TG APPROVAL NO. 1651-0022
`EXPIRATION DATE01/31/2021
`ESTIMATED BURDEN10 MIN
`
`|3. Summary Date
`
`17. Entry Date
`
`11. Import Date
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`
`
`
`
`
`
`
`DEPARTMENT OF HOMELAND SECURITY
`U.S. Customs and BorderProtection
`ENTRY SUMMARY
`
`8. Importing Carrier
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`
`
`9. Modeof Transport
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`
`
`
`
`
`
`10. Country of Origin
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`1. Filer Code/Entry No.
`E6G-0612066-7
`4. Surety No.
`|5. Bond Type |6. Port Code
`
`PAPERLESS
`
`2. Entry Type
`
`10/23/20
`RUAVT39TOL| GB
`YMLU 1710505017, T710505017B
`20. U.S. Port of Unladinga
`
`16. 1.T. No. 18. Missing Docs|19. Foreign Port of Lading17. 1.T. Date
`
`
`21. Location of Goods/G.O. No.
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`23. Importer No.
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`24. Reference No.
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`[22. Consignee No.
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`26. Importer of Record Name and Address
`25. Ultimate Consignee Name and Address
`
`MACNEIL AUTOMOTIVE PRODUCTS LTD
`MACNEIL AUTOMOTIVE PRODUCTS LTD
`
`1 MACNEIL CT
`1 MACNEIL CT
`
`
`
`Destination: IN
`Customer Reference # 200453
`
`City BOLINGBROOK
`State IL__Zip 60440-4903
`|City BOLINGBROOK
`
`State IL Zip 60440-4903
`33.
`34,
`
`
`
`
`32.
`28. Description of Merchandise
`A. HTSUS Rate
`Duty and IR. Tax
`
`
`
`
`31.
`29.
`30.
`A. Entered Value
`B. ADA/CVD Rate
`
`
`
`B. CHGS
`|Net Quantity in
`JA. HTSUS No.
`A. Grossweight
`Dollars
`Cents
`
`C. Relationship
`
`|B. ADA/CVD No. B. Manifest Qty.|HTSUS Units
`
`
`
`
`
`1 PKG
`
`001|OTH MOT VE:USED;>1500&<=3000CC
`
`
`8703.23.0190
`1,300 KG
`1.00 NO
`
`
`
` 499 - Merchandise Processing Fee
`0.1250%
`0.3464%
`
`
`
`
`
`Totals for Invoice
`Invoice Value
`
`Entered Value
`Exchange
`1,800.00 EUR
`200453
`1.1844
`
`
`2,132.00 USD
`
`1984 LADA NIVA
`VIN#: XTA212100E0379648
`
`501 - Harbor Maintenance Fee
`
`DEL
`
`
`
`Other Fee Summary for Block 39
`35. Total Entered Value
`CBP USE ONLY
`TOTALS
`$27.23
`
`
`A. LIQ CODE
`B. Ascertained Duty
`37. Duty
`$ 2,132
`$2.67
`:
`$53.30
`Total Other Fees
`
`
`$ 29.90
`
`
`36. DECLARATION OF IMPORTER OF RECORD (OWNER
`OR PURCHASER) OR AUTHORIZED AGENT
`
`
`| declare that | am the | Importer of record and that the actual owner,
`purchaser, or consignee for CBP purposes is as shown above, OR xX] owner
`$83.20
`
`
`or purchaseror agent thereof.
`| further declare that the merchandise
`wasobtained pursuantto a purchase or agreement to purchase and that the
`as
`prices set forth in the invoices are true, OR | was hotobtained pursuantto a purchase or agreement to purchase and theStatementsin the invoice
`
`
`to value orprice are true to the best of my knowledge andbelief.
`| also declare that the statements in the documents
`efein filed fully cllied| to the best
`
`
`0
`and areNES Sart We BelRRSCau
`of my knowledgeand belief the true prices, values, quantities, rebates, drawbacks,fees, commissions,androyalties
`
`
`
`goodsorservices providedto the seller of the merchandiseeitherfree or at reduced cost are fully disclosed.
