OMB No. 1140-0011 (12/31/2025) 

U.S. Department of Justice 

Bureau of Alcohol, Tobacco, Firearms and Explosives Application to Make and Register a Firearm 

ATF Control Number 

To: Bureau of Alcohol, Tobacco, Firearms and Explosives, P.O. Box 5015, Portland, OR 97208-5015, National Firearms Act Division (NFA) 

(Submit in duplicate. Please do not staple documents. See instructions attached.) 

As required by Sections 5821(b), 5822, and 5841 of the National Firearms Act, Title 26 U.S.C., Chapter 53, the 

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 Type of Application (check one) 

D Tax Paid. Submit your tax payment of $200 

with the application. The tax may be paid

 by credit or debit card, check, or money order. 

Please complete item 20. Upon approval of 

WKHDSSOLFDWLRQZHZLOODIIL[DQGFDQFHOWKHrequired 

National Firearms Act Stamp. 

(See instruction 2.C and 3) 

E Tax Exempt. Firearm is being made on 

behalf of the United States, or any department, 

independent establishment, or agency thereof. 

or 

Tax Exempt. Firearm is being made by or on 

behalf of any State or possession of the United 6tates, 

or any political subdivision thereof, or any 

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entity engaged in criminal investigations. 

F Tax Exempt. Firearm is not subject to the making 

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may require additional supporting documentation, 

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2. Application is made by: Corporation Individual 

Government Other Legal Entity Trust 

Entity 

3a. Trade Name (If any) 

3b. Applicant’s Full Legal Name and Full Mailing Address (Type or print below) (See instruction 2.D) 

3d. County/Parish 

3e. Telephone Number 

3f. E-mail Address 

3c. If P.O. Box is Shown Above, Street Address Must be Given Here 

4. Description of Firearm (Complete items a through k) (See instruction 2.J) 

a. Name and Address of Original Manufacturer and/or 

Importer of Firearm (If any) 

b. Type of Firearm to be Made 

6HHGH¿QLWLRQ.

(If a destructive device, 

complete item 4.J) 

c. Caliber 

or 

Gauge 

(Specify one) 

d. Model $VPDUNHGRQ¿UHDUP

e. Barrel Length f. Overall Length 

g. Serial Number 

h. Additional Description (Indicate required Maker’s Markings to include Maker’s 

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i. Specify Why You Intend To Make Firearm (Use additional sheet if necessary) 

j. Type of Destructive Device (Check one box): Firearm Explosives (If the Explosives box is checked, complete item 5 and see instruction 2.M) 

If an Explosive Type Destructive Device, Please provide additional description: 

k. Is This Firearm Being Reactivated? Yes No 6HHGH¿QLWLRQ.

5. Applicant’s Federal Firearms License (If any) or Explosives License or Permit Number 

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Number 

6. Special (Occupational) Tax Status (SOT) ,IDSSOLFDEOH6HHGH¿QLWLRQV

D (PSOR\HU ,GHQWL¿FDWLRQ 1XPEHU b. Class 

Under Penalties of Perjury, I declare that I have examined this application, including accompanying documents, and to the best of my knowledge and belief it is 

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Title 26, U.S.C., Chapter 53; or any provisions of State or local law. 

7. Signature of Applicant  1DPH DQG 7LWOH RI $XWKRUL]HG 2൶FLDO 9. Date 

The space below is for the use of the Bureau of Alcohol, Tobacco, Firearms and Explosives 

By authority of the Director, Bureau of Alcohol, Tobacco, Firearms and Explosives, this Application has been Examined and the Applicant’s Making and Registration of the 

Firearm described above is: 

Approved (With the following conditions, if any) Disapproved (For the following reasons) 

$XWKRUL]HG $7) 2൶FLDO Date 

Previous Editions Are Obsolete ATF Form 1 (5320.1) 

ATF Copy Revised December 2022 

EXHIBIT 1

Case 4:22-cv-00143-P Document 55-1 Filed 04/17/23 Page 1 of 13 PageID 1029
MAKER’S CERTIFICATION (not completed by a GOVERNMENT ENTITY) 

 /DZ(QIRUFHPHQW1RWL¿FDWLRQ(See instruction 2.H) 

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&KLHI /DZ (QIRUFHPHQW 2൶FHU (CLEO) LQ WKH DJHQF\ LGHQWL¿HG EHORZ

Agency or Department Name 1DPH DQG 7LWOH RI 2൶FLDO

Address (Street address or P.O. Box, City, State and ZIP Code) to which sent (Mailed or delivered) 

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7KLV IRUP SURYLGHV QRWL¿FDWLRQ RI WKH DSSOLFDQW¶V LQWHQW WR PDNH DQG UHJLVWHU D 1)$ ¿UHDUP 1R DFWLRQ LV UHTXLUHG E\ WKH &/(2

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contact the NFA Division at (304) 616-4500 or NFA@atf.gov. 

Maker’s Questions (Complete only when the maker is an individual) 

Answer the following questions by checking or marking either the “yes” or “no” box to the right of the questions. 

11. Answer questions 11.a. through 11.m. Answer questions 13, 15, 16 and 17 if applicable. For any “Yes” answer 

the applicant shall provide details on a separate sheet. 6HHLQVWUXFWLRQ&DQGGH¿QLWLRQV

Yes No 

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 questions 11.c through 11.l, or a person described in question 11.m who does not fall under an exception? 

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c. Are you under indictment or information in any court for a felony, or any other crime, for which the judge 

could imprison you for more than one year?6HHGH¿QLWLRQ1

d. Have you ever been convicted in any court for a felony, or any other crime, for which the judge could have imprisoned you 

for more than one year, even if you received a shorter sentence including probation? 6HHGH¿QLWLRQ1

e. Are you a fugitive from justice? 6HHGH¿QLWLRQ7

f. Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any 

other controlled substance? Warning: The use or possession of marijuana remains unlawful under 

Federal law regardless of whether it has been legalized or decriminalized for medicinal 

or recreational purposes in the state where you reside. 

g. Have you ever been adjudicated as a mental defective OR have you ever been committed to a mental 

institution? 6HHGH¿QLWLRQ2DQG3

h. Have you been discharged from the Armed Forces under dishonorable conditions? 

i. Are you subject to a court order restraining you from harassing, stalking, or threatening your child or an 

intimate partner or child of such partner? 6HHGH¿QLWLRQ4

j. Have you ever been convicted in any court of a misdemeanor crime of domestic violence? 6HHGH¿QLWLRQ5

k. Have you ever renounced your United States citizenship? 

l. Are you an alien illegally or unlawfully in the United States? 

m.1. Are you an alien who has been admitted to the United States under a nonimmigrant visa? Yes No 

m.2. If “Yes”, do you fall within any of the exceptions stated in the instructions? Attach the documentation to the application Yes No N/A

12. Photograph 

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No Stapling. Please Tape 

Sides of Photo to the Application.

 1. Photo must have been taken within the 

 last year. 

2. Photo must have been taken in full face 

view without a hat or head covering that 

obscures the hair or hairline.

 3. On back of photograph print full name, 

last 4 of SSN. 

