AV3-0047012-5 REFUSAL

CUSTOMS AND BORDER PROTECTION OFFICER'S REPORT

Date:

MANIPULATION COMPLETED AS REQUESTED: When goods are repacked the CBP (warehouse) officer will report
hereon the marks and numbers of packages repacked and the marks and numbers of packages and the weights or
guage of same after repacking.

(CBP Officer and Title)
PAPERWORK REDUCTION ACT STATEMENT: An agency may not conduct or sponsor an information collection and a person is not
required to respond to this information unless it displays a current valid OMB control number and an expiration date. The control number for
this collection is 1651-0006. The estimated average time to complete this application is 6 minutes. If you have any comments regarding the
burden estimate you can write to U.S. Customs and Border Protection, Office of Regulations and Rulings, 799 9th Street, NW., Washington
DC 20229.

CBP Form 3499 (10/95)

United States Food and Drug Administration

DIVISION OF SOUTHEAST IMPORTS

Notice of FDA Action

Entry Number: AV3-0047012-5 Notice Number: 3
April 23, 2018
Filer: Attention:
JAMES FULFORD
Sean P Brophy, CHB
12281 SW 30th St
Miami, FL 33175-2223

> 5206, Miami Int'L Airport, FL <
March 13, 2018
Port of Entry: March 2, 2018 Current Status
Date Received: May proceed 03-13-2018
Arrival Date: FAB PRODUCTS INC, Ft Lauderdale, FL 33309-2824 May proceed 03-13-2018
FAB PRODUCTS INC, Ft Lauderdale, FL 33309-2824 May proceed 03-16-2018
Importer of Record: May proceed 03-16-2018
Consignee: May proceed 03-16-2018
May proceed 03-13-2018
HOLD DESIGNATED May proceed 03-16-2018
May proceed 03-13-2018
Summary of Current Status of Individual Lines May proceed 03-13-2018
May proceed 03-13-2018
Line ACS/FDA Product Description Quantity May proceed 03-13-2018
159 PCS May proceed 03-13-2018
11/1 CLEANSER 93 PCS May proceed 03-13-2018
147 PCS May proceed 03-16-2018
21/1 CLEANSER 4 PCS May proceed 03-13-2018
48 PCS May proceed 03-16-2018
31/1 SKIN WASH 9 PCS May proceed 03-13-2018
18 PCS
41/1 OIL CONTROL 66 PCS
76 PCS
51/1 SEBUM MASK 36 PCS
9 PCS
61/1 MOISTURIZING LOTION 42 PCS
6 PCS
71/1 CLEANSER 141 PCS
30 PCS
81/1 MOISTURIZING LOTION 114 PCS
66 PCS
91/1 CLEANSER

