Manufacturer Certification Pursuant To NH RSA 541-D | Pdf Fpdf Doc Docx | New Hampshire

Manufacturer Certification Pursuant To NH RSA 541-D

New Hampshire/Statewide/Office Of Attorney General/Tobacco Product Manufacturer/
Manufacturer Certification Pursuant To NH RSA 541-D | Pdf Fpdf Doc Docx | New Hampshire

Manufacturer Certification Pursuant To NH RSA 541-D Form

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This is a New Hampshire form that can be used for Tobacco Product Manufacturer within Statewide, Office Of Attorney General.

Last updated: 4/13/2015
State of New Hampshire Certification Pursuant to NH RSA 541-D 2014 GENERAL INFORMATION Who is required to file this certification? Any tobacco product manufacturer that intends to sell cigarettes, roll-your-own and/or smokeless tobacco products within the State of New Hampshire, whether directly or through any distributor, retailer, or similar intermediary, must file. When is this certification due? The Annual certificate of compliance is to be filed on or before April 30, 2014. ELECTRONIC FILING OPTION: Certificates will be considered timely filed if sent by e-mail to Marie.Labrie@doj.nh.gov prior to the filing date of April 30, 2014. If you choose this option, please label your cover email with your company name and the words "RSA 541-D Annual Certification 2014" in the subject line. If an electronic filing is submitted, the fully executed hard copy must still be sent to the address below by no later than May 15, 2014 to constitute a complete and timely filing. This filing is in addition to, and does not supplant any filing obligations of non-participating manufacturers under RSA 541-C. However, the RSA 541-C filing may be made in conjunction with this filing and will be considered timely filed if received by this office by April 30, 2014. Definitions: (a) "Attorney General" means the Attorney General of the State of New Hampshire, 33 Capitol Street, Concord New Hampshire 03301. (b) "Brand Family" means all styles of Cigarettes sold under the same trade mark and differentiated from one another by means of additional modifiers or descriptors, including, but not limited to, "menthol," "lights," "kings," and "100s," and includes any brand name (alone or in conjunction with any other word), trademark, logo, symbol, motto, selling message, recognizable pattern of colors, or any other indicia of product identification identical or similar to, or identifiable with, a previously known brand of Cigarettes. (c) "Brand Name" includes all products sold within any Brand Family, including without limitation, products described by descriptors or modifiers such as "menthol," "lights," "kings," and "100s." (d) "Cigarette" has the same meaning as in RSA 541-C:2, IV, and includes roll-your-own and smokeless tobacco products. (e) "Commissioner" means the Commissioner of the New Hampshire Department of Revenue. (f) "Directory" means the listing of all Tobacco Product Manufacturers that have provided current and accurate certifications conforming to the requirements of NH RSA 541-D and all Brand Families that are listed in such certifications; except as provided by NH RSA 541-D. (g) "Master Settlement Agreement" (or "MSA") has the same meaning as in RSA 541-C:2, V. (h) "Non-Participating Manufacturer" (or "NPM") means any Tobacco Product Manufacturer that is not a Participating Manufacturer. (i) "Participating Manufacturer" has the meaning given that term in Section II(jj) of the Master Settlement Agreement and all amendments thereto. (j) "Qualified Escrow Fund" has the same meaning as that term is defined in RSA 541-C:2, VI. State of New Hampshire RSA 541-D Certification Form (Manufacturers) Page 1 of 8 American LegalNet, Inc. www.FormsWorkFlow.com (k) "Stamping Agent" means a person that is authorized to affix tax stamps to packages or other containers of Cigarettes under RSA Ch. 78, or any person that is required to pay the tobacco tax imposed pursuant to RSA Ch. 78 on Cigarettes. (l) "Tobacco Product Manufacturer" has the same meaning as that term is defined in RSA 541-C:2, IX. (m) "Units Sold" has the same meaning as that term is defined in RSA 541-C:2, X. SPECIFIC INSTRUCTIONS: Part 1: Manufacturer's Identification. Identify the name, address, zip code or (for manufacturers located outside the United States) local mail code, telephone, fax number and electronic mail address for the manufacturer and the person completing the form. Certification of Status. State whether your company is a Participating Manufacturer or a Non-Participating Manufacturer in compliance with all applicable provisions of RSA 541-C. Part 2: Please note that the Certification Form was amended in 2006 to require that, if the submitting company is not the actual manufacturer of the tobacco products for which it is submitting the certification, it must identify the manufacturer and, as applicable, describe the relationship between the submitting company and the manufacturer. If the submitting company has agreed by contract or otherwise to assume escrow responsibility for a manufacturer, it must submit an executed copy of any such agreement. NO AGREEMENT TO ACCEPT ESCROW RESONSIBILITY WILL BE RECOGNIZED WITHOUT SUBMISSION OF AN EXECUTED CONTRACT. Part 3: Part 4: Sales Year. Identify the sales year during which the certification is filed. Brand Family Identification: Identify by Brand Family and Brand Name all of the cigarettes that the Tobacco Product Manufacturer HAS SOLD OR INTENDS TO SELL in this State whether directly or through any distributor, retailer, or similar intermediary, and seeks to have included in the Directory. Only the brands identified may be included in the Directory. A Participating Manufacturer shall include a list of its Brand Families and Brand Names as well as brands to be removed from the Directory. The Participating Manufacturer shall update such list thirty (30) calendar days prior to any addition to or modification of its Brand Families or Brand Names by executing and delivering a supplemental certification to the Attorney General and Commissioner. IF THIS IS A SUPPLEMENTAL CERTIFICATION, YOU MAY NOTE THAT FACT ON THE CERTIFICATE AND SHOULD ONLY LIST NEW BRANDS WHICH YOU INTEND TO MARKET. PLEASE REVIEW YOUR BRAND LISTING ON THE STATE'S CERTIFICATION DIRECTORY (www.doj.nh.gov/consumer/tobacco) TO ENSURE THAT ALL OF YOUR COMPANY'S BRANDS ARE PROPERLY LISTED. A Non-Participating Manufacturer shall include in its certification (i) a list of all of its Brand Families and Brand Names and the number of Units Sold for each Brand Family that were sold in the State during the preceding calendar year, (ii) a list of all of its Brand Families and Brand Names that are being sold in the State at any time during the current year, (iii) a list identifying by name and address any other manufacturer of such Brand Families in the preceding or current calendar year, and (iv) a list of all Brand Families that are no longer being sold and should be removed from the Directory. The Non-Participating State of New Hamps