13. If you are an alien, record your U.S.-Issued Alien or Admission number (AR#, USCIS#, or I94#): 

 +DYH \RX EHHQ LVVXHG D 8QLTXH 3HUVRQDO ,GHQWL¿FDWLRQ 1XPEHU83,1? (See instruction 2.F) If Yes please list Yes No

15. Social Security Number: (See instruction 2.F) Date of Birth: 

16a. Ethnicity Hispanic or Latino 

Not Hispanic or Latino 

16b. Race American Indian or Alaska Native Black or African American White 

Asian 1DWLYH +DZDLLDQ RU 2WKHU 3DFL¿F ,VODQGHU

17a. Country of Citizenship: &KHFN/LVWPRUHWKDQRQHLIDSSOLFDEOH1DWLRQDOVRIWKH8QLWHG6WDWHVPD\FKHFN86$6HHGH¿QLWLRQ6

United States of America (U.S.A.) Other Country/Countries (Specify): 

17b. State of Birth 17c.Country of Birth 

CERTIFICATION: Under penalties imposed by 18 U.S.C. § DQG86&§ ,FHUWLI\WKDWXSRQVXEPLVVLRQRIWKLVIRUPWR$7)DFRPSOHWHGFRS\RIWKLVIRUP

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Signature of Maker Date 

ATF Form 1 (5320.1) 

ATF Copy Revised December 2022 

EXHIBIT 1

Case 4:22-cv-00143-P Document 55-1 Filed 04/17/23 Page 2 of 13 PageID 1030
18. Number of Responsible PersonsVHHGH¿QLWLRQV associated with the applicant trust or legal entity 

19. Provide the full name (printed or typed) below for each Responsible Person associated with the applicant trust or legal entity (if there are more Responsible Persons than 

can be listed on the form, attach a separate sheet listing the additional Responsible Person(s)). Please note that a completed Form 5320.23, National Firearms Act 

1)$ Responsible Person Questionnaire, must be submitted with the Form 1 application for each Responsible Person. 

Full Name Full Name 

 0HWKRGRI 3D\PHQW (Check one) (See instruction 2.I) (if paying by credit/debit card, complete the sections below) 

Check (Enclosed) Cashier’s Check or 

Money Order (Enclosed) 

Visa Mastercard American 

Express 

Discover Diners Club 

Credit/Debit Card Number 1R GDVKHV Name as Printed on the Credit/Debit Card Expiration Date (Month & year) 

Credit/Debit Card 

Billing Address: 

Address: 

City: State: ZIP Code: 

Tax Amount: 

$ 

I Authorize ATF to Charge my Credit/Debit Card the Above Amount. 

Signature of Cardholder Date 

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In the event your application is NOT approved, the above amount will be credited to the credit/debit card noted above. 

Important Information for Currently Registered Firearms 

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Estate Procedures: )RU SURFHGXUHV UHJDUGLQJ WKH WUDQVIHU RI ¿UHDUPV LQ DQ HVWDWH UHVXOWLQJ IURP WKH GHDWK RI WKH UHJLVWUDQW LGHQWL¿HG LQ LWHP E WKH H[HFXWRU VKRXOG FRQWDFW

the NFA Division, Bureau of ATF, 244 Needy Road, Martinsburg, WV 25405 or contact via email at NFAFAX@ATF.gov for additional assistance. 

Interstate Movement: ,I WKH ¿UHDUP LGHQWL¿HG LQ LWHP  LV D machinegun, VKRUWEDUUHOHGULÀH, short-barreled shotgun, or destructive device, the registrant may be 

required by 18 U.S.C. § 922(a)(4) to obtain permission from ATF prior to any transportation in interstate or foreign commerce. ATF Form 5320.20 can be used to request this 

permission. 

Change of Description or Address: The registrant shall notify the National Firearms Act Division, National Service Center, Bureau of Alcohol, Tobacco, Firearms and 

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Restrictions on Possession: Any restriction (see approval block on face of form) RQ WKH SRVVHVVLRQ RI WKH ¿UHDUP LGHQWL¿HG LQ LWHP  FRQWLQXHV ZLWK WKH IXUWKHU WUDQVIHU RI

WKH ¿UHDUP

Persons Prohibited from Possessing Firearms: ,I WKH UHJLVWUDQW EHFRPHV SURKLELWHG IURP SRVVHVVLQJ D ¿UHDUP SOHDVH FRQWDFW WKH 1)$ 'LYLVLRQ IRU SURFHGXUHV RQ KRZ WR

GLVSRVH RI WKH ¿UHDUP

Proof of Registration: $ SHUVRQ SRVVHVVLQJ D ¿UHDUP UHJLVWHUHG DV UHTXLUHG E\ WKH 1)$ VKDOO UHWDLQ SURRI RI UHJLVWUDWLRQ ZKLFK VKDOO EH PDGH DYDLODEOH WR DQ\ $7) 2൶FHU

upon request. 

Paperwork Reduction Act Notice 

This form is in accordance with the Paperwork Reduction Act of 1995. The information you provide is used to establish that the applicant’s making and possession of the 

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information is mandatory (26 U.S.C. § 5822). 

The estimated average burden associated with this collection of information is 4.0 hours per respondent or recordkeeper, depending on individual circumstances. 

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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 1 (5320.1) 

ATF Copy Revised December 2022 

EXHIBIT 1

Case 4:22-cv-00143-P Document 55-1 Filed 04/17/23 Page 3 of 13 PageID 1031
Privacy Act Information 

1. Authority. Solicitation of this information is made pursuant to the National Firearms Act86&DQG Disclosure of this information by the applicant 

is mandatory for any personRWKHUWKDQDPDQXIDFWXUHUTXDOL¿HGXQGHUWKH1DWLRQDO)LUHDUPV$FW PDNLQJ D ¿UHDUP DV GH¿QHG LQ WKH 1DWLRQDO )LUHDUPV $FW

2. Purpose. 7R YHULI\ SD\PHQW RI WKH WD[ LPSRVHG E\  86&   WR GHWHUPLQH WKDW WKH PDNLQJ ZRXOG QRW EH LQ YLRODWLRQ RI ODZ DQG WR H൵HFW UHJLVWUDWLRQ RI WKH

¿UHDUP

3. Routine Uses. 7KH LQIRUPDWLRQ ZLOO EH XVHG E\ $7) WR PDNH WKH GHWHUPLQDWLRQV VHW IRUWK LQ SDUDJUDSK  ,Q DGGLWLRQ WR H൵HFW UHJLVWUDWLRQ RI WKH ¿UHDUP LQIRUPDWLRQ

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Firearms Registration and Transfer Record. No information obtained from an application, registration, or records required to be submitted by an individual in order to 

comply with any provision of the National Firearms Act or regulation issued thereunder, shall, except in connection with prosecution or other action for furnishing false 

information, be used, directly or indirectly, as evidence against that person in any criminal proceeding with respect to a violation of law occurring prior to or 

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violation of the National Firearms Act. 

4. (൵HFWVRIQRW6XSSO\LQJ,QIRUPDWLRQ5HTXHVWHG Failure to supply complete information will delay processing and may cause denial of the application. 

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 'H¿QLWLRQV

A. 1DWLRQDO)LUHDUPV$FW1)$. Title 26, United States Code, Chapter 53. 

The implementing regulations are found in Title 27, Code of Federal 

Regulations, Part 479. 

B. *XQ&RQWURO$FW*&$. Title 18, United States Code, Chapter 44. 

The implementing regulations are found in Title 27, Code of Federal 

Regulations, Part 478. 

C. Firearm. 7KH WHUP 3¿UHDUP ́ PHDQV  D VKRWJXQ KDYLQJ D EDUUHO RU

barrels of less than 18 inches in length; (2) a weapon made from a 

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having a barrel or barrels of less than 16 inches in length; (4) a weapon 

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than 26 inches or a barrel or barrels of less than 16 inches in length; (5) 

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U.S.C. § 5845 (f). 

D. Person. A partnership, company, association, trust, corporation, including 

each Responsible Person associated with such an entity; an estate; or an 

individual. 

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means the person licensed under the GCA as a dealer, importer, or 

manufacturer also pays the Special (Occupational) Tax (SOT), which 

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Section A 

E. Responsible Person. In case of an unlicensed entity, including any trust, 

partnership, association, company (including any Limited Liability 

Company (LLC)), or corporation, any individual who possesses, directly, 

or indirectly, the power or authority to direct the management and policies 

of the trust or entity to receive, possess, ship, transport, deliver, transfer or 

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Section B 

Trust: Those persons with the power or authority to direct the management 

and policies of the trust includes any person who has the capability to 

exercise such power and possesses, directly or indirectly, the power or 

authority under any trust instrument, or under State law, to receive, 

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for, or on behalf of the trust. Examples of who may be considered a 

Responsible Person include settlors/grantors, trustees, partners, members, 

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RI D WUXVW LI WKH EHQH¿FLDU\ GRHV QRW KDYH WKH FDSDELOLW\ WR H[HUFLVH WKH

enumerated powers or authorities. 