101/1 MOISTURIZER

111/1 MOISTURIZING LOTION

121/1 MOISTURIZER

131/1 CLEANSER

141/1 MOISTURIZER

151/1 SCRUB

161/1 MOISTURIZING LOTION

171/1 SHAVE PREP

Notice of FDA Action Notice Number: 3
Entry Number: AV3-0047012-5 Page: 2

181/1 MOISTURIZING LOTION 57 PCS May proceed 03-13-2018
191/1 MOISTURIZING LOTION 4 PCS May proceed 03-13-2018
201/1 MOISTURIZING LOTION 9 PCS May proceed 03-13-2018
211/1 FOAMING WASH 66 PCS May proceed 03-16-2018
221/1 BREAKOUT CLEARING EMER SPOT 33 PCS May proceed 03-16-2018
FIX
231/1 CLEARING MATTE MOISTURIZER 33 PCS May proceed 03-16-2018
241/1 MOISTURIZING LOTION 30 PCS May proceed 03-13-2018
* 251/1 MOISTURIZER 4 PCS Refuse 04-23-2018
261/1 CLEANSER 9 PCS May proceed 03-13-2018
271/1 MOISTURIZER 60 PCS May proceed 03-13-2018
281/1 MOISTURIZING LOTION 223 PCS May proceed 03-16-2018
291/1 CLEANSER 18 PCS May proceed 03-13-2018
301/1 BREAKOUT CONTROL 6 PCS May proceed 03-13-2018
311/1 MOISTURIZER 168 PCS May proceed 03-13-2018
321/1 MOISTURIZER 127 PCS May proceed 03-13-2018
331/1 SHEER TINT 42 PCS May proceed 03-16-2018
341/1 MOISTURIZING LOTION 48 PCS May proceed 03-13-2018
351/1 BODYWASH 78 PCS May proceed 03-13-2018
361/1 MOISTURIZING LOTION 6 PCS May proceed 03-16-2018
371/1 CLEANSER 48 PCS May proceed 03-13-2018
381/1 MOISTURIZING LOTION 33 PCS May proceed 03-13-2018
391/1 CLEANSER 174 PCS May proceed 03-13-2018
401/1 CLEANSER 11 PCS May proceed 03-13-2018
411/1 MOISTURIZER 33 PCS May proceed 03-13-2018
421/1 FACIAL MASK 12 PCS May proceed 03-13-2018
431/1 MOISTURIZER 138 PCS May proceed 03-13-2018
441/1 SCRUB 24 PCS May proceed 03-13-2018
451/1 CLEANSER 6 PCS May proceed 03-13-2018

* = Status change since the previous notice. Read carefully the sections which follow for important information
regarding these lines.

@ = Consignee ID

FDA will not request redelivery for examination or sampling, if the products not released by FDA are moved, following

Notice of FDA Action Notice Number: 3
Entry Number: AV3-0047012-5 Page: 3

USCS conditional release to a location within the local metropolitan area or to a location approved by the FDA office
at the number below.

All products in this entry not listed above may proceed without FDA examination. This notice does not constitute
assurance the products involved comply with provisions of the Food, Drug, and Cosmetic Act or other related acts,
and does not preclude action should the products later be found violative.

REFUSAL OF ADMISSION

REDELIVERY WITH FDA VERIFICATION REQUESTED

Examination of the following products have been made and you have been afforded an opportunity to respond to a
notice of detention. Because it appears that the products are not in compliance, you are hereby notified that they
are refused admission.

Line ACS/FDA Product Description

251/1 MOISTURIZER

Refused : 4 PCS

FD&CA Section 502(o), 801(a)(3); MISBRANDING

It appears the drug or device is not included in a list required by Section 510(j), or a notice or other information

respecting it was not provided as required by section 510(j) or 510(k). Lacks manufacturer's name, address,

and listing number.

For the District Director of Customs: (305) 816-1449
(305) 816-1536 (FAX)
Raymond A. Lyn, Compliance Officer [email protected]
U.S. Food and Drug Administration
15100 NW 67 Ave, Suite 400
Miami, FL 33014

A request has been made to Customs to order redelivery for all the above product(s), in accordance with 19 CFR
141.113, which were conditionally released to you under terms of the entry bond. Failure to redeliver into Customs
custody will result in a claim for liquidated damages under the provisions of the entry bond.

These products must be exported or destroyed under Customs supervision within 90 days from the date of this
notice, or within such additional time as the District Director of Custom specifies. Failure to do so may result in
destruction of the products. Distribution of the products may result in their seizure and/or injunction or criminal
prosecution of persons responsible for their distribution.

You are required to have FDA verify the identification, exportation, or destruction of the above products. Contact
the individual listed above to arrange for the required verification.

After completion of the exportation or destruction forward the original of the signed CF-7512 or CF3499, along with
any other documents required by Customs, and a copy of this notice to:

U.S. Customs and Border Protection
6601 NW 25th Street
Room 236, Team 488
Miami, FL 33122

In addition forward copies of the signed CF-7512 or CF-3499, and any other records which document export or
destruction, to the individual listed above.