`
`| will immediately furnish to the appropriate CBPofficer any
`information showing a different statementoffacts.
`
`
`41. DECLARANT NAME
`TITLE
`MONIQUE HUGHES,VANTAGE POINT SERVICES ATDYNFACT2~~"41/02/20
`
`
`
`
`————
`43. Broker/Importer File No.
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`0612966 / 200453
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`
`
`REASON CODE_IC. Ascertained Tax
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`38. Tax
`
`39. Other
`
`$29.90
`
`42. Broker/Filer Information (Name, address, phone number)
`Vantage Point Services, LLC
`22513 Marine View Dr. Ste 200
`
`MacNeil Exhibit 2129
`Yita v. MacNeil IP, IPR2020-01139, Page 1
`
`

`

`VANTAGE POINT SERVICES
`
`DEPARTMENT OF HOMELAND SECURITY
`
`U.S. Customs and Border Protection
`
`ENTRY/IMMEDIATE DELIVERY
`Vantage Point Services, LLC
`22513 Marine View Dr. Ste 200
`Des Moines, WA 98198
`206-878-8884 Fax: 206-878-9001
`19 CFR 142.3, 142.16, 142.22, 142.24
`2, ELECTED ENTRY DATE
`3. ENTRY TYPE CODE/NAME
`
`6. SINGLE TRANS. BOND
`
`1, ARRIVAL DATE
`
`110220
`
`rage: 4
`ABI
`CERTIFIED
`CST# CCC
`Released
`
`Form Approved
`OMB No. 1651-0024
`Exp. 08-31-2018
`
`4, ENTRY NUMBER
`
`E6G-0612966-7
`
`9. IMPORTER NUMBER
`
`36-367666100
`
`01
`7. BROKER/IMPORTERFILE NUMBER
`
`0612966 / 200453
`
`41. IMPORTER OF RECORD NAME
`
`
`
`
`is267066100
`
`10. ULTIMATE CONSIGNEE NAME
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`8, CONSIGNEE NUMBER
`
`MACNEIL AUTOMOTIVE PRODUCTS LTD
`1 MACNEIL CT
`BOLINGBROOK,IL 60440-4903
`12. CARRIER NAME
`
`13, VOYAGE/FLIGHT/TRIP
`
`MACNEIL AUTOMOTIVE PRODUCTS LTD
`1 MACNEIL CT
`BOLINGBROOK, IL 60440-4903
`14, LOCATION OF GOODS-CODE(S)/NAME(S)
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`15. VESSEL CODE/NAME
`
`YM EVOLUTION
`16. U.S. PORT OF UNLADING
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`20. DESCRIPTION OF MERCHANDISE
`
`052W
`
`LOOS NIT CONTAINER OPERATIONS
`
`17, MANIFEST NUMBER
`
`18, G.O. NUMBER
`
`19, TOTAL VALUE
`
`2,132
`
`1984 LADA NIVA
`ITIBL/AWB NO.
`.
`21. IBLE! 22.
`M~_|YMLU 7710505017
`
`=
`
`dNoO =SZ armaSs Q¢|>2||
`
`H__lymuu Tr10s050178 po
`
`24, H.S, NUMBER
`8703.23.0190
`
`2p.COUNTEY 26, MANUFACTURERNO.
`RUAVT39TOL
`
`28. CBP USE ONLY
`27. CERTIFICATION
`
`| hereby make application for entry/immediate delivery.|certify thatthe above [] OTHER AGENCY ACTION REQUIRED, NAMELY:
`information isaccurate, the bond is sufficiep Pe -ang
`current, andthatall
`,
`.
`& been met.