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Special (Occupational) Tax returns under 27 CFR § 479.35. 

G. 6SHFLDO 2FFXSDWLRQDO7D[. Required by the NFA to be paid by a 

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(Class 2), importing &ODVV, or dealing (Class 3) LQ 1)$ ¿UHDUPV

H. Federal Firearms License. A license issued under the provisions of the 

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I. $7)2൶FHU $Q R൶FHU RU HPSOR\HH RI WKH %XUHDX RI $OFRKRO

Tobacco, Firearms and Explosives (ATF) authorized to perform any 

function relating to the administration of the NFA. 

J. Make. The term “make”, and the various derivatives of such word, shall 

include manufacturing RWKHUWKDQE\RQHTXDOL¿HGWRHQJDJHLQVXFK

EXVLQHVVXQGHUWKH1)$, putting together, altering, any combination of 

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K. Reactivation 7KH UHVWRUDWLRQ RI D UHJLVWHUHG XQVHUYLFHDEOH 1)$ ¿UHDUP WR

a functional condition. This action incurs the making tax liability. 

L. Unserviceable Firearm. One which is incapable of discharging a shot 

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is to fusion weld the chamber closed and fusion weld the barrel solidly to 

the frame. 

M. Maker. $ SHUVRQ DSSO\LQJ WR PDNH DQ 1)$ ¿UHDUP

N. Prohibited Person. Generally, 18 U.S.C. § 922 (g) prohibits the shipment, 

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RI D ¿UHDUP E\ RQH ZKR KDV EHHQ FRQYLFWHG RI D PLVGHPHDQRU RU FULPH RI

domestic violence; has been convicted of a felony, or any other crime, 

punishable by imprisonment for a term exceeding one year (this does not 

include State misdemeanors punishable by imprisonment of two years or 

less); is a fugitive from justice, is an unlawful user of, or addicted to, 

marijuana or any depressant, stimulant, or narcotic drug, or any other 

controlled substance; has been adjudicated as a mental defective or has 

been committed to a mental institution; has been discharged from the 

Armed Forces under dishonorable conditions, has renounced his or her 

U.S. citizenship; is an alien illegally in the United States or an alien 

admitted to the United States under a nonimmigrant visa; or is subject to 

certain restraining orders. Furthermore, Section 922(n) prohibits the 

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Federal, State or local court, or any other crime, punishable by 

imprisonment for a term exceeding one year. An information is a formal 

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EXCEPTION: A person who has been convicted of a felony, or any other 

crime, for which the judge could have imprisoned the person for more 

than one year, or who had been convicted of a misdemeanor crime of 

domestic violence, is not prohibited from purchasing, receiving, or possessing 

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the person has been pardoned, the conviction has been expunged or set aside, 

or the person has had their civil rights (the right to vote, sit on a jury, and hold 

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prohibited by the law of the jurisdiction where the conviction occurred 

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mark “no” in the applicable box. 

ATF Form 1 (5320.1) 

Revised December 2022 

EXHIBIT 1

Case 4:22-cv-00143-P Document 55-1 Filed 04/17/23 Page 4 of 13 PageID 1032
'H¿QLWLRQV,QVWUXFWLRQV (Continued) 

O. Adjudicated As a Mental Defective. A determination by a court, board, 

commission, or other lawful authority that a person, as a result of marked 

subnormal intelligence, or mental illness, incompetency, condition, or disease: 

(1) is a danger to himself or to others; or (2) lacks the mental capacity to contract 

RU PDQDJH KLV RZQ D൵DLUV 7KLVWHUP VKDOOLQFOXGH  D ¿QGLQJ RILQVDQLW\ E\ D

court in a criminal case; and (2) those persons found incompetent to stand trial 

or found not guilty by reason of lack of mental responsibility. 

P. Committed to a Mental Institution. A formal commitment of a person 

to a mental institution by a court, board, commission, or other lawful 

authority. The term includes a commitment to a mental institution 

involuntarily. The term includes commitments for other reasons, such as 

for drug use. The term does not include a person in a mental institution 

for observation or a voluntary admission to a mental institution. 

EXCEPTION NICS Improvement Amendments Act of 2007: A person who 

has been adjudicated as a mental defective or committed to a mental 

institution in a State proceeding is not prohibited by the adjudication or 

commitment if the person has been granted relief by the adjudicating/ 

committing State pursuant to a qualifying mental health relief from disabilities 

program. Also, a person who has been adjudicated as a mental defective or 

committed to a mental institution by a department or agency of the Federal 

Government is not prohibited by the adjudication or commitment if either: (a) 

the person’s adjudication or commitment was set-aside or expunged by the 

adjudicating/committing agency; (b) the person has been fully released or 

discharged from all mandatory treatment, supervision, or monitoring by the 

DJHQF\ F WKH SHUVRQ ZDV IRXQG E\ WKH DJHQF\ WR QR ORQJHU VX൵HU IURP WKH

mental health condition that served as the basis of the initial adjudication/ 

commitment; or (d) the adjudication or commitment, respectively is based 

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by a court, board, commission, or other lawful authority, and the person has 

not been adjudicated as a mental defective consistent with section 922(g)(4) 

of title 18, United States Code; or (e) the person was granted relief from the 

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from disabilities program. Persons who fall within one of the above exceptions 

should mark “No” in the applicable box. This exception to an adjudication 

or commitment by a Federal department or agency does not apply to any 

person who was adjudicated to be not guilty by reason of insanity, or based 

on a lack of mental responsibility, or found incompetent to stand trial, in any 

criminal case or under the Uniform Code of Military Justice. 

Q. Restraining Order. 8QGHU  86&   ¿UHDUPV PD\ QRW EH VROG WR

or received by persons subject to a court order that; (A) was issued after 

a hearing which the person received actual notice of and had an 

opportunity to participate in; (B) restrains such person from harassing, 

stalking, or threatening an intimate partner or child of such intimate partner 

or person, or engaging in other conduct that would place an intimate partner 

in reasonable fear of bodily injury to the partner or child; and (C)(i) 

LQFOXGHV D ¿QGLQJ WKDW VXFK SHUVRQ UHSUHVHQWV D FUHGLEOH WKUHDW WR WKH

physical safety of such intimate partner or child; or (ii) by its terms 

explicitly prohibits the use, attempted use, or threatened use of physical 

force against such intimate partner or child that would reasonably be 

expected to cause bodily injury. An “intimate partner” of a person is; the 

spouse or former spouse of the person, the parent of a child of the person, 

or an individual who cohabitates or has cohabitated with the person. 

R. Misdemeanor Crime of Domestic Violence. A Federal, State, local, Tribal 

R൵HQVH WKDW LV D PLVGHPHDQRU XQGHU )HGHUDO 6WDWH RU 7ULEDO ODZ DQG

has, as an element, the use or attempted use of physical force, or the 

threatened use of a deadly weapon, committed by a current or former 

spouse, parent, or guardian of the victim, by a person with whom the 

 victim shares a child in common, by a person cohabitating with, or has 

cohabited with the victim as a spouse, parent, or guardian, or by a person 

similarly situated to a spouse, parent, or guardian of the victim, or by a 

person who has a current or recent former dating relationship with the 

YLFWLP DV GH¿QHG LQ  86&  D 7KH WHUP LQFOXGHV DOO

misdemeanors that have as an element the use or attempted use 

of physical force or the threatened use of a deadly weapon (e.g., assault 

DQG EDWWHU\ LI WKH R൵HQVH LV FRPPLWWHG E\ RQH RI WKH GH¿QHG SDUWLHV (See 

([FHSWLRQLQWKHGH¿QLWLRQRI33URKLELWHG3HUVRQ ́A person who has 

been convicted of a misdemeanor crime of domestic violence also is not 

prohibited unless; (1) the person was represented by a lawyer or gave up the 

right to a lawyer; or (2) if the person was entitled to a jury, was tried by a 

jury, or gave up the right to a jury trial. Persons subject to this exception 

should mark “no” in the applicable box. 

