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Form Atf F 5300.11 - Annual Firearms Manufacturing And Exportation Report - Washington Department Of Treasury

OMB No. 1512-0030 (07/31/2003)

DEPARTMENT OF THE TREASURY

BUREAU OF ALCOHOL, TOBACCO AND FIREARMS

ANNUAL FIREARMS MANUFACTURING AND EXPORTATION REPORT

UNDER 18 U.S.C. CHAPTER 44, FIREARMS

(See Instructions on Reverse)

1. NAME OF LICENSEE

2. TRADE NAME (If any)

3. FEDERAL FIREARMS LICENSE NUMBER

4. EMPLOYER IDENTIFICATION NUMBER (EIN)

5. ADDRESS (Number, street, city, state, ZIP Code)

6. MAIL ADDRESS (If different than item 5)

7. REPORTING PERIOD OF THIS REPORT

a. ANNUAL FOR CALENDAR YEAR ENDING DECEMBER 31, 2

OR, IF BUSINESS HAS BEEN DISCONTINUED

b. FINAL REPORT FOR THE PERIOD JANUARY 1, 2

THROUGH

(Date of discontinuance)

NUMBER OF FIREARMS PRODUCED, BY TYPES, FOR THE PERIOD COVERED BY THIS REPORT

(See instructions on reverse) (If no manufacture was accomplished, enter “0”)

TYPE OF FIREARM

NUMBER OF FIREARMS PRODUCED BY CALIBERS

TOTAL

PRODUCED

(pistols and revolvers only)

PRODUCTION

TO 9MM

TO .22

TO .25

TO .32

TO .380

TO .50

PARA.

a. PISTOL

TO .38

TO .357

TO .44

TO .22

TO .32

TO .50

SPEC.

MAG.

REVOLVERS

RIFLES

d. SHOTGUNS AND

COMBINATION GUNS

e. MACHINE GUNS

ANY OTHER WEAPON

(NFA)

g. MISCELLANEOUS

FIREARMS (Identify type)

NUMBER OF FIREARMS, BY TYPES, FOR THE PERIOD COVERED BY THIS REPORT WHICH WERE EXPORTED

(If no exportation was accomplished, enter “0”)

TYPES OF FIREARMS EXPORTED

QUANTITY

TYPES OF FIREARMS EXPORTED

QUANTITY

a. PISTOL

e. MACHINE GUNS

REVOLVERS

ANY OTHER WEAPON (NFA)

g. MISCELLANEOUS FIREARMS

RIFLES

(Identify type)

d. SHOTGUNS AND COMBINATION GUNS

h. [RESERVED]

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.

10. NAME

11. TITLE

12. SIGNATURE

13. TELEPHONE NUMBER

14. DATE

ATF F 5300.11 (3-2001) PREVIOUS EDITIONS ARE OBSOLETE

Form Atf F 5300.11 - Annual Firearms Manufacturing And Exportation Report - Washington Department Of Treasury

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