Fill - Free fillable Annual Firearms Manufacturing and Exportation Report (AFMER) Under (Bureau of Alcohol, Tobacco, Firearms, and Explosives) PDF form

OMB No. 1140-0017 (07/31/2020)

1. Name of Licensee:

2. Trade Name (If any):

3. Federal Firearms License Number: 4. EmployerIdenticationNumber(EIN):

5. Address (Number, Street, City, State, ZIP Code): 6. Mailing Address (If dierent than item 5):

7. If Business has Been Discontinued:

8. Numberofrearmsbytype(Seedenition#5)thatwereSOLD or DISTRIBUTED INTO U.S. COMMERCE during the reported calendar year you

listed above (even if produced in a previous year). Fill in all totals for items 8a-j. Enter "0" (zero) if no rearm was distributed into commerce (Seedenition#2).

Type of Firearm

Distributed into Commerce

Number of Firearms Distributed into Commerce

Pistols and Revolvers by Caliber

Total

Distributed into Commerce

Up to

.22

Up to

.25

Up to

.32

Up to

.380

Up to 9MM

PARA.

Up to

.50

a. Pistols

Up to

.22

Up to

.32

Up to .38

SPEC.

Up to .357

MAG.

Up to .44

MAG.

Up to

.50

b. Revolvers

c. Ries

d. ShotgunsandCombinationGuns

e. Machineguns

f. Any Other Weapons

9. Numberoffirearmsbytype(Seedefinition#5)thatwereEXPORTED out of the UNITED STATES during the reported calendar year you listed above (even if produced in

a previous year). Fill in all totals for items 9a-j. Enter "0" (zero) if no firearm was exported, or if the firearm was only temporarily exported (SeeInstruction#6).

Type of Firearm Exported

Total Exported

Type of Firearm Exported Total Exported

a. Pistols

b. Revolvers

c. Ries

d. ShotgunsandCombinationGuns

e. Machineguns

g. Short-BarreledRies

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: 14. Telephone Number:

13. Date:

U.S. Department of Justice

Bureau of Alcohol, Tobacco, Firearms and Explosives

Annual Firearms Manufacturing and Exportation Report

(AFMER) Under 18 U.S.C. Chapter 44, Firearms

Type of Firearm

Distributed into Commerce

Total

Distributed into Commerce

h. Short-BarreledShotguns

i. Silencers

j. Miscellaneous Firearms*

i. Silencers

h. Short-BarreledShotguns

(Date of Discontinuance)

Note: Even if you’ve discontinued business, you are still required to complete this

form if you were in business for 1 or more days during the previous calendar year.

FIREARMS PRODUCED AND SOLD OR DISTRIBUTED INTO UNITED STATES (U.S.) COMMERCE - EVEN IF NO MONETARY VALUE RECEIVED

g. Short-BarreledRies

*Describe here:

FIREARMS PRODUCED AND EXPORTED OUT OF THE U.S.

f. Any Other Weapon

*Describe here:

Total

Distributed into Commerce

Type of Firearm

Distributed into Commerce

+ + + + +

NOTE: This report MUSTbeledevenifnorearmswereexportedordistributedintocommerce.PleasereadtheInstructionSheetbeforecompletingthisform.

Reporting Period: Annual Report for Calendar Year Ending December 31,

ATF Form 5300.11

Revised April 2019

Original Annual Report - Calendar Year Ending December 31,

Out of Business Final Report

Amended Report - Year

(ll out year)

Instructions

1. This form must be submitted annually for all Type 07(manufacturerofrearms),andType 10 (manufacturer of destructive devices) Federal Firearms Licenses, in

compliancewith18U.S.C.§923(g)(5)(A).Purpose:TheAFMERisintendedformanufacturerstoreportonlythenumberofrearmsdistributedintocommerceor

exported during the reported calendar year regardlessofwhentheyweremanufactured; notthetotalnumberofrearmsyoumanufactured.TheAFMERisnotataxform-itis

used for statistical purposes.

2. IMPORTANT:Evenifnorearmshavebeenexportedordistributedintocommerce,anannualreportmuststillbeled.Thecurrentreportingperiodisfortheprevious

calendar year ending on December 31.

3. This form MUST be submitted by April 1st.Pleaseretainacopyforyourles.

4.Whenamanufacturinglicenseisdiscontinued,submitthisformnolaterthan30daysfollowingthediscontinuanceofbusiness;includethedateofdiscontinuanceinItem7.

Check "Out of Business Final Report" at the top of the form and complete form.

5.Youmustidentify/brieydescribeallmiscellaneousrearmsaccountedforinitem8jand/oritem9j.

6. (a) Export data in item 9 is not a sub-set of the data in item 8. They should be separate counts. For example, if you manufactured 10 pistols and distributed 7 of them into

commerce and exported the other 3, 7 should be reported in item 8, and 3 should be reported in item 9.

