Form Nys-100a - New York State Employer Registration For Unemployment Insurance, Withholding, And Wage Reporting For Agricultural Employment Page 3

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NYS -100A (03/12) page 3
Enter legal name
For office use only
13. For each of your establishments in New York State, answer 13a and 13b below. Use a separate sheet for each establishment.
a. Location:
No. and street
City or town
County
Zip code
b. Approximately how many persons do you employ there?
14. Indicate below your principle activity or farm production which produces greatest gross sales. Check applicable box:
Fruit and/or nut trees; specify type:
Vegetable farm; specify type
Field crops and/or cash grain; specify type
Livestock (dairy, poultry, beef cattle); specify type
Animal specialty (horse, dog, etc.); specify type
Other; furnish details
I affirm that I have read the above questions and that the answers provided are true to the best of my knowledge and belief.
/
/
X _________________________________________________________________________
Signature of Officer, Partner, Proprietor, Member or Individual
(mm/dd/yyyy)
.: (
)
-
____________________________________________________________ Phone no
Official Position
General Information
If you employ individuals who do not perform agricultural work, you may also need to complete Form NYS-100, New York State Employer
Registration for Unemployment Insurance, Withholding and Wage Reporting. Phone the Liability and Determination Section of the Department of
Labor at (518) 457-2635 if additional information is needed.
Employers of agricultural workers become liable for unemployment insurance contributions:
At the beginning of any calendar year in which they employ 10 or more farm workers on each of 20 days, each day being in a different week
during a calendar year or the preceding year, or
At the beginning of any calendar quarter in which they pay cash remuneration of $20,000 or more to farm workers, or
On the first day on which they pay any remuneration to farm workers in this state if the employer is subject to FUTA.
A farm labor crew leader would also become liable if he/she meets any of the conditions above and:
He/she is not the employee of the farm operator, and
He/she holds a valid certificate of registration under the Farm Labor Contractor Registration Act of 1963, or substantially all of his/her crew
operates or maintains mechanized equipment which he/she provides.
Agricultural work is defined in the law as all services performed:
On a farm, in the employ of any person, in connection with cultivating the soil, or in connection with raising or harvesting any agricultural or
horticultural commodity, including the raising, shearing, feeding, caring for, training and management of livestock, bees, poultry, and fur-
bearing animals, and wildlife.
In the employ of the owner or tenant or other operator of a farm in connection with the operation, management, conservation, improvement,
or maintenance of such farm and its tools and equipment, or in salvaging timber or clearing land of brush and other debris left by a
hurricane, if the major part of such service is performed on a farm.
In handling, planting, drying, packing, packaging, processing, freezing, grading, storing, or delivering to storage or to market or to market or
to a carrier for transportation to market, any agricultural or horticultural commodity, but only if such service is performed in the employ of an
operator of a farm (i) as an incident to farming operations or (ii) in the case of fruits and vegetables, as an incident to the preparation of such
fruits or vegetables for market. The provisions of this paragraph shall not apply to service performed in connection with any agricultural or
horticultural commodity after its delivery to a terminal market for distribution for consumption.
The term farm includes stock, dairy poultry, fur bearing animals, fruit and truck farms, plantations, nurseries, greenhouses or similar structures,
used primarily for the raising of agricultural or horticultural commodities and orchards.

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