OMB Control No. 0581-0337
PSD Form 6100 Expires 12/31/2026 Page 2 of 10
A11. The applicable of one of the following two statements, as required under § 201.102(b)(6):
a. “This disclosure document summarizes certain provisions of your broiler growing
arrangement and other information. You have the right to read this disclosure document and all
accompanying documents carefully. At least 14 calendar days before the live poultry dealer
executes the broiler growing arrangement (provided that growers may waive up to 7 calendar
days of that time period), the poultry company is required to provide you with: (1) this disclosure
document, and (2) a copy of the broiler growing arrangement.” OR
b. “This disclosure document summarizes certain provisions of your broiler growing
arrangement and other information. You have the right to read this disclosure document and all
accompanying documents carefully. The live poultry dealer is required to provide this disclosure
document to you simultaneously with (a) a copy of the broiler growing arrangement, (b) any new
or modified housing specifications that would require you to make an original or additional
capital investment, and (c) a letter of intent.”
A12. Statement and Sentence (in bold) as required under § 201.102(b)(7) and (8):
“Even if the broiler growing arrangement contains a confidentiality provision, by law you still
retain the right to discuss the terms of the broiler growing arrangement and the Live Poultry
Dealer Disclosure Document with a Federal or State agency, your financial advisor or lender,
your legal advisor, your accounting services representative, other growers for the same live
poultry dealer, and your immediate family or business associates. A business associate is a
person not employed by you, but with whom you have a valid business reason for consulting
when entering into or operating under a broiler growing arrangement.” AND
“Note that USDA has not verified the information contained in this document. If this
disclosure by the live poultry dealer contains any false or misleading statement or a
material omission, a violation of Federal and/or State law may have occurred.”
B. Required Disclosures Following Cover Pages - Items B1-B11:
B1. A summary of litigation over the prior 5 years between the live poultry dealer and any
broiler grower; including the nature of the litigation, its location, the initiating party, a brief
description of the controversy, and any resolution, as required under § 201.102(c)(1).
B2. A summary of all bankruptcy filings in the prior 5 years by the live poultry dealer and any
parent, subsidiary, or related entity of the live poultry dealer, as required under § 201.102(c)(2).
B3. A statement that describes the live poultry dealer’s policies and procedures regarding the
potential sale of the broiler grower’s facility or assignment of the broiler growing arrangement to
another party, including the circumstances under which the live poultry dealer will offer the
successive buyer a broiler growing arrangement, as required under § 201.102(c)(3).
B4. A statement describing the live poultry dealer’s policies and procedures, as well as any
appeal rights arising from the events described in § 201.102(c)(4)(i) through (c)(4)(vi). If no
policy or procedure exists, the live poultry dealer will acknowledge “no policy exists” relating to
the items in § 201.102(c)(4)(i) through (c)(4)(vi):
(i) Increased lay-out time.
(ii) Sick, diseased, and high early-mortality flocks.
(iii) Natural disasters, weather events, or other events adversely affecting the physical
infrastructure of the local complex or the grower facility.
(iv) Other events potentially resulting in massive depopulation of flocks, affecting grower
payments.
(v) Feed outages, including outage times.