Notice of FDA Action Notice Number: 3
Entry Number: AV3-0047012-5 Page: 4
Notice Prepared For: The District Director, U.S. Food and Drug Administration
Notice Prepared By: RAL

DEPARTMENT OF HOMELAND SECURITY PAPERLESS OMB APPROVAL NO. 1651-0022
U.S. Customs and Border Protection EXPIRATION DATE 01/31/2021
ESTIMATED BURDEN 10 MIN
ENTRY SUMMARY
1. Filer Code/Entry No. 2. Entry Type 3. Summary Date

AV3-0047012-5 01 ABI/A 03/26/18 038

4. Surety No. 5. Bond Type 6. Port Code 7. Entry Date

677 8 5206 03/13/18

8. Importing Carrier 9. Mode of Transport 10. Country of Origin 11. Import Date
M6 US 03/02/18
12. B/L or AWB No. 40
81084982402
16. I.T. No. 13. Manufacturer ID 14. Exporting Country 15. Export Date
PA 03/02/18
PASERSA6COL

17. I.T. Date 18. Missing Docs 19. Foreign Port of Lading 20. U.S. Port of Unlading
5206

21. Location of Goods/G.O. No. 22. Consignee No. 23. Importer No. 24. Reference No.
O354 Flight: 0844
26. Importer of Record Name and Address
25. Ultimate Consignee Name and Address
FAB PRODUCTS INC FAB PRODUCTS INC
3181 W Mcnab Rd 3181 W Mcnab Rd

Destination: FL State FL Zip 33069 City POMPANO BEACH State FL Zip 33069
City POMPANO BEACH

27. 28. Description of Merchandise 32. 33. 34.

A. HTSUS Rate Duty and I.R. Tax

29. 30. 31. A. Entered Value B. ADA/CVD Rate Dollars Cents
Line A. HTSUS No. A. Grossweight Net Quantity in
No. B. ADA/CVD No. B. Manifest Qty. HTSUS Units B. CHGS C. IRC Rate

C. Relationship D. Visa No.

001 ORGAN SURFACE PROD WASH SK,OTH 2 CTNS
7.00 KG
3401.30.5000 29 KG $1,631 FREE $0.00
C $29 $5.65
499 - Merchandise Processing Fee
N
0.3464%

002 ORGAN SURFACE PROD WASH SK,OTH

3401.30.5000 22 KG 4.00 KG $1,234 FREE $0.00
C $22 $4.27
499 - Merchandise Processing Fee
N
0.3464%

003 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 20 KG X $1,147 FREE $0.00
C $20 $3.97
499 - Merchandise Processing Fee
N
0.3464%

Other Fee Summary for Block 39 35. Total Entered Value CBP USE ONLY TOTALS

499 - MPF $120.07 A. LIQ CODE B. Ascertained Duty 37. Duty
$ 34,659 $0.00

Total Other Fees 38. Tax

$ 120.07 REASON CODE C. Ascertained Tax

36. DECLARATION OF IMPORTER OF RECORD (OWNER D. Ascertained Other 39. Other
OR PURCHASER) OR AUTHORIZED AGENT $120.07

I declare that I am the Importer of record and that the actual owner, D. Ascertained Total 40. Total

purchaser, or consignee for CBP purposes is as shown above, OR owner $120.07

or purchaser or agent thereof. I further declare that the merchandise was obtained pursuant to a purchase or agreement to purchase and that the

prices set forth in the invoices are true, OR was not obtained pursuant to a purchase or agreement to purchase and the statements in the invoices as

to value or price are true to the best of my knowledge and belief. I also declare that the statements in the documents herein filed fully disclose to the best

of my knowledge and belief the true prices, values, quantities, rebates, drawbacks, fees, commissions, and royalties and are true and correct, and that all

goods or services provided to the seller of the merchandise either free or at reduced cost are fully disclosed.

I will immediately furnish to the appropriate CBP officer any information showing a different statement of facts.

