Fill and Sign the Sled Regulatory Form

OMB No. 1140-0017 (03/31/2014) U.S. Department of Justice Bureau of Alcohol, Tobacco, Firearms and Explosives 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. Only if you have discontinued business if no, skip to section 8. (Date of discontinuance) 8. Number of firearms produced and sold into commerce by types, for the calendar year above (See instructions on reverse) (If no production was accomplished, enter "0") Type of Firearm Produced TO .22 Number of Firearms Produced by Calibers (Pistols and Revolvers Only) TO 9MM TO .25 TO .32 TO .380 PARA. a. Pistol TO .22 b. Revolvers Type of Firearm Produced TO .32 TO .38 SPEC. TO .357 MAG. Total Production TO .44 MAG. Total Production TO .50 TO .50 Type of Firearms Produced c. Rifles g. Short-Barreled Rifles d. Shotguns and Combination Guns h. Short-Barreled Shotguns e. Machine Guns i. Silencers f. Any Other Weapon Total Production j. Miscellaneous Firearms 9. Number of firearms produced and exported by types, for the calendar year above (If no exportation was accomplished, enter "0") Types of Firearms Exported Types of Firearms Exported Total Production a. Pistols f. Any Other Weapon b. Revolvers g. Short-Barreled Rifles c. Rifles h. Short-Barreled Shotguns d. Shotguns and Combination Guns i. Silencers e. Machine Guns Total Production j. Miscellaneous Firearms 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 E-Form 5300.11 Revised April 2012 Instructions for the Preparation of ATF Form 5300.11 1. Reporting: (e) Shotgun - A weapon firearm designed and intended to be fired from the shoulder, and designed or redesigned and made or remade to use the energy of the explosive in a fixed shotgun shell to fire through a smooth bore either a number of ball shot or a single projectile for each single pull of the trigger. Having barrels at least 18 inches in length, and at least 26 inches in overall length. (f) Short-Barreled Rifle - A rifle having one or more barrels less than 16 inches in length, and any weapon made from a rifle, whether by alteration, modification, or otherwise, if such weapon as modified has an overall length of less than 26 inches. (g) Short-Barreled Shotgun - A shotgun having one or more barrels less than 18 inches in length, and any weapon made from a shotgun, whether by alteration, modification, or otherwise, if such weapon as modified has an overall length of less than 26 inches. (h) Machine Gun - Any weapon which shoots, automatically more than one shot within annual reloading by a single function of the trigger, the frame or receiver of any such weapon, any combination of parts designed and intended for use in converting a weapon into a machinegun, and any combination of parts from which a machinegun can be assembled if such parts are in the possession or under the control of a person. (i) Any Other Weapon - Any weapon or device capable of being concealed on the person from which a shot can be discharged through the energy of an explosive, a pistol or revolver having a barrel with a smooth bore designed or redesigned to fire a fixed shotgun shell, weapons with combination shotgun and rifle barrels 12 inches or more, less than 18 inches in length, from which only a single discharge can be made from either barrel without manual reloading, and shall include any such weapon which may be readily restored to fire. Such term shall not include a pistol or a revolver having a rifled bore, or rifled bores, or weapons designed, made, or intended to be fired from the shoulder and not capable of firing fixed ammunition. (j) Silencer - Any device for silencing, muffling or diminishing the report of a portable firearm, including any combination of parts, designed or redesigned, and intended for use in assembling or fabricating a firearm silencer or firearm muffler, and any part intended only for use in such assembly or firearm muffler, and any part intended only for use in such assembly or fabrication. (k) Miscellaneous Firearms - Any firearms not included in the above categories, such as frames or receivers, etc. that are not identified as particular firearms. You must identify or briefly describe the firearm. Attach a separate sheet if necessary. (a) Those Federal Firearms Licensees who hold either a Type 07 (manufacture of firearms), or a Type 10 (manufacture of destructive devices) must file in compliance with 18 U.S.C. § 923(g)(5)(A), on an annual basis. (b) Even if there has been no Production, an annual report must be filed. (c) Manufacturers have until April 1st to submit an annual report covering the preceding year's business activity. Prepare the report in duplicate, and retain a copy for your file. (d) A final report must be filed if the manufacturing license is discontinued during the year. Please submit a report no later than 30 days following the end of your business activity. Include the date in Item 7b. of the form. (e) Exportation is not a sub-set of the number in section 8 of the form. They should be a separate count. For Example, if you manufacture 10 pistols, and export 7, 3 should be reported in section 8, and 7 should be reported in section 9. (f) Commerce is a purchase or sale, business deal or transaction within or between any of the following: United States; District of Columbia; U.S. Territory or possession. (g) Mail the original copy to: Bureau of Alcohol, Tobacco, Firearms and Explosives Firearms and Explosives Division 244 Needy Road Martinsburg, WV 25405 Or this report may be faxed or emailed to ATF at: (304) 616-4591 or afmer2@atf.gov. 2. Terms used In this report have the following meanings: (a) Production - Firearms manufactured during the calendar year, to include separate frames or receivers, actions, or barreled actions, exported or disposed of in commerce. A manufacturer who uses these items, produced by another licensed manufacturer, in the assembly and production of complete firearms, must include the manufacture of these firearms in this report. If the manufacturer decides to sell the frames or receivers, actions or barreled actions, received from another licensed manufacturer for the purpose of final assembly; then that manufacturer must include such items in this report. Separate frames or receivers, actions or barreled actions, are to be included in this report when they are exported or disposed of in commerce to a person other than a licensed manufacturer. Please see exceptions noted in instruction number 3. (b) Pistol - A weapon originally designed, made, and intended to fire a projectile (bullet) from one or more barrels when held in one hand, and having (a) a chamber(s) as an integral part(s) of, or permanently aligned with, the bore(s); and (b) a short stock designed to be gripped by one hand and at an angle to and extending below the line of the bore(s). (c) Revolver - A projectile weapon, of the pistol type, having a breechloading chamber cylinder so arranged that the cocking of the hammer or movement of the trigger rotates it and brings the next cartridge in line with the barrel for firing. (d) Rifle - A weapon designed or redesigned, made or remade, and intended to fire from the shoulder, and designed or redesigned and made or remade to use the energy of the explosive in a fixed metallic cartridge to fire only a single projectile through a rifled bore for each single pull of the trigger. Having barrels at least 16 inches in length and at least 26 inches in overall length. 3. Should all of your production fall within the following categories, your report would reflect "0" [Zero]: (a) Firearms produced solely for the official use of the Armed Forces of the United States; (b) Firearms disposed of to another licensed firearms manufacturer for the purpose of final finishing and assembly; (c) Destructive devices as defined under 18 U.S.C. § 921(a)(4) and 26 U.S.C. § 5845(f); (d) Antique firearms as defined under 18 U.S.C. § 921(a)(16); (e) Firearms incorporating frames or receivers of foreign manufacture; or (f) Firearms remanufactured or customized and previously in the possession of nonlicensees. 4. Execution. Every report must be executed (signed) by a person authorized to sign and be responsible for the completeness and accuracy of the information furnished. Paperwork Reduction Act Notice This form is in accordance with the Paperwork Reduction Act of 1995. The information you provide is used to compile statistics on the manufacture and exportation of firearms. The furnishing of this information is mandatory (18 U.S.C § 923(g)(5)(A)). The estimated average burden associated with this collection of information is 20 minutes per respondent or recordkeeper, depending on individual circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be addressed to Reports Management Officer, Document Services Branch, Bureau of Alcohol, Tobacco, Firearms and Explosives, Washington, DC 20226. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. ATF E-Form 5300.11 Revised April 2012