California Code of Regulations › Title 17 - Public Health › Division 1 - State Department of Health Services › Chapter 4 - Preventive Medical Service › Subchapter 14 - Stop Tobacco Access to Kids Enforcement (STAKE) Act Program › Section 6905 - Annual Report of Tobacco Retail Sites

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each cigarette or tobacco products distributor
				  or wholesaler and each cigarette vending machine operator as required in Business
				  and Professions Code section
				  22954
				  shall, within 45 days after the end of the calendar year, annually file a report
				  listing the retail sites, including dealers as defined in Revenue and Taxation Code
				  section
				  30012,
				  to which it provided tobacco products during the calendar year just ended. This
				  report of retail sites shall be filed with the Department of Health Services,
				  Tobacco Control Section, 601 North 7th Street, M.S. 555, P.O. Box 942732,
				  Sacramento, CA 94234-7320. The first report shall be submitted for the calendar year
				  beginning January 1, 1995. The annual report shall contain the following:
(1) The name of the cigarette or tobacco products
				  distributor or wholesaler or cigarette vending machine operator company.
(2) The address and telephone number of the
				  company's principal executive office.
(3) The name, title, and address of the
				  representative of the company to whom correspondence regarding this report should be
				  addressed.
(4) The name, title and
				  signature of the official authorized to sign the report on behalf of the
				  company.
(5) A certification made
				  pursuant to Code of Civil Procedure Section
				  2015.5
				  by the authorized person whose signature appears on the report as follows:
"I certify under penalty of perjury under the laws of the State
					 of California that the information contained in the report is true and
					 correct:
___________________________
___________________________"
(Date)
(Signature)
(6) A
				  list of each retail site's name and the physical location of the retail site to
				  which the company supplied tobacco products or vending machines for the preceding
				  calendar year. The list shall include, on separate lines, the full name, street
				  address, city and zip code of each retail site. For those companies with computer
				  capability, the list of the retail sites is also required to be submitted on a
				  computer diskette as a flat ASCII file, or other format to be specified by the
				  Department of Health Services, on one or more 3 1/2 inch or 5 1/4 inch floppy
				  diskette(s). For those companies without computer capability, submission of the list
				  on a computer diskette is not required. For the second and subsequent year that the
				  company files this report, the company is required to either submit the information
				  required by this subsection or report only changes to the first report. Where a
				  company opts in the second or subsequent year to report only changes to the first or
				  previous report, such second or subsequent report shall include and clearly identify
				  name or address changes of the retail sites, additional retail sites to which it
				  supplies tobacco products or vending machines and retail sites to which it no longer
				  supplies tobacco products or a vending machine.