S. Alien Admitted to the United States Under a Nonimmigrant Visa. An 

alien admitted to the United States under a nonimmigrant visa includes, 

among others, persons visiting the United States temporarily for business 

or pleasure, persons studying in the United States who maintain a residence 

abroad, and certain temporary foreign workers. These aliens must answer 

“Yes” to question 11.d.1 and provide the additional documentation required 

under question 11.d.2. Permanent resident aliens and aliens legally 

admitted to the United States pursuant to either the Visa Waiver Program or 

to regulations otherwise exempting them from visa requirements may 

answer “No” to this question and are not required to submit the additional 

documentation under 11.d.2. An alien admitted to the United States under 

a nonimmigrant visa is not prohibited from purchasing, receiving, or 

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permit lawfully issued by the Federal Government, a State, or local 

government, or an Indian tribe federally recognized by the Bureau of Indian 

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IRU ODZIXO KXQWLQJ RU VSRUWLQJ SXUSRVHV  LV DQ R൶FLDO UHSUHVHQWDWLYH RI

a foreign government who is accredited to the United States Government 

or the Government’s mission to an international organization having its 

KHDGTXDUWHUV LQ WKH 8QLWHG 6WDWHV  LV DQ R൶FLDO UHSUHVHQWDWLYH RI D

foreign government who is en route to or from another country to which 

WKDW DOLHQ LV DFFUHGLWHG  LV DQ R൶FLDO RI D IRUHLJQ JRYHUQPHQW RU D

distinguished foreign visitor who has been so designated by the 

'HSDUWPHQW RI 6WDWH  LV D IRUHLJQ ODZ HQIRUFHPHQW R൶FHU RI D IULHQGO\

IRUHLJQ JRYHUQPHQW HQWHULQJ WKH 8QLWHG 6WDWHV RQ R൶FLDO ODZ HQIRUFHPHQW

business; (7) has received a waiver from the prohibition from the Attorney 

General of the United States. 

T. Fugitives from Justice. $Q\ SHUVRQ ZKR KDV ÀHG IURP DQ\ 6WDWH WR DYRLG

prosecution for a felony or a misdemeanor, or any person who leaves the 

State to avoid giving testimony in any criminal proceeding. The term also 

includes any person who knows that misdemeanor or felony charges are 

pending against such person and who leaves the State of prosecution. 

2. Preparation of Application and Payment of Tax. 

A. Authority. As provided by 26 U.S.C. § 5822, any person (other than a 

TXDOL¿HGPDQXIDFWXUHURI¿UHDUPVVHHSDUDJUDSKE seeking to make a 

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IRU HDFK ¿UHDUP 7KH DSSOLFDQW PDNHU PXVW IXUQLVK DOO WKH LQIRUPDWLRQ

called for, except as noted by instructions within, on this application form. 

Please note that the form now contains a 3rd (CLEO) copy of the form for 

use in compliance with instruction 2g and item 10 of the form. 

B. 5HJLVWUDWLRQE\4XDOL¿HG0DQXIDFWXUHU A person who has a Federal 

¿UHDUPV OLFHQVH WR PDQXIDFWXUH ¿UHDUPV 7\SHRUand who has paid 

Special (Occupational) 7D[ WR PDQXIDFWXUH 1)$ ¿UHDUPV LV H[HPSW IURP WKH

PDNLQJ WD[ DQG ¿OLQJ RI WKH $7) )RUP  DSSOLFDWLRQ 6XFK TXDOL¿HG

PDQXIDFWXUHU PXVW UHSRUW DQG UHJLVWHU HDFK 1)$ ¿UHDUP PDQXIDFWXUHG E\

¿OLQJ $7) )RUP  1RWLFH RI )LUHDUPV 0DQXIDFWXUHG RU ,PSRUWHG DV

required by 27 CFR § 479.103. 

C. 3D\PHQWRI([HPSWLRQIURP3D\PHQWRI7D[ As provided in 26 U.S.C. 

  WKHUH LV D WD[ RQ HDFK ¿UHDUP PDGH 7KH UHDFWLYDWLRQ RI D UHJLVWHUHG

XQVHUYLFHDEOH ¿UHDUP LV DOVR VXEMHFW WR WKH PDNLQJ WD[ XQGHU WKLV SURYLVLRQ

Title 26 U.S.C. §§ 5852 and 5853 exempts the making tax when an NFA 

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behalf of the United States or any State or political subdivision thereof. 

'RFXPHQWDWLRQ WKDW WKH ¿UHDUP LV EHLQJ PDGH IRU D JRYHUQPHQW HQWLW\ VXFK

as a United States contract or a State or local government agency purchase 

order, must accompany the application. 

Title 26 U.S.C. §§ 7801, 7805 authorizes the Attorney General to exempt 

tax under the National Firearms Act in limited circumstances. This 

exemption applies when the Attorney General authorizes a tax exemption 

WR LQLYLGXDOV IRU WKH PDNLQJ RI VSHFL¿F 1)$ ¿UHDUPV E\ UXOLQJ UHJXODWLRQ

RU RWKHU QRWLFH 'RFXPHQWDWLRQ PXVW EH SURYLGHG WKDW WKH ¿UHDUP OLVWHG RQ

the ATF Form 1 falls within the parameters of the Attorney General 

authorization. 

ATF Form 1 (5320.1) 

Revised December 2022 

EXHIBIT 1

Case 4:22-cv-00143-P Document 55-1 Filed 04/17/23 Page 5 of 13 PageID 1033
D. Completion of Form (Note: Type 03 licensee must follow individual 

instructions) 

(1) The applicant shall provide the applicant’s full legal name to 

LQFOXGH PLGGOH DQG PDLOLQJ DGGUHVV LQ LWHP E ,I D SRVW R൶FH ER[

 address is used, the physical address shall be entered in item 3c. 

 If the applicant is a trust or legal entity, show only the complete 

name of the trust or legal entity and do not include any individual 

names VXFKDV QDPHVRIWUXVWHHV RUFRUSRUDWHR৽FLDOV. 

The address shall be the location within the particular State 

ZKHUH WKH ¿UHDUP ZLOO EH PDLQWDLQHG IRU D WUXVW RU OHJDO HQWLW\

In the case of two or more locations for a legal entity, the address 

shown shall be the principal place of business within the particular 

State RUSULQFLSDOR৽FHLQWKHFDVHRIDFRUSRUDWLRQ. 

(2) If the applicant is an individual, the entire Form 1 shall be completed 

except for items 18 and 19. In addition, the applicant must include 

KLV RU KHU ¿QJHUSULQWV RQ )%, )RUP )' DQG KLV RU KHU SKRWRJUDSKV

(see instruction 2g). 

 ,I WKH DSSOLFDQW PHHWV WKH GH¿QLWLRQ RI D 5HVSRQVLEOH 3HUVRQ IRU D

OHJDO HQWLW\ VHH GH¿QLWLRQ H VHH G IRU 5HVSRQVLEOH 3HUVRQ

 Requirments. Individuals must complete items 11-17 and sign the 

&HUWL¿FDWLRQ 6WDWHPHQW

(4) Documentation of entity existence: (a) If the applicant is other than an 

individual, the applicant must attach documentation evidencing the existence 

 and validity of the entity, which includes complete and unredacted copies 

of partnership agreements, articles of incorporation, corporate registration, 

declarations of trust with any trust schedules, attachments, exhibits, and

 enclosures. (b) If the applicant entity has had an application approved as a 

PDNHU RU WUDQVIHUHH ZLWKLQ WKH SUHFHGLQJ  PRQWKV RI WKH GDWH RI ¿OLQJ

 this application, and there has been no change to the documentation

 evidencing the existence and validity of the entity previously provided, 

WKH HQWLW\ PD\ SURYLGH D FHUWL¿FDWLRQ WKDW WKH LQIRUPDWLRQ KDV QRW EHHQ

 changed since the prior approval and shall identify the application for 

 which the documentation had been submitted by form number, serial

 number, and date approved. 