41. DECLARANT NAME TITLE SIGNATURE DATE

Sean P Brophy, CHB, Atty-In-Fact 03/13/18

42. Broker/Filer Information (Name, address, phone number) 43. Broker/Importer File No.

SEAN P BROPHY, CHB 0047012
12281 SW 30 St.
Miami, FL 33175 305-207-1184

CBP Form 7501 (2/18) Page 1 of 6

PAPERLESS OMB APPROVAL NO. 1651-0022
DEPARTMENT OF HOMELAND SECURITY ENTRY SUMMARY CONTINUATION SHEET EXPIRATION DATE 01/31/2021
ESTIMATED BURDEN 10 MIN
U.S. Customs and Border Protection 1. Filer Code/Entry No.

AV3-0047012-5

27. 28. Description of Merchandise 32. 33. 34.
A. HTSUS Rate Duty and I.R. Tax
A. Entered Value B. ADA/CVD Rate
29. 30. 31. B. CHGS C. IRC Rate Dollars Cents
Line A. HTSUS No. A. Grossweight Net Quantity in C. Relationship D. Visa No.
No. B. ADA/CVD No. B. Manifest Qty. HTSUS Units

004 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 1 KG X $40 FREE $0.00
C $1 $0.14
499 - Merchandise Processing Fee $0.00
N $1.78
0.3464% $0.00
$0.69
005 BEAUTY OR MAKE-UP PREPS,OTHER $0.00
$0.42
3304.99.5000 9 KG X $514 FREE $0.00
C $9 $1.58
499 - Merchandise Processing Fee $0.00
N $2.78
0.3464% $0.00
$2.30
006 BEAUTY OR MAKE-UP PREPS,OTHER $0.00
$0.58
3304.99.5000 3 KG X $198 FREE $0.00
C $3 $1.52
499 - Merchandise Processing Fee $0.00
N $0.26
0.3464%

007 BEAUTY OR MAKEUP,EYE MAKEUP

3304.20.0000 2 KG X $122 FREE
C $2
499 - Merchandise Processing Fee
N
0.3464%

008 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 8 KG X $455 FREE
C $8
499 - Merchandise Processing Fee
N
0.3464%

009 ORGAN SURFACE PROD WASH SK,OTH

3401.30.5000 14 KG 3.00 KG $803 FREE
C $14
499 - Merchandise Processing Fee
N
0.3464%

010 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 12 KG X $663 FREE
C $12
499 - Merchandise Processing Fee
N
0.3464%

011 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 3 KG X $168 FREE
C $3
499 - Merchandise Processing Fee
N
0.3464%

012 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 8 KG X $440 FREE
C $8
499 - Merchandise Processing Fee
N
0.3464%

013 ORGAN SURFACE PROD WASH SK,OTH

3401.30.5000 1 KG 1.00 KG $74 FREE
C $1
499 - Merchandise Processing Fee
N
0.3464%

CBP Form 7501 (2/18) Page 2 of 6

PAPERLESS OMB APPROVAL NO. 1651-0022
DEPARTMENT OF HOMELAND SECURITY ENTRY SUMMARY CONTINUATION SHEET EXPIRATION DATE 01/31/2021
ESTIMATED BURDEN 10 MIN
U.S. Customs and Border Protection 1. Filer Code/Entry No.

AV3-0047012-5

27. 28. Description of Merchandise 32. 33. 34.
A. HTSUS Rate Duty and I.R. Tax
A. Entered Value B. ADA/CVD Rate
29. 30. 31. B. CHGS C. IRC Rate Dollars Cents
Line A. HTSUS No. A. Grossweight Net Quantity in C. Relationship D. Visa No.
No. B. ADA/CVD No. B. Manifest Qty. HTSUS Units