`requirements of 19 CFR Part 142
`SIGNATURE OF APPLICAD
`x MONIQUEHUGHES,POINTSERVIVANTAGE ATTY N FACT
`
`
`
`D
`ORE
`CBP EXAMINATION REQUIRED
`206Sew SOE”
`aoe
`[__] ENTRY REJECTED, BECAUSE
`
`
` ferrets,(Ss ea sa —YMLU5181440 eeofReq. Exam at:
`
`
`
`
` I= &\Carrier Bphd EGG 5} AUTHORIZED:|Transfer By: DELIVERYa7Entry Bond [X]
`
`
`
`
`
`CHL Bond[] CFS Bait [ ] £I Y
`
`
`
`\™
`Sx
`NZesn04 wy
`Electronic Entry Release Notification.
`| certify proper release for this cargo has been received
`from U.S. Customs. Date: 11/02/20
`
`,
`
`,
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`29. BROKER OR OTHER GOVT. AGENCY USE
`Containers:
`
`MacNeil Exhibit 2129
`Yita v. MacNeil IP, IPR2020-01139, Page 2
`
`

`

`
`
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`9. EPA Exemption Number, required for codesL, G, |, K, O:
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`
`
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`Form Approved OMB 2060-0095
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`EPA
`Declaration Form
`United States Environmental Protection Agency
`Importation of Motor Vehicles and Motor Vehicle Engines Subject to Federal Air Pollution Regulations
`
`U.S. E.P.A., ComplianceDivision, 2000 Traverwood Drive, Ann Arbor, MI 48105 www.epa.gov/otaq/imports Phone (734) 214-4100 Fax (734) 214-4676
`
`This form must be submitted to the U.S. Customs and BorderProtection (Customs) (42 USC 7522, 7601: 19 CFR 12.73) for each motorvehicle
`{including motorcycles, disassembled vehicles,kit cars, light-duty vehicle/motorcycle engines) imported into the U.S., exceptthat this form is
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`not required for motorvehicles that are importedby their original manufacturer and are new and are covered by an EPAcertificate of confor-
`
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`mity and bear an EPA emission controllabel. One form per shipment may be used,with attachments including all information required to fully
`describe each vehicle or engine as below. Check the box below indicating the provisions under which you are importing this vehicle or engine.
`Offroad vehicles/engines and heavy-duty engines must use form 3520-21. Note: Although only imports using codesG,I, K, L, M-3, and O require
`specific written authorization from EPA, Customs may request EPA review of importer documentationandeligibility for any import using this
`form. A nonconformingvehiclethatis ineligible for the exemptions or exclusionslisted below, must be imported through an independent com-
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`mercial importer(ICI) under codes A,C,J, or Z. For codesA,C, J, and Z, EPA doesnot authorize the release to the vehicle owner.
`
`Penalties: Any person who knowingly makes any false or fraudulent statement, or omits or conceals a materialfact can befined up to $250,000 or im-
`prisonedfor up to 5 years, or both (18 USC 1001). Any person who improperly imports a motor vehicle (including a motorcycle) or engine maybefined up
`
`to $32,500 per vehicle or engine (42 USC 7524), and may be subjectto forfeiture of the entire importation bond, if applicable (40 CFR 85.1513), and the
`
`U.S.Customs Service may seize the vehicle or engine (19 CFR 162.21).
` Description and Declaration of Motor Vehicle or Motor Vehicle Engine (Note: Heavy-duty Engines must use form 3520-21)
`
`1. Port code:
`2. Entry date:
` 3. Customsentry number:
`4. Vehicle Identification Number (VIN), or engine serial number:
`
`
`(mm/dd/yyyy)
`
`
`
` 1401
`XTA212100E0379648
`11/02/20
`
`E6G-0612966-7
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`7. Model:
`
`5. Manufacture date (mm/yyyy):
`6. Manufacture (make):
`
`
`LADA
`Niva 1600
`8. ICI imports only, codesA,C,J, Z:
`XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXKXKX
`
`Names, Addresses, and Telephone Numbersof Relevant Parties
`Certification: | certify that | have read and understandthe purposeofthis form, the penaltiesforfalsely declaring information, or for providing misleading
`
`information,or for concealing a material fact. The information | have providedis correct, and all required attachments are appendedtothis form. | authorize
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`EPA Enforcement Officers to conduct inspections ortesting permitted by the Clean Air Act. | am the owner, importer, or agentforSperqwner or importer.