Note: An entity licensed under the Gun Control Act (GCA) that does not 

pay the Special (Occupational) Tax (SOT) must submit documentation 

of entity existence as required in the above paragraph 27 CFR § 479.63(b)

 (2)(ii). 

(5) If the applicant is other than an individual, each Responsible Person 

VHH GH¿QLWLRQ H IRU WKH WUXVW RU OHJDO HQWLW\ PXVW LQFOXGH D FRPSOHWHG

ATF Form 5320.23, National Firearms Act (NFA) Responsible Person 

Questionnaire, with the submitted Form 1. 

Note: Each Responsible Person of an entity licensed under the Gun 

 Control Act (GCA) that does not pay the Special (Occupational)

 Tax (SOT) must submit ATF Form 5320.23 with the application as 

instructed in the above paragraph 27 CFR § 479.63(b)(2)(ii). 

(6) Item 18 (Method of Payment) is obscured on the ATF copy 2 

 (Registrant) and the CLEO copy. In addition, item 4g (serial number) 

LV REVFXUHG RQ WKH &/(2 FRS\ 7KHVH ¿HOGV GR QRW UHTXLUH FRPSOHWLRQ

 on these copies. 

E. Photograph and Fingerprints and Photograph. An individual applicant 

or Responsible Persons of a legal entity applicant must (1) attach to item 

15 of the ATF Form 1, a 2 inch x 2 inch photograph of the frontal view 

of the transferee taken within 1 year prior to the date of the application 

and (2) submit two properly completed FBI Forms FD-258 (Fingerprint 

Card with blue lines) ZLWK WKH DSSOLFDWLRQ 7KH ¿QJHUSULQWV PXVW EH FOHDU

IRU DFFXUDWH FODVVL¿FDWLRQ DQG WDNHQ E\ VRPHRQH SURSHUO\ HTXLSSHG WR WDNH

them. 

Note: Each Responsible Person of an entity licensed under the Gun Control 

Act (GCA) that does not pay the Special (Occupational) Tax (SOT) must 

VXEPLW ¿QJHUSULQWV DQG SKRWRJUDSKV ZLWK WKH DSSOLFDWLRQ DV LQVWUXFWHG LQ

the above paragraph 27 CFR § 479.63(b)(2)(iii)(iv). 

F. Social Security and UPIN. The Social Security number and UPIN are 

QRW UHTXLUHG +RZHYHU WKLV LQIRUPDWLRQ DVVLVWV ZLWK WKH H൶FLHQW FRPSOHWLRQ RI

the NICS background check. Please be aware that refusal to provide this 

information may result in a delay in the NICS background check process. 

G. Signatures. All signatures required on ATF Form 1 must be original in ink 

on both copies. Exceptions: In the case of eforms on where a variance has 

been granted a Digital/Electronic signature may be used. 

(1) if the applicant is an individual, the applicant shall sign the form; 

(2) if the applicant is a trust or legal entity, a responsible person of the trust 

or legal entity shall sign the form; 

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)HGHUDO ¿UHDUPV OLFHQVHH VKDOO VLJQ WKH IRUP RU

(4) if the applicant is a government entity, a person who has a authority to

 sign for the entity shall sign the form. 

H /DZ(QIRUFHPHQW1RWL¿FDWLRQ The applicant must provide a copy of the 

)RUP  WR WKH &KLHI /DZ (QIRUFHPHQW 2൶FHU &/(2 ZKR KDV

jurisdiction over the area of the applicant’s address shown in item 3b of the 

Form 1. In addition, if the applicant is other than an individual, a copy of 

the Form 5320.23, National Firearms Act (NFA) Responsible Person 

Questionnaire, for each Responsible Person must be provided to their 

UHVSHFWLYH &KLHI /DZ (QIRUFHPHQW 2൶FHU 7KH &KLHI /DZ (QIRUFHPHQW

2൶FHU LV FRQVLGHUHG WR EH WKH &KLHI RI 3ROLFH WKH 6KHUL൵ WKH +HDG RI WKH

State Police; or a State or local district attorney or prosecutor. 

I. Remittance. If the application is subject to the $200 making tax, please 

complete item 20 of the ATF Form 1. Please note that you may pay the tax 

by credit/debit card, check, or money order. The check or money order is 

to be made payable to ATF. Do not send cash. 

J Photocopies, Computer Generated Versions or Download Version. 

The form may be copied or downloaded (for example, from the ATF website 

(www.atf.gov)). The form does not have to be printed front to back. 

K. Description of Firearm and Markings. (1) Item 4a. If you are modifying 

DQ H[LVWLQJ ¿UHDUP HQWHU WKH QDPH DQG ORFDWLRQ RI WKH RULJLQDO PDQXIDFWXUHU

,I \RX DUH FUHDWLQJ WKH ¿UHDUP HQWHU WKH 0DNHU¶V QDPH FLW\ DQG 6WDWH

 ,WHP E 7KH W\SHV RI 1)$ ¿UHDUPV DUH OLVWHG LQ WKH GH¿QLWLRQV 

Item 4c. Specify one caliber or gauge. If there is another designation, 

indicate the designation in item 4h. (4) Item 4d. Show the model 

designation (if known). (5) Item 4e and 4f. Specify one barrel length and 

RYHUDOO OHQJWK LQ LWHPV H DQG I DV DSSOLFDEOH 1RWH LI WKH ¿UHDUP KDV D

folding or collapsible stock, the overall measurement is to be made with 

the stock extended. (6) Item 4g. Do not alter or modify the serial number 

RI DQ H[LVWLQJ ¿UHDUP  (QWHU WKH H[LVWLQJ VHULDO QXPEHU RU LI D QHZ

¿UHDUP RQH \RX FUHDWH  0DUNLQJV 7KH PDNHU LV UHTXLUHG WR PDUN WKH

¿UHDUP ZLWK WKH 0DNHU¶V QDPH &LW\ DQG 6WDWH DV VKRZQ LQ LWHP E $OO

markings are to be in compliance with 27 CFR §§ 478.92 and 479.102. 

'R QRW DOWHU RU PRGLI\ WKH VHULDO QXPEHU RI DQ H[LVWLQJ ¿UHDUP (QWHU WKH

H[LVWLQJ VHULDO QXPEHU RU LI D QHZ ¿UHDUP RQH \RX FUHDWH 7KH 0DNHU PD\

QRW GXSOLFDWH DQ\ VHULDO QXPEHU SODFHG E\ WKH 0DNHU RQ DQ\ RWKHU ¿UHDUP

See 27 CFR § 479.102. 

L. State or Local Permit. If a State or local permit or license is required before 

WKH PDNLQJ RI WKH ¿UHDUP D FRS\ RI WKH SHUPLW RU OLFHQVH PXVW EH VXEPLWWHG

with the application. If the applicant is a trust or legal entity, when the State of 

residence or any Responsible Person requires a State or local permit or license, 

a copy of the permit or license must be submitted with Form 5320.23, National 

Firearms Act 1)$ Responsible Person Questionnaire. 