014 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 34 KG X $1,922 FREE $0.00
C $34 $6.66
499 - Merchandise Processing Fee $0.00
N $0.75
0.3464% $0.00
$4.38
015 BEAUTY OR MAKE-UP PREPS,OTHER $0.00
$1.69
3304.99.5000 4 KG X $216 FREE $0.00
C $4 $2.98
499 - Merchandise Processing Fee $0.00
N $0.18
0.3464% $0.00
$0.42
016 BEAUTY OR MAKE-UP PREPS,OTHER $0.00
$1.12
3304.99.5000 22 KG X $1,265 FREE $0.00
C $22 $0.56
499 - Merchandise Processing Fee $0.00
N $0.66
0.3464%

017 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 9 KG X $488 FREE
C $9
499 - Merchandise Processing Fee
N
0.3464%

018 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 15 KG X $861 FREE
C $15
499 - Merchandise Processing Fee
N
0.3464%

019 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 1 KG X $53 FREE
C $1
499 - Merchandise Processing Fee
N
0.3464%

020 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 2 KG X $120 FREE
C $2
499 - Merchandise Processing Fee
N
0.3464%

021 ORGAN SURFACE PROD WASH SK,OTH

3401.30.5000 6 KG 3.00 KG $323 FREE
C $6
499 - Merchandise Processing Fee
N
0.3464%

022 ORGAN SURFACE PROD WASH SK,OTH

3401.30.5000 3 KG 2.00 KG $162 FREE
C $3
499 - Merchandise Processing Fee
N
0.3464%

023 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 3 KG X $191 FREE
C $3
499 - Merchandise Processing Fee
N
0.3464%

CBP Form 7501 (2/18) Page 3 of 6

PAPERLESS OMB APPROVAL NO. 1651-0022
DEPARTMENT OF HOMELAND SECURITY ENTRY SUMMARY CONTINUATION SHEET EXPIRATION DATE 01/31/2021
ESTIMATED BURDEN 10 MIN
U.S. Customs and Border Protection 1. Filer Code/Entry No.

AV3-0047012-5

27. 28. Description of Merchandise 32. 33. 34.
A. HTSUS Rate Duty and I.R. Tax
A. Entered Value B. ADA/CVD Rate
29. 30. 31. B. CHGS C. IRC Rate Dollars Cents
Line A. HTSUS No. A. Grossweight Net Quantity in C. Relationship D. Visa No.
No. B. ADA/CVD No. B. Manifest Qty. HTSUS Units

024 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 13 KG X $750 FREE $0.00
C $13 $2.60
499 - Merchandise Processing Fee $0.00
N $0.24
0.3464% $0.00
$0.42
025 BEAUTY OR MAKE-UP PREPS,OTHER $0.00
$2.64
3304.99.5000 1 KG X $68 FREE $0.00
C $1 $14.10
499 - Merchandise Processing Fee $0.00
N $0.59
0.3464% $0.00
$0.25
026 ORGAN SURFACE PROD WASH SK,OTH $0.00
$12.65
3401.30.5000 2 KG 1.00 KG $122 FREE $0.00
C $2 $7.12
499 - Merchandise Processing Fee $0.00
N $1.72
0.3464%

027 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 13 KG X $762 FREE
C $13
499 - Merchandise Processing Fee
N
0.3464%

028 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 72 KG X $4,069 FREE
C $72
499 - Merchandise Processing Fee
N
0.3464%

029 ORGAN SURFACE PROD WASH SK,OTH

3401.30.5000 3 KG 1.00 KG $169 FREE
C $3
499 - Merchandise Processing Fee
N
0.3464%

030 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 1 KG X $71 FREE
C $1
499 - Merchandise Processing Fee
N
0.3464%

031 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 64 KG X $3,651 FREE
C $64
499 - Merchandise Processing Fee
N
0.3464%

032 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 36 KG X $2,055 FREE
C $36
499 - Merchandise Processing Fee
N
0.3464%

033 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 9 KG X $496 FREE
C $9
499 - Merchandise Processing Fee
N
0.3464%

CBP Form 7501 (2/18) Page 4 of 6

PAPERLESS OMB APPROVAL NO. 1651-0022
DEPARTMENT OF HOMELAND SECURITY ENTRY SUMMARY CONTINUATION SHEET EXPIRATION DATE 01/31/2021
ESTIMATED BURDEN 10 MIN
U.S. Customs and Border Protection 1. Filer Code/Entry No.

