PROJECT INFORMATION - Manitoba Film and Music...Feature Film Production Fund Application COMMUNICATION AUTHORIZATION FORM Name of Project: (the “Project) Program (TV/Web Development,

Page 1 of 12© 2016 MANITOBA FILM & MUSIC / MUSIQUE ET FILM MANITOBA. | 410-93 Lombard Avenue Winnipeg Manitoba Canada R3B 3B1 | TEL. 204.947.2040

Feature Film Production Fund Application


Suite 410 - 93 Lombard AvenueWinnipeg, Manitoba CANADAR3B 3B1Phone (204) 947-2040Fax (204) 956-5261Email [email protected] http://www.mbfilmmusic.ca

PROJECT INFORMATIONTitleofProject

LogLine(1-2sentenceprojectdescription)

Name of Production Company Company is self declared as: Francophone AboriginalAddressCity Province/State PostalCode Country

Phone Email Producer OtherContactPerson Fax Name of Co-Production Company Company is self declared as: Francophone AboriginalAddressCity Province/State PostalCode Country

Phone Email Producer OtherContactPerson Fax Is project based on another work Yes NoIf Yes Title Name of Author OriginalMedium Current Copyright Owner

Page 2 of 12 © 2016 MANITOBA FILM & MUSIC / MUSIQUE ET FILM MANITOBA. | 410-93 Lombard Avenue Winnipeg Manitoba Canada R3B 3B1 | TEL. 204.947.2040


COMMUNICATION AUTHORIZATION FORMNameofProject: (the“Project)

Program (TV/WebDevelopment,FeatureDevelopment,TV/WebProduction,EmergingTalent,MicrobudgetProduction,

Manitoba Tax Credit, Feature Marketing):

BySigningbelow,theApplicant(s)/Borrower(s)herebyauthorizesManitobaFilm&Music(“MFM”)tocollect,use,disclose,communicateandshareinformationwiththeindividualslistedinthetablebelow(the“Authorized Individuals”) and with anyotherpersonwithwhomMFMmustreasonablycommunicate,onbehalfoftheApplicant(s)/Borrower(s),regardingallaspectsofthisapplication(the“Application”),bothbeforeandafterMFMgoestocontractontheProject,asapplicable.Suchcollection,use,disclosure,communicationandsharingofinformationincludesinformationregardingtheApplication,thecontract,deliverablesfordrawdowns,personalinformationaboutproductionstaff,artists,andotherpersonnelincludingworkexperience,residency,andethnicity(thelatteronlyforpurposesofbonuspointsregardingAboriginalproductionforEquityApplications),asapplicable,andpotentialamendmentstoanyagreementsigned,ifapplicable,aswellasanyotherissuesurroundingtheProject.

APPLICANT(S)/BORROWER(S) INFORMATIONFullName Telephone# MailingAddress(IfdifferentfromApplicant(s)/

Borrower(s)address)EmailAddress

BySigningbelow,theApplicant(s)/Borrower(s)confirmsthat,unlessMFMreceiveswrittennotificationandacknowledgessuchnotification,statingthatanindividuallistedasanAuthorizedIndividualisnolongerpermittedtoliaiseabouttheProjectonbehalfof theApplicant(s)/Borrower(s), it isunderstood that theAuthorized Individualsareauthorized,atall times, tocommunicatewithMFMregardingtheProject.

Bysigningthisform,theundersignedApplicant(s)/Borrower(s),representsandwarrantsthathe/she/ithastheauthoritytoallowtheAuthorizedIndividualstocollect,use,disclose,communicateandshareinformationregardingtheProject.

Ifanorganization:

NAME OF APPLICANT/BORROWER

By: ________________________________________

Title:________________________________________

Ifanindividual:

Witness SignatureofApplicant(s)/Borrower(s)

PrintNameofWitness PrintNameofApplicant(s)/Borrower(s)

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PROJECT FORMAT

Original Version English French Other (specify)Category Scripted, Fictional Documentary ChildrenTechnique Conventional AnimationLength (minutes) Delivery Format Shooting Format 35mm 16mm Video HD

Colour B&W Other

PRODUCTION STAFF Province/StateandCountryExecutiveProducerProducerCo-ProducerAssociateProducerDirectorWriter ProductionManagerDirectorofPhotography ProductionDesignerEditor MusicComposer Leading performers - role

Locations and dates scheduled for shooting

Location of post - production (if not in Manitoba, please include an explanation)

Number of shooting days Number of shooting days in Manitoba#ofdays #ofdays



WAS MANITOBA FILM & MUSIC INVOLVED AT THE DEVELOPMENT STAGE? Yes No

If yes, under which company name?

