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definitions

instruCtions

“Cigarette” means any product that meets the definition

Form DR 1284 is designed to track all nPm cigarettes

Column d: List the number of converted sticks of nPm

found in c.R.s. § 39-28-202(4). the term “cigarette”

and RYO that enter the State of Colorado and that,

RYo (ounces ÷ 0.09) transferred in or exported from

includes “roll-your-own” tobacco (RYo). For purposes of

whether taxed and/or stamped or untaxed and/or un-

Colorado during the reporting month; e.g., 700 oz. =

this definition of “cigarette,” 0.09 ounces of roll-your-own

stamped, are transferred to other distributors/wholesal-

7777.78 sticks.

tobacco constitutes one individual “cigarette.”

ers inside the state or exported to distributors/ wholesal-

Column e: enter the name and address of the nPm of

ers outside the state. this report must be completed by

“tobacco product manufacturer” means any person

the brand listed in column a.

licensed distributors:

who meets the definitions found in C.R.S. § 39-28-

Column f: enter the name and address of the transfer

202(9).

•

transferring any nPm cigarettes and RYo to a

(in-state) product recipient or export (out-of-state) prod-

distributor within Colorado, (1 C.C.R. 201-7, Reg.

“licensed distributor” means any person who is

uct recipient. Please be sure to include the address.

39-28-103) or

licensed pursuant to c.R.s. § 39-28-102 (cigarette)

Column g: indicate whether the transaction was a

and/or § 39-28.5-104 (tobacco products). this term

•

exporting any nPm cigarettes and RYo to a dis-

transfer or an export. If an export, write in the name

covers, but is not limited to, distributors, distributor

tributor outside Colorado. (1 C.C.R. 201-7, Reg.

of the state to which product was exported. You may

subcontractors, wholesalers, wholesale subcontractors,

39-28-202(3)(f)).

use the two-letter designation for the state; e.g. co for

and stamping agents.

a separate form for each non-participating manufacturer

colorado.

“non-participating manufacturer” (NPM) as defined

is preferable, but not required.

signature: each report must be signed by an

in c.R.s. § 39-28-302(5) means any tobacco product

identifying information

authorized individual.

manufacturer who is not a signatory to the msa.

Enter the report month and year, your business name

page numbers: enter the page number and total num-

“Certified Brands Directory” is the Department of

and address as they appear on your license and your

ber of pages included in the submission.

Revenue’s listing of cigarette manufacturers and brands

colorado Business Registration number. enter the

due date: 20th day of each month following the close

that have been approved for sale in colorado. if a brand

name, telephone number, and FAX number, of the

of the reporting month.

is not listed, it is contraband and may not be sold or

individual responsible for the report. an e-mail address

possessed for sale in colorado. the Directory may be

Retain a copy for your files. Mail or fax completed

is required.

obtained at or by calling the de-

form to:

NPM Product Transferred within or Exported from

partment at (303) 205-8211, Ext. 6860 or Ext. 6848.

Office of the Attorney General

Colorado

reCords retention information

consumer Protection section

Column a: enter the full brand name of the product

tobacco settlement enforcement

tobacco Product Distributors are required to maintain

sold (do not abbreviate). Do not break down into sub-

1525 Sherman Street, 7th Floor

all invoices and documentation of sales and other such

categories, such as regular, menthol, light, etc. For ex-

Denver, CO 80203

information relied upon for certification for a period of 5

ample, for a cigarette named “Alpha Bravo Gold Menthol

Fax: (303) 866-4916

years. c.R.s. § 39-28-305(1)(g).

Lights” report as “alpha Bravo gold”. Do not report as

“a B gold” or “a B gold menthol Light.”

Column b: enter the number of individual nPm ciga-

failure to file tHis report as

rettes transferred in or exported from colorado during

reQuired maY result in tHe

the reporting month.

revoCation of Your Cigarette

AND/OR TOBACCO PRODUCTS LICENSE(S)

Column C: List the number of ounces of nPm RYo

for a period of two Years.

transferred in or exported from colorado during the

reporting month.

Form Dr 1284 - Licensed Distributor Reporting Form For Tracking Non-Tax Paid Transfers Of Non-Participating Manufacturer Cigarette Brands For Escrow Purposes Page 2

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