(b)IfaDSP-73applicationwasapprovedforanexport,andthustherearmwasonlyexportedtemporarily,theexportdoesnotneedtobereportedonthisform.

7. This form must be executed (signed) by a person authorized to sign and be responsible for the completeness and accuracy of the information furnished.

8.Ifatanytimeafterlingyourreportyoudiscoveranerrorinwhatyoureported,pleasesubmitacorrectedAFMER.Besuretocheck"AmendedReport"atthetopofthe

formandbesuretoindicatethecorrectcalendaryearforwhichyouarereportingthecorrectedinformation.

9.Submissionofthecompletedformcanonlybesubmittedintwoacceptableformats:

• Electronically submit via eForms: www.atf.gov/rearms/application-eforms

(Electronic submissions MUST be completed by an active responsible person on the license and requires a one-time registration process and authorized ATF approval

which can take a few days)

• OR - Mail this form to: ATF-FFLC, AFMER program, 244 Needy Road, Martinsburg, WV 25405

(If you mail in your form you will not receive conrmation of receipt.)

HELP WITH AFMER:

• General questions regarding form completion: Call customer service @ 866-662-2750

• Questions regarding the functionality of the E-Form system i.e. registration, associating FFL through E-Forms, or submissions: please email questions only to

eforms.admin@atf.gov (DO NOT send forms by email - forms accepted via mail or eForms only - see #9 above)

Denitions

1. Produced-FirearmsmanufacturedbyaType07orType10FederalFirearmsLicensee.Separateframesorreceivers,actionsorbarreledactions,areconsideredrearms

andaretobeincludedinthisreportwhentheyareexportedordistributedintocommercetosomeoneotherthanalicensedmanufacturer.Enter"0"(zero)ineachcategory

inwhichNOrearmswereexportedorsold/distributedintocommerceforthereportingyear.GCAtoNFAconversionsonpreviouslyownedrearmsshouldalsobe

reported.

Do NOT report the following:

a.FirearmsmanufacturedbutNOTdistributedintocommerceorexported(stillinyourpossession);

b. Firearms distributed to another licensed manufacturer (FFL Type 07 or Type 10) for further manufacturing (including if you are contracted by another manufacturer

byapprovedmarkingvariance,andaftercompletionreturntherearmbacktotheoriginalmanufacturer).ThoserearmswillbereportedbytheType07orType10

FFLwhonallydistributestherearmsintocommerce,orexportsthem;

c.FirearmsreceivedsolelyforthepurposeofthemanufacturertoactasaDealer,thusonlyreceivingforpurposesoftransferring.Thoserearmsshouldbereportedbythe

Type07orType10FFLwhodistributestherearmstotheDealer;

d.Firearmsremanufacturedorcustomizedthatwerepreviouslyinthepossessionofanon-manufacturer;

e.Firearmsincorporatingframesorreceiversofforeignmanufacture;

f.FirearmsproducedsolelyfortheocialuseoftheArmedForcesoftheUnitedStates;

g.Destructivedevicesasdenedunder18U.S.C.§921(a)(4)and26U.S.C.§5845(f)-seedenition#3below;or

h.Antiquerearmsasdenedunder18U.S.C.§921(a)(16)-seedenition#4below;

i.FirearmsexportedtemporarilyunderanapprovedDSP-73application. 

2. Commerce -apurchaseorsale,businessdealortransaction,withinorbetweenanyofthefollowing:aStateoftheUnitedStates;DistrictofColumbia;U.S.Territoryor

possession.

3. Destructive Device - (A) any explosive, incendiary, or poison gas - (i) bomb, (ii) grenade, (iii) rocket having a propellant charge of more than four ounces, (iv) missile

havinganexplosiveorincendiarychargeofmorethanone-quarterounce,(v)mine,or(vi)devicesimilartoanyofthedevicesdescribedintheprecedingclauses;(B)any

typeofweapon(otherthanashotgunorashotgunshellwhichtheAttorneyGeneralndsisgenerallyrecognizedasparticularlysuitableforsportingpurposes)bywhatever

nameknownwhichwill,orwhichmaybereadilyconvertedto,expelaprojectilebytheactionofanexplosiveorotherpropellant,andwhichhasanybarrelwithabore

ofmorethanone-halfinchindiameter;and(C)anycombinationofpartseitherdesignedorintendedforuseinconvertinganydeviceintoanydestructivedevicedescribed

insubparagraph(A)or(B)andfromwhichadestructivedevicemaybereadilyassembled.Theterm"destructivedevice"shallnotincludeanydevicewhichisneither

designednorredesignedforuseasaweapon;anydevice,althoughoriginallydesignedforuseasaweapon,whichisredesignedforuseasasignaling,pyrotechnic,line

throwing,safety,orsimilardevice;surplusordnancesold,loaned,orgivenbytheSecretaryoftheArmypursuanttotheprovisionsofsection4684(2),4685,or4686of

Title10;oranyotherdevicewhichtheAttorneyGeneralndsisnotlikelytobeusedasaweapon,isanantique,orisariewhichtheownerintendstousesolelyfor

sporting, recreational or cultural purposes.