M. &RPSOLDQFHZLWKH[SORVLYHVODZV86&&KDSWHUDQGUHJXODWLRQV

&)53DUW If the application is for a Destructive Device utilizing 

explosive materials, check the Explosives box in item 4.j and provide the type(s) 

of explosives to be used. If the applicant is other than a government agency, 

item 5 must be completed with an explosives license or permit number issued to 

the applicant. If the applicant is other than an individual, such as a legal entity, 

and does not have an explosives license or permit, then a Responsible Person 

for the applicant must have a license or permit and enter the information in 

item 5. To comply with the explosives laws and regulations, any member of a 

OHJDO HQWLW\ PXVW DOVR EH LGHQWL¿HG DV D 5HVSRQVLEOH 3HUVRQ RU (PSOR\HH

Possessor on the explosives licenser or permit. A trust cannot be issued an 

explosives license or permit. ATF Form 1 (5320.1) 

Revised December 2022 

EXHIBIT 1

Case 4:22-cv-00143-P Document 55-1 Filed 04/17/23 Page 6 of 13 PageID 1034
N. Submission. The Maker shall submit 2 complete forms (ATF copy and 

registrant copy) with original signatures to the NFA Division at the address 

on the face of the form. The applicant shall direct a 3rd complete copy 

RI WKH IRUP WR WKH &KLHI /RFDO /DZ (QIRUFHPHQW 2൶FHU (CLEO) as 

provided in instruction 2g and item 10. 

3. Approval of Application. Upon approval of an application, the NFA Division 

ZLOO D൶[ WKH 1)$ WD[ VWDPS (if any) to the application, cancel it, and return 

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UHJLVWUDWLRQ RI WKH ¿UHDUP WR WKH 0DNHU KRZHYHU WKH ¿UHDUP PXVW QRW EH

made until the applicant has been approved. 

4. Withdrawal of Application. The Maker may withdraw the application prior 

to approval by the submission of a signed, written request to the Chief, NFA 

Division either by mail to National Firearms Act Division, National Service 

Center, 244 Needy Road, Martinsburg, WV 25405 or by emailing a signed 

copy to nfafax@atf.gov. The NFA Division will arrange for a refund of any tax 

paid. 

5. Cancellation of Approved Application. An approved application may be 

FDQFHOOHG RQO\ LI WKH ¿UHDUP KDG QRW EHHQ PDGH RU PRGL¿HG 7KH 0DNHU PXVW UHWXUQ

WKH DSSURYHG DSSOLFDWLRQ ZLWK RULJLQDO WD[ VWDPS D൶[HG ZLWK D ZULWWHQ UHTXHVW IRU

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The NFA Division will arrange for a refund of any tax paid. 

6. Disapproval of Application. If the application is disapproved, the NFA 

Division will note the reason for disapproval on the application and return one 

copy to the Maker. The NFA Division will arrange for a refund of any tax paid. 

7. Reason for Disapproval. 26 U.S.C. § 5822 provides that applications 

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Maker in violation of law. 

a. Violation of Law. Applications shall be denied if the making or 

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 violation of law. 

b. Machineguns. 18 U.S.C. § 922 (o) provides that a machinegun may be 

made only for government use or export. An application will be denied 

unless the making meets these criteria. 

c. Persons Prohibited from Making a Firearm. The application will be 

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)RU LQIRUPDWLRQ UHJDUGLQJ SHUVRQV SURKLELWHG IURP SRVVHVVLQJ D ¿UHDUP

UHIHU WR GH¿QLWLRQV Q WKURXJK W

8. ,QTXLULHV ,QIRUPDWLRQ UHODWLQJ WR WKH 1)$ DQG RWKHU ¿UHDUPV ODZV LV DYDLODEOH

at the ATF Internet website at www.atf.gov. Any inquiry relating to the status 

RI DQ DSSOLFDWLRQ WR WUDQVIHU DQ 1)$ ¿UHDUP RU DERXW SURFHGXUHV LQ JHQHUDO

should be directed to the NFA Division at (304) 616-4500 or emailed to 

NFA@ATF.GOV. Please be aware that any dissemination by ATF of 

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with the restrictions in 26 U.S.C. § 6103. 

9. Penalties. Any person who violates or fails to comply with any of the 

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RU EH LPSULVRQHG IRU QRW PRUH WKDQ  \HDUV RU ERWK $Q\ ¿UHDUP LQYROYHG

in a violation of the NFA shall be subject to seizure and forfeiture. It is 

unlawful for any person to make or cause the making of a false entry on any 

application or record required by the NFA knowing such entry to be false. 

10. Compliance with the Gun Control Act. Person must also comply with all 

relevant portions of the GCA. 

ATF Form 1 (5320.1) 

Revised December 2022 

EXHIBIT 1

Case 4:22-cv-00143-P Document 55-1 Filed 04/17/23 Page 7 of 13 PageID 1035
OMB No. 1140-0011 (12/31/2025) 

U.S. Department of Justice 

Bureau of Alcohol, Tobacco, Firearms and Explosives Application to Make and Register a Firearm 

ATF Control Number 

To: Bureau of Alcohol, Tobacco, Firearms and Explosives, P.O. Box 5015, Portland, OR 97208-5015, National Firearms Act Division (NFA) 

(Submit in duplicate. Please do not staple documents. See instructions attached.) 

As required by Sections 5821(b), 5822, and 5841 of the National Firearms Act, Title 26 U.S.C., Chapter 53, the 

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1. Type of Application (check one) 

a. Tax Paid. Submit your tax payment of $200 

with the application. The tax may be paid

 by credit or debit card, check, or money order.

 Please complete item 20. Upon approval of 

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 required National Firearms Act Stamp. 

(See instruction 2.C and 3) 

b. Tax Exempt. Firearm is being made on

 behalf of the United States, or any department, 

independent establishment, or agency thereof.

 or 

Tax Exempt. Firearm is being made by or on 

 behalf of any State or possession of the United 

 tates, or any political subdivision thereof, or any 

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 entity engaged in criminal investigations. 

c. Tax Exempt. Firearm is not subject to the making 

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 may require additional supporting documentation, 

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2. Application is made by: Corporation Individual 

Government Other Legal Entity Trust 

Entity 

3a. Trade Name (If any) 

3b. Applicant’s Full Legal Name and Full Mailing Address (Type or print below) (See instruction 2.D) 

3d. County/Parish 

3e. Telephone Number 

3f. E-mail Address 

3c. If P.O. Box is Shown Above, Street Address Must be Given Here 

4. Description of Firearm (Complete items a through k) (See instruction 2.J) 

a. Name and Address of Original Manufacturer and/or 

Importer of Firearm (If any) 

b. Type of Firearm to be Made 

6HHGH¿QLWLRQ.

(If a destructive device, 

complete item 4.J) 

c. Caliber 

or

 Gauge 

(Specify one) 

d. Model $VPDUNHGRQ¿UHDUP

e. Barrel Length f. Overall Length 

g. Serial Number 

h. Additional Description (Indicate required Maker’s Markings to include Maker’s 

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i. Specify Why You Intend To Make Firearm (Use additional sheet if necessary) 

j. Type of Destructive Device (Check one box): Firearm Explosives (If the Explosives box is checked, complete item 5 and see instruction 2.M) 

If an Explosive Type Destructive Device, Please provide additional description: 

k. Is This Firearm Being Reactivated? Yes No 6HHGH¿QLWLRQ.

5. Applicant’s Federal Firearms License (If any) or Explosives License or Permit Number 

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Number 

6. Special (Occupational) Tax Status (SOT) ,IDSSOLFDEOH6HHGH¿QLWLRQV

D (PSOR\HU ,GHQWL¿FDWLRQ 1XPEHU b. Class 

Under Penalties of Perjury, I declare that I have examined this application, including accompanying documents, and to the best of my knowledge and belief it is 

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Title 26, U.S.C., Chapter 53; or any provisions of State or local law. 

