Form ATF F 5300.11 ATF F 5300.11 Annual Firearms Manufacturing and Exportation Report Und

OMB No. 1140-0017 (xx/xx/xxxx)

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. Final Report for the Period January 1, 2
8.

(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
Produced

a.

through

Number of Firearms Produced by Calibers
(Pistols and Revolvers Only)

Total
Production

TO .22

TO .25

TO .32

TO .380

TO 9MM
PARA.

TO .50

TO .22

TO .32

TO .38
SPEC.

TO .357
MAG.

TO .44
MAG.

TO .50

Pistol

b. Revolvers
c.

Rifles

d. Shotguns and
Combination Guns
e.

Machine Guns

f.

Any Other Weapon
(NFA)
g. Miscellaneous
Firearms (Identify type)
9. 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
a.

Quantity

Types of Firearms Exported

Pistol

e.

Machine Guns

b. Revolvers

f.

Any Other Weapon (NFA)

c.

g. Miscellaneous Firearms
(Identify type)

Rifles

d. Shotguns and Combination Guns

Quantity

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 Form 5300.11

Instructions for the Preparation of ATF Form 5300.11
1.

(h) 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.

Reporting:
(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.

(i) Miscellaneous Firearms - Any firearms not defined above
such as pen guns, starter guns, silencers, etc. You must identify or
briefly describe the firearm. Attach a separate sheet if necessary.
3.

Should all of your production fall within the followIng
categories, your report would reflect “0” [Zero]:

(e) Mail the original copy to:
(a) Firearms produced solely for the official use of the Armed Forces of
the United States;

Bureau of Alcohol, Tobacco, Firearms and Explosives
Firearms and Explosives Division
244 Needy Road
Martinsburg, WV 25405

(b) Firearms disposed of to another licensed firearms manufacturer for
the purposes 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);

Or this report may be faxed to ATF at:
(304) 616-4591.
2.

Terms used In this report have the following meanings:

(d) Antique firearms as defined under 18 U.S.C. § 921(a)(16);

(a) Production - Firearms manufactured during the Calendar Year,
to include separate frames or receivers, actions or barreled actions,
disposed of in commerce. A manufacturer who uses these items,
produced by another licensed manufacturer, in the assembly and
production of complete firearms, will include the manufacture of
these firearms 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.

(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

(b) Pistol - A firearm designed and intended to be fired by one hand,
the cartridges for which must be inserted directly into the chamber
which must be inserted directly into the chamber which is an
integral part of the barrel.
(c) Revolver - A firearm designed and intended to be fired by one
hand, the cartridges for which must be inserted in individual chambers successively in alignment with the barrel and firing pin.

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)).

(d) Rifle - A firearm designed and intended to be fired from the
shoulder and using a fixed metallic cartridge to fire a single projectile through a rifled bore.

The estimated average burden associated with this collection of information
is 45 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.

(e) Shotgun - A firearm designed and intended to be fired from the
shoulder and using a fixed shotgun shell to fire through a smooth
bore.

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.

(f) Combination Gun - A firearm designed and intended to be fired
from the should, having two dissimilar barrels, or more than two
barrels which are rifled, smooth bore, or a combination thereof.
(g) Machinegun - Any weapon which shoots, is designed to shoot,
or can be readily restored to shoot, automatically more than one
shot without manual 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.

ATF Form 5300.11
Revised November 2003