Form Atf F 5300.11a - Annual Firearms Manufacturing And Exportation Report Of Semiautomatic Assault Weapons

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OMB No. 1512-0543 (10/31/2001)
DEPARTMENT OF THE TREASURY
BUREAU OF ALCOHOL, TOBACCO AND FIREARMS
ANNUAL FIREARMS MANUFACTURING AND EXPORTATION REPORT
OF SEMIAUTOMATIC ASSAULT WEAPONS
(See Instructions on Reverse)
1. NAME OF LICENSEE
2. TRADE NAME (If any)
Click
Click
3. FEDERAL FIREARMS LICENSE NUMBER
4. EMPLOYER IDENTIFICATION NUMBER (EIN)
Click
Click
5. ADDRESS (Number, street, city, state, ZIP Code)
6. MAIL ADDRESS (If different than item 5)
Click
Click
7. REPORTING PERIOD OF THIS REPORT
2000
a. ANNUAL FOR CALENDAR YEAR ENDING DECEMBER 31, 19 ____
OR, IF BUSINESS HAS BEEN DISCONTINUED
2000
Click
b. FINAL REPORT FOR THE PERIOD JANUARY 1, 19 ____ THROUGH ____________________
(Date of discontinuance)
8. DO YOU MANUFACTURE SEMIAUTOMATIC ASSAULT WEAPONS AS DEFINED IN INSTRUCTION 2 ON THE REVERSE OF THIS FORM?
YES
NO (If yes, complete items 9-15. If no, complete items 11-15.)
9.
NUMBER OF SEMIAUTOMATIC ASSAULT WEAPONS PRODUCED, BY TYPES, FOR THE PERIOD COVERED BY THIS REPORT
(See instructions on reverse) (If no production was accomplished, enter “0”)
TYPES OF SEMIAUTOMATIC ASSAULT WEAPONS
QUANTITY
a. SEMIAUTOMATIC ASSAULT PISTOLS
0
b. SEMIAUTOMATIC ASSAULT RIFLES
0
c. SEMIAUTOMATIC ASSAULT SHOTGUNS
0
d. TOTAL SEMIAUTOMATIC ASSAULT WEAPONS
0
10.
NUMBER OF SEMIAUTOMATIC ASSAULT WEAPONS, BY TYPES, WHICH WERE EXPORTED
(If no exportation was accomplished, enter “0”)
TYPES OF SEMIAUTOMATIC ASSAULT WEAPONS EXPORTED
QUANTITY
a. SEMIAUTOMATIC ASSAULT PISTOLS
0
0
b. SEMIAUTOMATIC ASSAULT RIFLES
0
c. SEMIAUTOMATIC ASSAULT SHOTGUNS
0
d. TOTAL SEMIAUTOMATIC ASSAULT WEAPONS
Under penalties of perjury, I declare that I have examined this report and, to the best of my knowledge and belief, it is true, correct and complete.
11. NAME
12. TITLE
Click
Click
13. SIGNATURE
14. TELEPHONE NUMBER
15. DATE
Click
ATF F 5300.11A (2-98)

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