7. Signature of Applicant  1DPH DQG 7LWOH RI $XWKRUL]HG 2൶FLDO 9. Date 

The space below is for the use of the Bureau of Alcohol, Tobacco, Firearms and Explosives 

By authority of the Director, Bureau of Alcohol, Tobacco, Firearms and Explosives, this Application has been Examined and the Applicant’s Making and Registration of the 

Firearm described above is: 

$XWKRUL]HG $7) 2൶FLDO Date 

Approved (With the following conditions, if any) Disapproved (For the following reasons) 

Previous Editions Are Obsolete ATF Form 1 (5320.1) 

ATF Copy 2 - To Be Returned To Registrant Revised December 2022 

EXHIBIT 1

Case 4:22-cv-00143-P Document 55-1 Filed 04/17/23 Page 8 of 13 PageID 1036
MAKER’S CERTIFICATION (not completed by a GOVERNMENT ENTITY) 

 /DZ(QIRUFHPHQW1RWL¿FDWLRQ(See instruction 2.H) 

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&KLHI /DZ (QIRUFHPHQW 2൶FHU (CLEO) LQ WKH DJHQF\ LGHQWL¿HG EHORZ

Agency or Department Name 1DPH DQG 7LWOH RI 2൶FLDO

Address (Street address or P.O. Box, City, State and ZIP Code) to which sent (Mailed or delivered) 

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contact the NFA Division at (304) 616-4500 or NFA@atf.gov. 

Maker’s Questions (Complete only when the maker is an individual) 

Answer the following questions by checking or marking either the “yes” or “no” box to the right of the questions. 

11. Answer questions 11.a. through 11.m. Answer questions 13, 15, 16 and 17 if applicable. For any “Yes” answer 

the applicant shall provide details on a separate sheet. 6HHLQVWUXFWLRQ&DQGGH¿QLWLRQV

Yes No 

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 questions 11.c through 11.l, or a person described in question 11.m who does not fall under an exception? 

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c. Are you under indictment or information in any court for a felony, or any other crime, for which the judge 

could imprison you for more than one year?6HHGH¿QLWLRQ1

d. Have you ever been convicted in any court for a felony, or any other crime, for which the judge could have imprisoned you 

for more than one year, even if you received a shorter sentence including probation? 6HHGH¿QLWLRQ1

e. Are you a fugitive from justice? 6HHGH¿QLWLRQ7

f. Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any 

other controlled substance? Warning: The use or possession of marijuana remains unlawful under 

Federal law regardless of whether it has been legalized or decriminalized for medicinal 

or recreational purposes in the state where you reside. 

g. Have you ever been adjudicated as a mental defective OR have you ever been committed to a mental 

institution? 6HHGH¿QLWLRQ2DQG3

h. Have you been discharged from the Armed Forces under dishonorable conditions? 

i. Are you subject to a court order restraining you from harassing, stalking, or threatening your child or an 

intimate partner or child of such partner? 6HHGH¿QLWLRQ4

j. Have you ever been convicted in any court of a misdemeanor crime of domestic violence? 6HHGH¿QLWLRQ5

k. Have you ever renounced your United States citizenship? 

l. Are you an alien illegally or unlawfully in the United States? 

m.1. Are you an alien who has been admitted to the United States under a nonimmigrant visa? Yes No 

m.2. If “Yes”, do you fall within any of the exceptions stated in the instructions? Attach the documentation to the application Yes No N/A

12. Photograph 

$൶[D ́[ ́3KRWRJUDSK+HUH

No Stapling. Please Tape 

Sides of Photo to the Application.

 1. Photo must have been taken within the 

 last year. 

2. Photo must have been taken in full face 

view without a hat or head covering that 

obscures the hair or hairline.

 3. On back of photograph print full name, 

last 4 of SSN. 

13. If you are an alien, record your U.S.-Issued Alien or Admission number (AR#, USCIS#, or I94#): 

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15. Social Security Number: (See instruction 2.F) Date of Birth: 

16a. Ethnicity Hispanic or Latino 

Not Hispanic or Latino 

16b. Race American Indian or Alaska Native Black or African American White 

Asian 1DWLYH +DZDLLDQ RU 2WKHU 3DFL¿F ,VODQGHU

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United States of America (U.S.A.) Other Country/Countries (Specify): 

17b. State of Birth 17c.Country of Birth 

CERTIFICATION: Under penalties imposed by 18 U.S.C. § DQG86&§ ,FHUWLI\WKDWXSRQVXEPLVVLRQRIWKLVIRUPWR$7)DFRPSOHWHGFRS\RIWKLVIRUP

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FRUUHFWWRWKHEHVWRIP\NQRZOHGJHDQGEHOLHI127( 6HHLQVWUXFWLRQV'DQG'IRUWKHLWHPVWREHFRPSOHWHGGHSHQGLQJRQWKHW\SHRIDSSOLFDQW

Signature of Maker Date 

ATF Form 1 (5320.1) 

ATF Copy 2 - To Be Returned To Registrant Revised December 2022 

EXHIBIT 1

Case 4:22-cv-00143-P Document 55-1 Filed 04/17/23 Page 9 of 13 PageID 1037
18. Number of Responsible PersonsVHHGH¿QLWLRQV associated with the applicant trust or legal entity 

19. Provide the full name (printed or typed) below for each Responsible Person associated with the applicant trust or legal entity (if there are more Responsible Persons than 

can be listed on the form, attach a separate sheet listing the additional Responsible Person(s)). Please note that a completed Form 5320.23, National Firearms Act 

1)$Responsible Person Questionnaire, must be submitted with the Form 1 application for each Responsible Person. 

Full Name Full Name 

Important Information for Currently Registered Firearms 

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Estate Procedures: )RU SURFHGXUHV UHJDUGLQJ WKH WUDQVIHU RI ¿UHDUPV LQ DQ HVWDWH UHVXOWLQJ IURP WKH GHDWK RI WKH UHJLVWUDQW LGHQWL¿HG LQ LWHP E WKH H[HFXWRU VKRXOG FRQWDFW

the NFA Division, Bureau of ATF, 244 Needy Road, Martinsburg, WV 25405 or contact via email at NFAFAX@ATF.gov for additional assistance. 

Interstate Movement: ,I WKH ¿UHDUP LGHQWL¿HG LQ LWHP  LV D machinegun, VKRUWEDUUHOHGULÀH, short-barreled shotgun, or destructive device, the registrant may be 

required by 18 U.S.C. § 922(a)(4) to obtain permission from ATF prior to any transportation in interstate or foreign commerce. ATF Form 5320.20 can be used to request this 

permission. 

Change of Description or Address: The registrant shall notify the National Firearms Act Division, National Service Center, Bureau of Alcohol, Tobacco, Firearms and 

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Restrictions on Possession: Any restriction (see approval block on face of form) RQ WKH SRVVHVVLRQ RI WKH ¿UHDUP LGHQWL¿HG LQ LWHP  FRQWLQXHV ZLWK WKH IXUWKHU WUDQVIHU RI

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Persons Prohibited from Possessing Firearms: ,I WKH UHJLVWUDQW EHFRPHV SURKLELWHG IURP SRVVHVVLQJ D ¿UHDUP SOHDVH FRQWDFW WKH 1)$ 'LYLVLRQ IRU SURFHGXUHV RQ KRZ WR

GLVSRVH RI WKH ¿UHDUP

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upon request. 

Paperwork Reduction Act Notice 

This form is in accordance with the Paperwork Reduction Act of 1995. The information you provide is used to establish that the applicant’s making and possession of the 

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information is mandatory (26 U.S.C. § 5822). 

The estimated average burden associated with this collection of information is 4.0 hours per respondent or recordkeeper, depending on individual circumstances. 

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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 1 (5320.1) 

ATF Copy 2 - To Be Returned To Registrant Revised December 2022 

EXHIBIT 1

Case 4:22-cv-00143-P Document 55-1 Filed 04/17/23 Page 10 of 13 PageID 1038
OMB No. 1140-0011 (12/31/2025) 

U.S. Department of Justice 

Bureau of Alcohol, Tobacco, Firearms and Explosives Application to Make and Register a Firearm 

ATF Control Number 

To: Bureau of Alcohol, Tobacco, Firearms and Explosives, P.O. Box 5015, Portland, OR 97208-5015, National Firearms Act Division (NFA) 

(Submit in duplicate. Please do not staple documents. See instructions attached.) 