ATF Form 5300.11

Revised April 2019

Denitions (continued)

4. Antique Firearm - (A)anyrearm(includinganyrearmwithamatchlock,intlock,percussioncap,orsimilartypeofignitionsystem)manufacturedinorbefore

1898;or(B)anyreplicaofanyrearmdescribedinsubparagraph(A)ifsuchreplica-(i)isnotdesignedorredesignedforusingrimreorconventionalcenterrexed

ammunition,or(ii)usesrimreorconventionalcenterrexedammunitionwhichisnolongermanufacturedintheUnitedStatesandwhichisnotreadilyavailablein

theordinarychannelsofcommercialtrade;or(C)anymuzzleloadingrie,muzzleloadingshotgun,ormuzzleloadingpistol,whichisdesignedtouseblackpowder,or

ablackpowdersubsitute,andwhichcannotusexedammunition.Forpurposesofthissubparagraph,theterm"antiquerearm"shallnotincludeanyweaponwhich

incorporatesarearmframeorreceiver,anyrearmwhichisconvertedintoamuzzleloadingweapon,oranymuzzleloadingweaponwhichcanbereadilyconvertedto

rexedammunitionbyreplacingthebarrel,bolt,breechblock,oranycombinationthereof.

5. Types of Firearms (as identied on the form in items 8a-j and 9a-j)

a. Pistol - Aweaponoriginallydesigned,made,andintendedtore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).

b. 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ring.

c. Rie - Aweapondesignedorredesigned,madeorremade,andintendedtorefromtheshoulder,anddesignedorredesignedandmadeorremadetousetheenergyof

theexplosiveinaxedcartridgetoreonlyasingleprojectilethroughariedboreforeachsinglepullofthetriggerandshallincludeanysuchweaponwhichmaybe

readilyrestoredtoreaxedcartridge.Havingbarrelsatleast16inchesinlengthandatleast26inchesinoveralllength.

d. Shotgun -Aweaponrearmdesignedandintendedtoberedfromtheshoulder,anddesignedorredesignedandmadeorremadetousetheenergyoftheexplosivein

axedshotgunshelltorethroughasmoothboreeitheranumberofballshotorasingleprojectileforeachsinglepullofthetriggerandshallincludeanysuchweapon

whichmaybereadilyrestoredtoreaxedshotgunshell.Havingbarrelsatleast18inchesinlength,andatleast26inchesinoveralllength.

e. Machinegun -Anyweaponwhichshoots,isdesignedtoshoot,orcanbereadilyrestoredtoshootautomaticallymorethanoneshotwithinmannualreloadingbya

singlefunctionofthetrigger,theframeorreceiverofanysuchweapon,anypartdesignedandintendedsolelyandexclusively,or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.

f. 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reaxedshotgunshell,weaponswithcombinationshotgunandrie

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re.Suchtermshallnotincludeapistolorarevolverhavingariedbore,orriedbores,orweaponsdesigned,

made,orintendedtoberedfromtheshoulderandnotcapableofringxedammunition.

g. Short-Barreled Rie - Ariehavingoneormorebarrelslessthan16inchesinlength,andanyweaponmadefronarie,whetherbyalteration,modication,or

otherwise,ifsuchweaponasmodiedhasanoveralllengthoflessthan26inches,orabarrelorbarrelslessthan16inchesinlength.

h. 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,

modication,orotherwise,ifsuchweaponasmodiedhasanoveralllengthoflessthan26inches,orabarrelorbarrelsoflessthan18inchesinlength.

i. Silencer -Anydeviceforsilencing,muingordiminishingthereportofaportablerearm,includinganycombinationofparts,designedorredesigned,andintended

foruseinassemblingorfabricatingarearmsilencerorrearmmuer,andanypartintendedonlyforuseinsuchassemblyorrearmmuer,andanypartintended

only for use in such assembly or fabrication.

j. Miscellaneous Firearms-Anyrearmsnotincludedintheothercategories,suchasframesorreceivers,etc.thatarenotidentiedasparticularrearms.

YOUMUSTIDENTIFYORBRIEFLYDESCRIBETHEFIREARM(S). Attach a separate sheet if necessary.

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rearmsthathavebeenmanufacturedand

distributedinU.S.commerceand/ormanufacturedandexportedoutoftheU.S.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Ocer,ResourceManagementSta,

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 Form 5300.11

Revised April 2019

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Annual Firearms Manufacturing and Exportation Report (AFMER) Under (Bureau of Alcohol, Tobacco, Firearms, and Explosives)

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