Prevent All Cigarette Trafficking (PACT) ACT Registration Form

Status: Original and derived artifacts are available for this document.

Download: pdf

OMB No. 1140-0098 (xx/xx/xxxx)

U.S. Department of Justice
Bureau of Alcohol,Tobacco, Firearms and Explosives

Prevent All Cigarette Trafficking (PACT) Act
Registration Form

Any person who sells, transfers, or ships for profit cigarettes or smokeless tobacco in interstate commerce, whereby such cigarettes or smokeless
tobacco are shipped into a State, locality, or Indian country of an Indian tribe taxing the sale or use of cigarettes or smokeless tobacco or who
advertises or offers cigarettes or smokeless tobacco for such a sale, transfer, or shipment shall first file with the Attorney General of the United
States and with the tobacco tax administrators of the State and place into which such shipment is made, advertised, or offer is disseminated.
Effective March 27, 2021, electronic nicotine delivery systems (ENDS) became subject to regulation uder the Prevent All Cigarette Trafficking
(PACT) Act (15 U.S.C. §§ 375 et. seq.). “Any electronic device that, through an aerosolized solution, delivers nicotine, flavor, or any other
substance to the user inhaling from the device.” ENDS may include e-cigarettes, e-hookahs, e-cigars, vape pens, advanced refillable personal
vaporizers, electronic pipes and any component, liquid, part, or accessory of such a device, regardless of whether that item is sold separately from
the device. All electronic devices that deliver aerosolied nicotine solutions to the user are regulated as ENDS, regardless of whether the nicotine
they contain is derived from tobacco or synthetically drived and non-nicotine electronic devices, including those devices that aerosolize and
deliver other types of substnces (including CBD, THC, Delta-8, Delta-9, etc.) are also regulated as ENDS.
Section I - Principal Business Information
1. Name of Person (See Definition #1)

2. Name of Person (If an Individual) (Last, first, middle)
Last
First

3. Trade Name(s)

Middle

AF
T

4. Principal E-Mail Address

6. Telephone Number for Principal
Place of Business

5. Address of Principal Place of Business

7. Principal Website Address

Section II - Additional Places of Business

8a. Name of Additional Place of Business

R

9a. Website Address for Additional Place of Business

10. Address of Additional Place of Business

City

D

a. Street Address

Zip Code

State

8b. Name of Additional Place of Business

9b. Website Address for Additional Place of Business

10. Address of Additional Place of Business
b. Street Address

City

Zip Code

State

8c. Name of Additional Place of Business

11b. Telephone Number at
Additional Location

9c. Website Address for Additional Place of Business

10. Address of Additional Place of Business
c. Street Address

11a. Telephone Number at 		
Additional Location

City

State

Zip Code

11c. Telephone Number at
Additional Location

Section III - Agent Authorized to Accept Service
12a. Name of Agent Authorized to Accept Service on Behalf of the Person (Person or Business Entity)
13a. Address of Authorized Agent

14a. Telephone Number of Authorized Agent

ATF Form 5070.1
Revised ( )

12b. Name of Agent Authorized to Accept Service on Behalf of the Person (Person or Business Entity)
13b. Address of Authorized Agent

14b. Telephone Number of Authorized Agent

NOTE: In addition to registering with the Bureau of Alcohol, Tobacco, Firearms and Explosives, the PACT Act also requires a person to register
with each State tobacco tax administrator in which the person sells and/or advertises cigarettes and/or smokeless tobacco products.
Definitions

D

R

AF
T

1. Person - The term “person” means an individual, corporation, company, association, firm, partnership, society, State government, local government,
Indian tribal government, governmental organization of such a government, or joint stock company.
2. Indian Tribe - The term “Indian tribe,” “tribe,” or “tribal,” refers to an Indian tribe as defined in section 4(e) of the Indian Self-Determination and
Education Assistance Act (25 U.S.C. 450b(e)) or as listed pursuant to section 104 of the Federally Recognized Indian Tribe List Act of 1994

ATF Form 5070.1
Revised ( )