Application for Annual Registion CHP

Revised: 05/02/2019

OMB Control No. 0648-0592

Application for
CHARTER
HALIBUT
LIMITED ACCESS
PROGRAM

ANNUAL
REGISTRATION
CHARTER HALIBUT
PERMIT (CHP)

Expiration Date: 5/31/2021

U.S. Dept. of Commerce/NOAA
National Marine Fisheries Service (NMFS)
Restricted Access Management Program (RAM)
P.O. Box 21668
Juneau, AK 99802-1668
(800) 304-4846 toll free / 586-7202 in Juneau
(907) 586-7354 fax

BLOCK A – PERMIT HOLDER INFORMATION
1. Name of Permit Holder (as it appears on the CHP):

2. NMFS Person ID(s):

3. Name of Business (as it appears on the CHP):

4. Permanent Business Mailing Address:

6. Business Telephone Number:

5. Temporary Business Mailing Address (if applicable):

7. Business Fax Number:

8. Business E-mail Address:

BLOCK B - IDENTIFICATION OF CHARTER HALIBUT PERMIT TO BE REGISTERED
1. List the charter halibut permit being registered that is held by the applicant listed in Block A, and answer the following
question: During the previous fishing year, did you receive any monetary compensation for allowing another person
to use the permit?

Charter Halibut Permit Number:

Financial Compensation Received?
Yes [ ]

Application for Annual Registration of Charter Halibut Permit
Page 1 of 5

No [ ]

BLOCK C – OWNERSHIP DOCUMENTATION
Provide the names and percentage ownership of each person or entity that holds the Charter Halibut Permit identified. List
the “first level Owners” and, if any of those owners are themselves businesses, list each business and all its owners, and so
on down each “level,” until all individuals in the ownership “chain” are identified. Attach additional sheets if necessary. See
instructions for example.
Note: If ownership of a CHP changes such that a new owner is added, the permit may be considered invalid and, if
transferable, will need to be transferred to another person. See Federal regulations at 50 CFR 300.67 for permit ownership
limitations and transfer considerations.
Name

% Ownership

Name

% Ownership

BLOCK D – IDENTIFICATION OF AFFILIATION
Provide the names of the persons with whom the applicant is affiliated at a 10 percent or greater level of ownership or
control. You do not need to repeat owner names provided in Block C.
Duplicate this block as necessary to display all of the persons with whom the holder of the license listed in Block B.
Affiliation means a relationship between two or more entities in which one directly or indirectly owns or controls a 10% or
greater interest in, or otherwise controls, another; or a third entity directly or indirectly owns or controls a 10% or greater
interest in, or otherwise controls, both.
Name of Affiliate

% Interest

Name of Affiliate

% Interest

BLOCK E – SIGNATURE AND DECLARATION OF PERMIT HOLDER
Under penalty of perjury, I hereby declare that I have examined this application, and the information presented herein is true,
accurate, and complete to the best of my knowledge and belief.
1. Signature of Permit Holder or Authorized Representative:
2. Date:

3. Printed Name of Permit Holder or Authorized Representative:

Application for Annual Registration of Charter Halibut Permit
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______________________________________________________________________________________
PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average fifteen minutes per response, including the time for
reviewing the instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing
the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing the burden, to Assistant Regional Administrator, Sustainable Fisheries Division, NOAA, NMFS
Alaska Region, P.O. Box 21668, Juneau, AK 99802-1668.
ADDITIONAL INFORMATION
Before completing this form please note the following: 1) Notwithstanding any other provisions of law, no person is required to respond
to, nor shall any person be subject to a penalty for failure to comply with, a collection of information, subject to the requirements of the
Paperwork Reduction Act, unless the form displays a currently valid OMB control number; 2) This information is used to implement
the Charter Halibut Limited Access Program (CHLAP) for International Pacific Halibut Commission regulatory areas 2C and 3A; 3)
Federal law and regulations require and authorize NMFS to manage charter halibut programs in Alaska; 4) Submission of this
information is mandatory for any entity registering a charter halibut permit; 5) This information is used to monitor the CHLAP under
the Northern Pacific Halibut Act of 1982 and the Magnuson-Stevens Fishery Conservation and Management Act, 16 U.S.C 1801 et seq.;
6) All information collections by NMFS, Alaska Region, are protected under confidentiality provisions of section 402(b) of the
Magnuson-Stevens Act as amended in 2006 (16 U.S.C. 1801, et seq.) and under NOAA Administrative Order 216-100, which sets forth
procedures to protect confidentiality of fishery statistics.
PRIVACY ACT STATEMENT
Authority: The collection of this information is authorized under the Northern Pacific Halibut Act of 1982 and the Magnuson-Stevens
Fishery Conservation and Management Act, 16 U.S.C 1801 et seq.
Purpose: In order to manage U.S. fisheries, the NOAA National Marine Fisheries Service (NMFS) requires the use of permits or
registrations by participants in the United States. A charter halibut permit (CHP) is required for vessel operators participating in the
guided sport fishery for Pacific halibut (charter halibut fishery) in International Pacific Halibut Commission regulatory areas 2C
(Southeast Alaska) and 3A (Southcentral Alaska). This annual registration of CHPs will improve the enforcement of CHP transfer
limitations and ownership caps, as well as provide additional information to NMFS and the North Pacific Fishery Management Council
on any changes in CHP ownership and participation.
Routine Uses: The Department will use this information to identify fishery participants and to determine transfer eligibility. Disclosure
of this information is permitted under the Privacy Act of 1974 (5 U.S.C. Section 552a), to be shared within NMFS offices, in order to
coordinate monitoring and management of sustainability of fisheries and protected resources, as well as with the applicable State or
Regional Marine Fisheries Commissions and International Organizations. Disclosure of this information is also subject to all of the
published routine uses as identified in the Privacy Act System of Records Notice COMMERCE/NOAA-19, Permits and Registrations
for the United States Federally Regulated Fisheries.
Disclosure: Furnishing this information is required to register a CHP under the Charter Halibut Limited Access Program. Failure to
provide complete and accurate information will result in a denial to issue a valid CHP.
___________________________________________________________________________________________________________

