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STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BOF 041 (Rev. 07/2015) PAGE 1 of 2 CALIFORNIA DEPARTMENT OF JUSTICE BUREAU OF FIREARMS MACHINEGUN Inventory, Acquisition, Disposition and Manufacture Entry Number Make Model Serial Number Caliber Acquisition Type Date of Acquisition Transferor Name Transferor Type Transferor Permit Number Disposition Type Date of Disposition Transferee/Agency Name TransfereeType Transferee Permit Number Entry Number Make Model Serial Number Caliber Acquisition Type Date of Acquisition Transferor Name Transferor Type Transferor Permit Number Disposition Type Date of Disposition Transferee/Agency Name TransfereeType Transferee Permit Number Entry Number Make Model Serial Number Caliber Acquisition Type Date of Acquisition Transferor Name Transferor Type Transferor Permit Number Disposition Type Date of Disposition Transferee/Agency Name TransfereeType Transferee Permit Number I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Permittee Signature Date Permit Number: Reporting Period to Page of

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Page 1: machinegun inventory, acquisition, disposition and manufacture

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BOF 041 (Rev. 07/2015) PAGE 1 of 2CALIFORNIA DEPARTMENT OF JUSTICE

BUREAU OF FIREARMS MACHINEGUN

Inventory, Acquisition, Disposition and Manufacture

Entry Number Make Model Serial Number Caliber

Acquisition Type Date of Acquisition Transferor Name Transferor Type Transferor Permit Number

Disposition Type Date of Disposition Transferee/Agency Name TransfereeType Transferee Permit Number

Entry Number Make Model Serial Number Caliber

Acquisition Type Date of Acquisition Transferor Name Transferor Type Transferor Permit Number

Disposition Type Date of Disposition Transferee/Agency Name TransfereeType Transferee Permit Number

Entry Number Make Model Serial Number Caliber

Acquisition Type Date of Acquisition Transferor Name Transferor Type Transferor Permit Number

Disposition Type Date of Disposition Transferee/Agency Name TransfereeType Transferee Permit Number

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Permittee Signature Date

Permit Number: Reporting Period

to

Page

of

Page 2: machinegun inventory, acquisition, disposition and manufacture

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BOF 041 (Rev. 07/2015) PAGE 2 of 2

Machinegun Inventory, Acquisition, Disposition and Manufacture INSTRUCTIONS

REQUIREMENTS: The authorized permit or license holder (permittee) must maintain current records of inventory, acquisitions, dispositions, and manufacture of machinegun possessed and/or manufactured in California pursuant to California Code of Regulations, title 11, section 4130, subdivision (a). Current records must be maintained on form BOF 041, or a computer generated printout using the same format. (Cal. Code Regs., tit. 11, § 4130, subd. (a)(1).) The licensee must make these records available to any peace officer or other persons designated by the Attorney General upon request. (Cal. Code Regs., tit. 11, § 4130, subd. (h).) The licensee must also submit to the Department of Justice (DOJ) an annual report of inventory, acquisitions, dispositions, and manufacture of machinegun(s) possessed and/or manufactured in California. The annual report shall list all machinegun(s) possessed by the licensee at any time during the reporting term. All acquisitions, dispositions, manufacture, lost or stolen machinegun(s), and machinegun(s) in continued possession from the prior permit term must be reported. The annual report must be submitted to DOJ with the Annual Dangerous Weapons License/Permit(s) Renewal Application, form BOF 031. Or, upon termination of the permit, a final report detailing all remaining unreported activities must be submitted to DOJ. Completing the Machinegun Report of Inventory, Acquisition, Disposition, and Manufacture form: This form allows you to report up to three separate machinegun(s). Make as many copies of this form as required to complete the reporting requirement. Place a sequential entry number in the indicated space for each reported activity. Please complete the following fields for all entries: - Entry Number - Transferee Permit Number - Make, Model, Serial & Caliber (Machinegun License or Out-of-State FFL) - Acquisition Type & Date - Permittee Signature and Date - Transferor Name & Type - Dangerous Weapons Permit Number - Transferor Permit Number - Reporting Period Dates (Machinegun License or Out-of-State FFL) - Current Page Number - Disposition Type & Date - Total Number of Pages - Transferee Name & Type If you have any questions, please contact the Firearms Licensing and Permits Section (FLPS) at (916) 227-2153. Department of Justice Bureau of Firearms - FLPS P.O. Box 160367 Sacramento, CA 95816-0367