Loss Determination: The producer 2008 average feed cost must exceed the 2003-2007 state average feed cost by 25%:
$.3908/lb x 1.25 = $.4885/lb / Or / $781.6/T x 1.25 = $977/T
Calculation Determination: The amount of assistance an eligible aquaculture producer may receive shall be equal to the lesser of:
a) Producers 2008 Average Price per Pound
Minus the 2003-2007 (5-year) Average Price per Pound / - / $.3908/lb or $781.6/T
Equals Payment Rate
b) Multiplied by the producers 2008 feed purchased / x
Equals the amount a producer is eligible to receive before applying payment limitations & proration factor, if applicable.
The next line will be completed by WI DATCP
The amount this producer is eligible to receive after payment limitations and proration factor, if applicable.
2008 Aquaculture Grant Program
American Recovery & Reinvestment Act of 2009
Wisconsin Department of Agriculture Trade and Consumer Protection
CERTIFICATION STATEMENTS
THE APPLICANT:
- Certifies that the information contained within this application and in attachments is true and complete to the best of their knowledge. (Misrepresentation of material facts may be the basis for denial of application by the Department).
- Understands that unless it qualifies as trade secret, all information submitted to the Department is subject to Wisconsin’s Open Records Law. The applicant requests that the Department treat the following items as TRADE SECRET:
If this section (line item #2) is left blank, then all information provided to the Department will be open to examination and copying.
- Certifies they have read and meet the eligibility requirements listed below:
To be eligible for 2008 AGP assistance, an aquaculture producer would be required to meet all of the following criteria:
(1) During the 2008 calendar year:
(a) Raised an aquaculture species in a controlled environment,
(b) Maintained the aquaculture species as part of a farming operation, and
(c) Had a risk in the production of the aquaculture species;
As determined by a valid fish farm registration at Wisconsin Department of Agriculture, Trade and Consumer Protection and the generation of at least $1000 of gross aquaculture sales in 2008.
(2) Is in operation in 2009, as of the date of their AGP application with the State;
As determined by a valid fish farm registration at Wisconsin Department of Agriculture, Trade and Consumer Protection.
(3) Produced an aquaculture species for which 2008 feed costs represented at least 25 percent of their total input costs for the aquaculture operation;
As determined by a Statement or Ledger of Input Expenses used for farm business recordkeeping to certify 2008 feed costs as a percentage of total input costs or a copy of 2008 Schedule F or Schedule C (Form 1040).
(4) Experienced at least a 25 percent price increase of 2008 feed costs above the previous 5-year average (2003-2007).
As determined by formula and calculated based on (1) the 5-year average price for aquaculture feed; (2) the average actual farm price for 2008 aquaculture feed purchases; and (3) the amount of aquaculture feed purchased by the farm.
Limitation on Payments and Other Benefits
The amount of assistance provided under this program to a farming operation would not be permitted to exceed the smaller of:
(1) The amount of loss suffered by the eligible aquaculture producer as a result of high feed input costs during the 2008 calendar year, as determined by the State; or
(2) $100,000, except for general partnerships and joint ventures in which case assistance could not exceed $100,000 times the number of members that constitute the general partnership or joint venture.
(5) As a condition to receive the 2008 AGP benefits, an eligible aquaculture producer would be required to have records on file at an applicable Farm Service Agency County office that indicate:
(1) That the producer's average adjusted gross income does not exceed $2.5 million for the three preceding tax years (2005-2007), as determined under regulations in 7 CFR part 1400, and
(2) That the producer is in compliance with the conservation compliance eligibility provisions specified in 7 CFR part 12.
(6) An eligible aquaculture producer that receives assistance under the 2008 AGP will not be eligible to receive assistance for any 2008 loss relating to the same aquaculture species under the supplemental agricultural disaster assistance program established under Section 531 of the Federal Crop Insurance Act and section 901 of the Trade Act of 1974 (these programs include the Emergency Assistance for Livestock, Honey Bees, and Farm-Raised Fish (ELAP), Livestock Forage Disaster Program (LFP), Livestock Indemnity Program (LIP), Supplemental Revenue Assistance Program (SURE), and Tree Assistance Program (TAP)).
(7) Will use funds received from this program for the current aquaculture operation.
- Agrees to retain all records pertaining to this program for at least three (3) years following the end of the program term. The Grant Recipient shall maintain reasonable segregation of project accounts and records to enable the Department to track expenditures made with funds provided under this program.
- Agrees to allow access to DATCP, CCC or Federal Government to records which are pertinent to performance under this program.
- Agrees to (For aquaculture farm entities that are not individuals)
(1)establish a Dun and Bradstreet Universal Number systems (DUNS) number or update an existing DUNS record. Producers may obtain a DUNS number at
(2)Register in the Central Contractor Registration (CCR) database at
- Certifies that statements on the application and supporting materials are true and correct. And understands that false statements can be the subject of substantial civil and/or criminal liability and sanctions.
APPLICANT SIGNATURE
Date
STATE APPROVAL: This Application is approved by the STATE and shall be effective on the date indicated below.
On Behalf of the State of Wisconsin:
Date:
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