As required by Sections 5821(b), 5822, and 5841 of the National Firearms Act, Title 26 U.S.C., Chapter 53, the 

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1. Type of Application (check one) 

a. Tax Paid. Submit your tax payment of $200 

with the application. The tax may be paid

 by credit or debit card, check, or money order.

 Please complete item 20. Upon approval of 

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 required National Firearms Act Stamp. 

(See instruction 2.C and 3) 

b. Tax Exempt. Firearm is being made on

 behalf of the United States, or any department, 

independent establishment, or agency thereof.

 or 

Tax Exempt. Firearm is being made by or on 

 behalf of any State or possession of the United 

 tates, or any political subdivision thereof, or any 

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 entity engaged in criminal investigations. 

c. Tax Exempt. Firearm is not subject to the making 

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 may require additional supporting documentation, 

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2. Application is made by: Corporation Individual 

Government Other Legal Entity Trust 

Entity 

3a. Trade Name (If any) 

3b. Applicant’s Full Legal Name and Full Mailing Address (Type or print below) (See instruction 2.D) 

3d. County/Parish 

3e. Telephone Number 

3f. E-mail Address 

3c. If P.O. Box is Shown Above, Street Address Must be Given Here 

4. Description of Firearm (Complete items a through k) (See instruction 2.J) 

a. Name and Address of Original Manufacturer and/or 

Importer of Firearm (If any) 

b. Type of Firearm to be Made 

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(If a destructive device, 

complete item 4.J) 

c. Caliber 

or 

Gauge 

(Specify one) 

d. Model $VPDUNHGRQ¿UHDUP

e. Barrel Length f. Overall Length 

h. Additional Description (Indicate required Maker’s Markings to include Maker’s 

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i. Specify Why You Intend To Make Firearm (Use additional sheet if necessary) 

j. Type of Destructive Device (Check one box): Firearm Explosives (If the Explosives box is checked, complete item 5 and see instruction 2.M) 

If an Explosive Type Destructive Device, Please provide additional description: 

k. Is This Firearm Being Reactivated? Yes No 6HHGH¿QLWLRQ.

5. Applicant’s Federal Firearms License (If any) or Explosives License or Permit Number 6. Special (Occupational) Tax Status (SOT) ,IDSSOLFDEOH6HHGH¿QLWLRQV

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Number D (PSOR\HU ,GHQWL¿FDWLRQ 1XPEHU b. Class 

Under Penalties of Perjury, I declare that I have examined this application, including accompanying documents, and to the best of my knowledge and belief it is 

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Title 26, U.S.C., Chapter 53; or any provisions of State or local law. 

7. Signature of Applicant  1DPH DQG 7LWOH RI $XWKRUL]HG 2൶FLDO 9. Date 

Previous Editions Are Obsolete ATF Form 1 (5320.1) 

CLEO Copy Revised December 2022 

EXHIBIT 1

Case 4:22-cv-00143-P Document 55-1 Filed 04/17/23 Page 11 of 13 PageID 1039
MAKER’S CERTIFICATION (not completed by a GOVERNMENT ENTITY) 

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Agency or Department Name 1DPH DQG 7LWOH RI 2൶FLDO

Address (Street address or P.O. Box, City, State and ZIP Code) to which sent (Mailed or delivered) 

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contact the NFA Division at (304) 616-4500 or NFA@atf.gov. 

Maker’s Questions (Complete only when the maker is an individual) 

Answer the following questions by checking or marking either the “yes” or “no” box to the right of the questions. 

11. Answer questions 11.a. through 11.m. Answer questions 13, 15, 16 and 17 if applicable. For any “Yes” answer 

the applicant shall provide details on a separate sheet. 6HHLQVWUXFWLRQ&DQGGH¿QLWLRQV

Yes No 

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 questions 11.c through 11.l, or a person described in question 11.m who does not fall under an exception? 

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c. Are you under indictment or information in any court for a felony, or any other crime, for which the judge 

could imprison you for more than one year?6HHGH¿QLWLRQ1

d. Have you ever been convicted in any court for a felony, or any other crime, for which the judge could have imprisoned you 

for more than one year, even if you received a shorter sentence including probation? 6HHGH¿QLWLRQ1

e. Are you a fugitive from justice? 6HHGH¿QLWLRQ7

f. Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any 

other controlled substance? Warning: The use or possession of marijuana remains unlawful under 

Federal law regardless of whether it has been legalized or decriminalized for medicinal 

or recreational purposes in the state where you reside. 

g. Have you ever been adjudicated as a mental defective OR have you ever been committed to a mental 

institution? 6HHGH¿QLWLRQ2DQG3

h. Have you been discharged from the Armed Forces under dishonorable conditions? 

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intimate partner or child of such partner? 6HHGH¿QLWLRQ4

j. Have you ever been convicted in any court of a misdemeanor crime of domestic violence? 6HHGH¿QLWLRQ5

k. Have you ever renounced your United States citizenship? 

l. Are you an alien illegally or unlawfully in the United States? 

m.1. Are you an alien who has been admitted to the United States under a nonimmigrant visa? Yes No 

m.2. If “Yes”, do you fall within any of the exceptions stated in the instructions? Attach the documentation to the application Yes No N/A

13. If you are an alien, record your U.S.-Issued Alien or Admission number (AR#, USCIS#, or I94#): 

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Date of Birth: 

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Not Hispanic or Latino 

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Asian 1DWLYH +DZDLLDQ RU 2WKHU 3DFL¿F ,VODQGHU

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United States of America (U.S.A.) Other Country/Countries (Specify): 

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Signature of Maker Date 

ATF Form 1 (5320.1) 

CLEO Copy Revised December 2022 

EXHIBIT 1

Case 4:22-cv-00143-P Document 55-1 Filed 04/17/23 Page 12 of 13 PageID 1040
18. Number of Responsible PersonsVHHGH¿QLWLRQV associated with the applicant trust or legal entity 

19. Provide the full name (printed or typed) below for each Responsible Person associated with the applicant trust or legal entity (if there are more Responsible Persons than 

can be listed on the form, attach a separate sheet listing the additional Responsible Person(s)). Please note that a completed Form 5320.23, National Firearms Act 

1)$ Responsible Person Questionnaire, must be submitted with the Form 1 application for each Responsible Person. 

Full Name Full Name 

Important Information for Currently Registered Firearms 

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the NFA Division, Bureau of ATF, 244 Needy Road, Martinsburg, WV 25405 or contact via email at NFAX@ATF.gov for additional assistance. 

Interstate Movement: ,I WKH ¿UHDUP LGHQWL¿HG LQ LWHP  LV D machinegun, VKRUWEDUUHOHGULÀH, short-barreled shotgun, or destructive device, the registrant may be 

required by 18 U.S.C. § 922(a)(4) to obtain permission from ATF prior to any transportation in interstate or foreign commerce. ATF Form 5320.20 can be used to request this 

permission. 

Change of Description or Address: The registrant shall notify the National Firearms Act Division, National Service Center, Bureau of Alcohol, Tobacco, Firearms and 

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upon request. 

Paperwork Reduction Act Notice 

This form is in accordance with the Paperwork Reduction Act of 1995. The information you provide is used to establish that the applicant’s making and possession of the 

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information is mandatory (26 U.S.C. § 5822). 

The estimated average burden associated with this collection of information is 4.0 hours per respondent or recordkeeper, depending on individual circumstances. 

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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 1 (5320.1) 

CLEO Copy Revised December 2022 

EXHIBIT 1

Case 4:22-cv-00143-P Document 55-1 Filed 04/17/23 Page 13 of 13 PageID 1041