Application for Annual Registration of Charter Halibut Permit
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Instructions For
APPLICATION FOR ANNUAL REGISTRATION OF CHARTER HALIBUT PERMIT (CHP)
GENERAL INFORMATION
All Charter Halibut Permits must be registered annually.
When completed, submit application and attachments
♦

By mail to:

NMFS Alaska Region
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, Alaska 99802-1668

♦

or deliver to:

709 West 9th Street, Room 713
Juneau, AK 99801

♦

or facsimile to:

(907) 586-7354

Please allow at least ten working days for your application to be processed. Items will be sent by first class mail,
unless you provide alternate instructions and include a prepaid mailer with appropriate postage or corporate account
number for express delivery.
♦

It is important that all blocks are completed and attachments provided. Failure to answer any of the questions or
provide any of the required documents could result in delays in the processing of your registration request and
issuance of a valid CHP.

♦

Direct any questions you may have to NMFS, RAM at 1-800-304-4846 (option 2) or 907-586-7202 (option 2).

COMPLETING THE APPLICATION
BLOCK A – PERMIT HOLDER INFORMATION
1.
2.
3.
4.
5.
6–7.
8.

Enter the full name(s) of current CHP holder(s) as appears on the CHP.
Enter NMFS Person ID(s) of the CHP holder
Enter the name of the charter halibut business as it appears on the CHP
Enter the permanent business mailing address (including city, state, and zip code).
Enter the temporary business mailing address (include city, state, and zip code), if you would like your permits
sent somewhere other than to your permanent address.
Enter the business telephone and fax numbers, including area code.
Enter the business e-mail address.

BLOCK B – IDENTIFICATION OF CHARTER HALIBUT PERMIT(S) TO BE REGISTERED
1. Identify the charter halibut permit being registered that is held by the applicant listed in Block A. Answer the
following question: During the previous fishing year, did you receive any monetary compensation for allowing
another person to use the permit? YES or NO

Application for Annual Registration of Charter Halibut Permit
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BLOCK C – OWNERSHIP DOCUMENTATION
Provide the CHP number, names of all persons, and the percentage ownership of each person or entity that holds the CHP
listed in Block B. List the “first level Owners” of the permits. If any of those owners are themselves businesses, list each
business and all its owners, and so on down each “level,” until all individuals in the ownership “chain” are identified.
Attach additional sheets if necessary
Information should be provided to the individual level. See example below:
Name of Owner
% Interest
Joe Charter
25%
Alice Charter
25%
CHP Family Holdings, Inc.
50%
A. CHP Holder
25% (of 50%)
B. CHP Holder
25% (of 50%)
C. CHP Holder
25% (of 50%)
D. CHP Holder
25% (of 50%)

BLOCK D – IDENTIFICATION OF AFFILIATION
Provide the names of the persons and percent interest with whom the applicant is affiliated at a 10 percent or greater level
of ownership or control. You do not need to repeat owner names provided in Block C.
Duplicate this block as necessary to display all of the persons with whom the permit holder is affiliated.
Affiliation
means a relationship between two or more entities in which one directly or indirectly owns or controls a
10 percent or greater interest in, or otherwise controls, another; or a third entity directly or indirectly
owns or controls a 10 percent or greater interest in, or otherwise controls, both.
Indirect Interest
is one that passes through one or more intermediate entities. An entity's percentage of indirect interest is
equal to the entity's percentage of direct interest in an intermediate entity multiplied by the intermediate
entity's percentage of direct, or indirect, interest in the applicant.
Control includes:
♦ Ownership of more than 10% of the entity;
♦ The right to direct the business of the entity;
♦ The right to limit the actions of or replace the chief executive officer, a majority of the board of
directors, any general partner, or any person serving in a management capacity of the entity; or
♦ The right to direct the operation of the applicant’s business.
The term "control" does not include the right to simply participate in the above actions.

BLOCK E – SIGNATURE AND DECLARATION OF PERMIT HOLDER
Certify with signature and enter printed name and date signed. If completed by authorized representative, attach
authorization.

Application for Annual Registration of Charter Halibut Permit
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