AV3-0047012-5

27. 28. Description of Merchandise 32. 33. 34.
A. HTSUS Rate Duty and I.R. Tax
A. Entered Value B. ADA/CVD Rate
29. 30. 31. B. CHGS C. IRC Rate Dollars Cents
Line A. HTSUS No. A. Grossweight Net Quantity in C. Relationship D. Visa No.
No. B. ADA/CVD No. B. Manifest Qty. HTSUS Units

034 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 12 KG X $701 FREE $0.00
C $12 $2.43
499 - Merchandise Processing Fee $0.00
N $3.21
0.3464% $0.00
$0.29
035 ORGAN SURFACE PROD WASH SK,OTH $0.00
$1.98
3401.30.5000 16 KG 3.00 KG $928 FREE $0.00
C $16 $2.29
499 - Merchandise Processing Fee $0.00
N $9.29
0.3464% $0.00
$0.84
036 BEAUTY OR MAKE-UP PREPS,OTHER $0.00
$1.54
3304.99.5000 1 KG X $84 FREE $0.00
C $1 $0.69
499 - Merchandise Processing Fee $0.00
N $8.60
0.3464%

037 ORGAN SURFACE PROD WASH SK,OTH

3401.30.5000 10 KG 2.00 KG $572 FREE
C $10
499 - Merchandise Processing Fee
N
0.3464%

038 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 12 KG X $660 FREE
C $12
499 - Merchandise Processing Fee
N
0.3464%

039 ORGAN SURFACE PROD WASH SK,OTH

3401.30.5000 47 KG 7.00 KG $2,682 FREE
C $47
499 - Merchandise Processing Fee
N
0.3464%

040 ORGAN SURFACE PROD WASH SK,OTH

3401.30.5000 4 KG 1.00 KG $242 FREE
C $4
499 - Merchandise Processing Fee
N
0.3464%

041 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 8 KG X $446 FREE
C $8
499 - Merchandise Processing Fee
N
0.3464%

042 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 4 KG X $200 FREE
C $4
499 - Merchandise Processing Fee
N
0.3464%

043 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 44 KG X $2,484 FREE
C $44
499 - Merchandise Processing Fee
N
0.3464%

CBP Form 7501 (2/18) Page 5 of 6

PAPERLESS OMB APPROVAL NO. 1651-0022
DEPARTMENT OF HOMELAND SECURITY ENTRY SUMMARY CONTINUATION SHEET EXPIRATION DATE 01/31/2021
ESTIMATED BURDEN 10 MIN
U.S. Customs and Border Protection 1. Filer Code/Entry No.

AV3-0047012-5

27. 28. Description of Merchandise 32. 33. 34.
A. HTSUS Rate Duty and I.R. Tax
A. Entered Value B. ADA/CVD Rate
29. 30. 31. B. CHGS C. IRC Rate Dollars Cents
Line A. HTSUS No. A. Grossweight Net Quantity in C. Relationship D. Visa No.
No. B. ADA/CVD No. B. Manifest Qty. HTSUS Units

044 BEAUTY OR MAKE-UP PREPS,OTHER

3304.99.5000 5 KG X $286 FREE $0.00
C $5
499 - Merchandise Processing Fee $0.99
N $0.00
0.3464%
$0.25
045 ORGAN SURFACE PROD WASH SK,OTH Entered Value
34,659.00 USD
3401.30.5000 1 KG 1.00 KG $71 FREE
C $1
499 - Merchandise Processing Fee
N
0.3464%

Totals for Invoice Invoice Value +/- MMV Exchange
18007525 34,659.00 USD 1.00000

CBP Form 7501 (2/18) Page 6 of 6