La Coop Establishment & Farm Transfer Award Contest Form for the “Establishment of an Agricultural Enterprise” category Contest goal Develop and encourage succession for young farmers by rewarding agricultural enterprise start-ups and planned farm transfers. Conditions of Participation Be a member and client of a cooperative in the La Coop Network. Be no more than 40 years old in the year of participation. Recommendation: the team at the enterprise must be recommended by the board of directors of the cooperative and provide a signed letter from the president Types of transfers: agricultural and agri-food start-ups Terms Participants must include a letter of recommendation from the board of directors of their cooperative. The letter must include the reasons the enterprise should win the contest as the quality of the content in the letter will be considered in the jury’s evaluation. The deadline for receipt of applications is May 1st, 2015 at 5:00pm. A jury will confidentially review the candidates and select 5 semi-finalists for farm interviews. After that, the 5 semi-finalists: Will be subject to a technical-economic analysis Must submit copies of their shareholder agreement and financial statements for the two previous years (2013 and 2014) Three finalists will be chosen by the jury following this selection process. They will be invited to the banquet at La Coop’s 2016 annual general meeting. A journalist and videographer will visit the finalists to create short videos and articles in the Coopérateur agricole. The final winner will be announced at the banquet for La Coop’s 2016 annual general meeting. Prizes 1 finalist Grand prize: $3,000 credit at Unimat, BMR, La Coop or Sonic 2ndprize: two prizes for the two other finalists $2,000 credit at Unimat, BMR, La Coop or Sonic Current Company Factsheet Enterprise name: Enterprise address: Name of expert advisor: Name of cooperative: Primary production % of revenue Number of production units (ex.: quota) Point of reference to indicate production units (ex.: Federation papers): Identification “Enterprise Start-up” Category Name: Age: Address: Postal Code: Mobile: Email: Academic background: Involvement outside the farm: Enterprise start-up date: Identification of participants Participant 1 Name Age Address Postal Code Telephone Mobile Email Role in the enterprise Academic background Involvement outside of the farm Participant 2 Candidate’s file In order to allow the jury to evaluate the planning and completion of the start-up of your enterprise based on the criteria, please give precise responses to the questions that follow. Include all pertinent details. Question 1 Please provide the following information in relation to your agricultural production (complete only the rows for indicators that relate to your enterprise). This information will allow the judges to complete a brief technical-economic analysis of your enterprise. The documents requested are mandatory and cannot be substituted by another document. Dairy Production Attach the monthly technical-economic dairy table (make a request with your expert advisor) to your candidate’s file. No other document will be accepted for the technical-economic analysis. Maple Production Number of taps: Quantity produced: Pork Production Farrowing Attach the overall technical results report (OTR) for the last 12 months to your candidate’s file. No other document will be accepted for the technical-economic analysis. Weaners & Finishers Attach the Winporc summary report for the last 12 months to your candidate’s file. No other document will be accepted for the technical-economic analysis. Poultry Production Broiler Chickens Attach the Winchair summary report for the last 12 months to your candidate’s file. No other document will be accepted for the technical-economic analysis. Laying Hens Eggs laid per hen at 72 weeks: Feed conversion per dozen eggs: Laying chart: Beef Production Cow-calf Average daily gain (ADG) birth/weaning: ---------------------Weaning rate (number of calves weaned/cows kept): Kg of calves sold per WPU (1WPU = 2500 hours worked): ------------------Finishing Average daily gain (ADG):----------------------------Kg of beef produced per year per WPU: Crop Production (specify for each crop) Attach the Agriscan report Other type of production, specify Indicator 1 (please specify): ------------------------Indicator 2 (please specify) : ------------------------Food Processing Type of food processing: ______________ Market: ____________________ Outlets: ___________________________________________________________________________________________ Question 2 Provide a portrait of the history and progress in undertaking the establishment of your enterprise What When Resource person Other Question 3 Describe in a few lines the primary steps you took for the establishment of your farm, using specific dates. a) First conversations a) Official and trigger events: steps and actions taken: Question 4 Are you a member of a CUMA or an organization that shares machinery or work? If yes, list the machinery and equipment used? Question 5 Describe the establishment plan for your new farm or your food processing activity. Question 6 Describe your future projects and financial aspects. What are the financial and human actions taken to ensure the sustainability of the enterprise? Mentoring Creation of a board of directors Budget planning Investments - _ uestion 8 Q Which stakeholders collaborated in establishing your enterprise? CRÉA advisor Cooperative Expert-advisor Agri-environmental Expert-advisor D Notary D Accountant D Financial advisor D MAPAQ advisor D CLD (local development centre) D D D D D PATLQ Agri-club advisor UPA advisor None Other, please specify: Question 9 Explain why the establishment of your enterprise is a model of financial success and why you should be chosen as a finalist for La Coop Establishment and Farm Transfer Award for 2015/2016. Participant engagement The people named below agreed to participate and are in agreement with all the elements mentioned and documents transmitted in this form. Name Date Please send your completed form, your letter of recommendation and the required tables (see question 1) by mail or e-mail. The deadline for receipt of applications is May 1 st, 2015 at 5:00pm. Email address: concours.transfertlacoop@lacoop.coop Mailing address: Communications Services La Coop Establishment & Farm Transfer Award Contest La Coop fédérée 9001, boul. de l’Acadie, suite 200 Montréal (Québec) H4N 3H7 Information: Geneviève Rochon Communications Advisor La Coop fédérée 514 984-6450, Ext. 3256