`
`
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`10. Importer (code B: must
`11. Owner:
`
`12. Storage contact:
`
`be certificate holderortheir
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`Lucia Specialized
`
`MacNeil Automotive Products
`agent for shipments of new
`Hauling of VAInc.
`Ltd
`
`1500 Steel St
`vehiclesprior to introduction
` Chesapeake, VA
`1 MacNeil Ct
`
`
`into commerce; codesA, C,
`23323
`Bolingbrook
`
`IL 60440-4903
`J, Z: mustbeICI):
`
`
`15. Name, company and phone(typeorprint):
`
`Silver Tiger Logistics
`
`678-974-8801
` XXXXXKXKXKXKXKXKXKXKXK
`
`
`
`
`U.S. conforming and “identical” vehicles
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`[_]code B - U.S.certified - unmodified vehicle bearing a U.S. EPA emission controllabelin engine compartment(or on motorcycle frame)
`
` [_]code F - U.S.certified, catalyst restoration - U.S.certified vehicle as described above, exceptthat the catalyst, oxygen sensorsorfuelfiller neck
`restrictor were removed or damaged.The importerattests that the catalyst and oxygen sensors andfuelfiller neck restrictor, as applicable, will be re-installed
`
`or replaced after importation. If leaded gasoline was used, the importerattests that after importation (1) the fuel tank will be drained andrefilled with
`unleaded gasoline, (2) the catalyst and oxygen sensors,if they wereleft on the vehicle during useof the leaded gasoline, will be replaced, and (3) the fuel
`
`filler neckrestrictor will be checked and replaced as necessary. No bond or EPA approvalis required.
`
` [_]eode EE-identical in all material respects to a U.S.certified version - either 1) Canadian vehicle (proof required e.g. Canadian emission control
`label, registration ortitle, or letter from the U.S. or Canadian manufacturer representative on letterhead verifying manufacture for sale in Canada) on EPA
`
`list of Canadian “identical” models, or 2) vehicle from any countrywith letter attachedto this form from the manufacturer's U.S. representative on let-
`terhead(not a dealer or mechanic) stating that the vehicle is identical to a U.S. EPA certified version with respect to emissions. The importer attests that
`
`vehicle is being imported for purposesother than resale orlease. Forimportof“identical” Canadianvehicles for resale, use code FF.
` [_]code FF - Canadian “identical” models imported for resale or lease - Canadian vehicle as described above appearing on EPAlist of Canadian
`
`“identical” models, imported for resale or lease. The importer attests that the importerwill satisfy applicable labeling, warranty and CAFE requirements as
`specified by EPA.
`
` EPA exemptedvehicles
`[_]code M - miscellaneous exemption,either 1) Canadian vehicle as described above (proof required) and the importeris either permanently emigrat-
`
`ing to the U.S.orwill reside in the U.S.for greater than one year under a worker or studentvisa, or 2) Canadian vehicle received by U.S.resident through
`inheritance, or 3) EPA hardship letter based on unforseen and extraordinary circumstancesis attached to this form.
` [X]code E - vehicle at least 21 years old (calendar year of manufacture subtracted from yearof importation) andin original unmodified configuration is
`
`
`either exempted or excluded from EPA emission requirements, depending on age. Vehicles at least 21 years old with replacementenginesare not eligible
`for this exemption unless they contain equivalent or newer EPAcertified engines. Customs may require proofof vehicle age.
`
`MacNeil Exhibit 2129
`Yita v. MacNeil IP, IPR2020-01139, Page 3
`
`