CREATIVE CONTENT INCENTIVE PROGRAM PROJECT INFORMATION FORM

Submission Deadline= 30 Days Prior to First Austin Production Day

Administrative Fee of $50 is Due at Time of Submission. Payment must be made online here.

THIS FORM SHOULD BE SUBMITTED VIA EMAIL TO DAVID COLLIGAN: [email protected]

Project Title:

Production Company Name:

Administrative Fee Payment Confirmation #:______

Headquarters Location: City: State:

Contact Name: First Name: Last Name:

Contact Title:

Mailing Address:

City:

State: Zip:

Phone: Fax: Mobile: Other Phone:

Email Address: Website:

Federal Tax ID Number: NAICS: SIC:

Please list the names of the following individuals on the project, where applicable:

Producer: Director:

Production Manager: Game CEO/Studio Director:

Production Accountant: Game Producer/Creative Director: TV Commercial Client/Agency: Game Accountant: Project/Working Title:

Project Type:

Feature Film

 Narrative Film; Documentary Television Program

 Episodic series, Miniseries, Television movies, television pilot, television episode, interstitial television Video Game

 Game console, personal computer, handheld console, mobile electronic, standalone arcade machine, browser or web-based games Visual Effects

 VFX projects completed for feature films, television, or commercials Commercial

 Commercial, Commercial series, infomercial, interstitial advertising, music video, educational video, instructional video Reality Television

 Nationally Syndicated Reality Series, Nationally Syndicated Talk Shows, Nationally Syndicated Contest or Game Shows

Please describe the Project:

Distribution Plan: Local State U.S. Global

1a. Has this project been an approved applicant to the Texas Moving Image Industry Incentive Program administered by the Texas Film Commission?

Yes No Have Applied But Have Not Yet Been Approved

If yes, estimated amount expected to receive from the Texas Film Commission. Date of Texas Film Commission Application:

2a. Is the project produced by an Austin-based company? Yes No

An Austin-based company is defined as a company that:

. Has its headquarters and the majority of its employees based in the City of Austin, and

. Has produced at least two (2) other creative content projects within the last ten (10) years in Austin, or has a senior executive or above the line producer or director who has been a senior executive or above the line producer or director for at least two (2) other creative content projects within the last ten (10) years in Austin.

2b. If yes, please list:

The name of the Austin-based production company, senior executive, or above the line producer or director: ______

The names and years of the other creative content projects produced by the entity or individual listed above within the last ten (10) years in Austin (must list at least two):

Creative Content Project Name Year Produced % Production Time in Austin

______

3. Does the project significantly promote Austin (please see Guidelines for criteria which will be considered in making the determination of whether the project meets the Significant Promotion of Austin test)? Yes No

If yes, please explain below and attach script pages as supporting documentation:

4. Please list the estimated total wages that will be paid to Austin MSA residents (Travis, Hays, Williamson, Bastrop, and Caldwell Counties) during the project1:______

5a. Will you utilize the City of Austin’s Peace Officer Incentive? Yes No

5b. If yes, how many police officer-days will you use? ______(e.g. If you will use 2 police officers for 15 days, answer 30)

6a. Will the project air on a Texas-Based Television Network, as defined by the Texas Film Commission, which is headquartered within the City of Austin? Yes No

6b. If yes, please list the network: ______

7. Please list the local address of the project’s primary place of business: ______

8. Please list the dates of production in Austin: Start date: ______Wrap date: ______

9. Will the project comply with all minimum requirements of the Creative Content Incentive Program (please see “Creative Content Incentive Program Guidelines” for full details) including wage and benefit requirements? Yes No

1 Please be as accurate as possible in your estimation. The incentive payment will be based on the Project’s actual local spend on wages, provided that the actual spend does not deviate more than 10% from the estimated spend provided to the City in the this form and does not exceed the City Manager’s spending authority ($57,000 for FY2014) if the incentive was not approved by the City Council. In no case will the incentive will be based on more than 110% of the estimated spend. If the actual spend is less than 90% of the estimated spend, the City of Austin may deduct from the incentive a penalty fee of $1,000 per 5% difference to discourage overestimation and unnecessary reservation of funds. 10. Please list any contracting opportunities, such as equipment rental or catering, that you anticipate during the course of your production. Please be as specific as possible: ______

11. Please provide any additional thoughts or comments related to your project that could be pertinent to the evaluation process.

To the best of my knowledge, the information included in this project information form is true and correct, as evidenced by my signature below.

Signature:

(Company Representative)

Date:

The Texas Public Information Act provides that information collected, assembled, written, produced, or maintained by the City under a law or ordinance or in connection with the transaction of official business is public information. However, the Act does provide that information relating to economic development negotiations with a business prospect is withheld from disclosure unless and until an agreement is reached. If an agreement has been reached and is ready for City Council consideration, this document may be posted to the City of Austin’s website for public disclosure.