TotalallPhases Amount

PRODUCTION FINANCINGMinimum 75% required to applyCONFIRMED?YES/NO

INTENDEDAPPLICATIONDATE (if any)

MANITOBA FILM & MUSIC

Telefilm

ProductionCompanyInvestment

ProductionCompanyDeferral

Broadcaster(s)

DistributionCompany

DistributionCompany

ManitobaTaxCredit(Projected)

FederalTaxCredit(projected)

OtherTaxCredit(Projected)

SpecialityServices

ForeignSalesCompany

Deferrals

Other(specify)

Other(specify)

TOTAL PRODUCTION BUDGET



GENERAL INFORMATION ON THE PRODUCTION COMPANYCOMPLETION GUARANTORCompany

Address

City Province/State

PostalCode Country

Phone Email

Attention Fax

INTERIM FINANCINGCompany

Address

City Province/State

PostalCode Country

Phone Email

Attention Fax

PRODUCTION COMPANY LEGAL COUNSELLegal Counsel Name

Address

City/Province Postal Code

Phone Fax

PRODUCTION COMPANY BANKBank Name

Address


Phone Fax

Production Bank Account Number



PRODUCTION COMPANY ACCOUNTANTS Company Name

Address


Phone Fax

Date of Incorporation (attach Letters Patent) Incorporated Under Federal Provincial

Authorized Capital Is the share capital issued paid in full?

Give the names and addresses of all administrators, office staff and shareholders of the production company

Production Company Film Experience (attach separate sheet if necessary)

Other Projects Currently Active



ELIGIBILITYProjects must attain the requisite number ofpointsintherelevantproductioncategory.

NOTE:Whereacrewpersonisfillingmorethanone position, the point is appointed only once.The totalManitobaContentRequirement list isthenreducedaccordingly,providinganewpointtotalfromwhichtheprojectmustattainhalfofthepoints to meet the Manitoba Content eligibilitycriteria.

OTHER FORMATS – IMAX, HDTV, ETC. AND WEB-BASED PRODUCTIONSProjects produced utilizing formats other thanstandard35mm,HD,or16mmwillbeassessedforManitobaContentRequirementeligibilitybasedontheproductgenrecategoryandtheavailabilityofManitobacrewandservices in theparticularformat. Manitoba Content Requirements alsoapply toweb-basedproductionapplicationsbutconsiderationwillbegiventotheuniquenatureofthoseprojects.

FILM MANITOBA PROGRAMMANITOBA CONTENT REQUIREMENTS

SCRIPTED, FICTIONAL PRODUCTION

Subjecttocrewavailability,theprojectmustattain17ofthefollowing34points:

2Manitobadirector3Manitobascriptwriter2Manitobaresidentinaleadrole2Manitobaproductionmanager2Manitobalineproducer2Manitobadirectorofphotography2Manitobacameraoperator1 Manitoba DMT1Manitobasoundmixer2Manitobaproductiondesigner(artdirector)2Manitobacomposer2Manitobapictureeditor1Manitobasoundeditor1Manitobacontinuity2Manitobasr.productionaccountant1Manitoba1stassistantdirector1Manitobacostumedesigner1Manitobasetdecorator1Manitobakeymakeupartist1Manitobakeyhairstylist250%ofpostproductioncostsspent in Manitoba1Bonus:ScreenplaybasedonaManitobaliterarywork

TOTALPOINTS_____________

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Date© 2016 MANITOBA FILM & MUSIC / MUSIQUE ET FILM MANITOBA. | 410-93 Lombard Avenue

Winnipeg Manitoba Canada R3B 3B1 | TEL. 204.947.2040


FEATURE LENGTH-DOCUMENTARY Subjecttocrewavailability,theprojectmustattain8ofthefollowing13points:

2Manitobadirector1Manitobascriptwriterornarrationwriter1Manitobacinematographer1Manitobasoundrecordist1Manitobasoundeditor1 Manitoba editor1Manitobacomposer1Manitobaproductionmanager/coordinator2Remainingproductioncrewis50%Manitobaresidents250%ofpostproductioncostsspentin Manitoba


ANIMATIONSubjecttocrewavailability,theprojectmustattain 10 of the following 12 points with aPerformer or 9 of the following 12 pointswithoutaPerformer.

2Manitobadirector2Manitobascriptwriter2 Manitoba key animator1Manitobaassistantanimator1 In-betweening performed by Manitoba residentsorManitobacompany1Manitobacomposer1HighestpaidperformerisaManitobaresident250%ofbudgetspentinManitoba


Producer



FILM MANITOBA PROGRAMMANITOBA TRAINING REQUIREMENTS

ELIGIBILITYProjectsmustprovidemeaningfultrainingtoa minimum number of Manitoba residentsaccordingtothefollowingcrewsizes:

10-20crew 1trainingopportunity21–40 2trainingopportunities41–60 3trainingopportunities61–80 4trainingopportunities81+ 5trainingopportunities

The above training requires a minimumnumber of training opportunities that arenot matched to the tax credit’s deemingprovision.

DEFINITION OF TRAININGRequired training may vary in experiencelevel, from beginner (entry-level) tointermediate (position upgrades) toadvanced(keypositions).Whereapplicable,trainingopportunitiesmustbeverifiedbyFilmTraining Manitoba, by the relevant labourunion/guild,orbytheindividualreceivingthetraining.

Manitoba Training Opportunities (maybesubjecttoMF&Mapproval)

Department

Above the Line (eg.Producer,Director,Scriptwriter,Storyeditor)

BelowtheLine:Actors

Art Department (eg.ProductionDesigner,ArtDirector,Draftsman/Graphic,Construction, Scenic Painter, Prop, Set Decorator, Sets,Costume,Make-Up,Hair,SpecialFX)

Technical (eg. Camera Department, Gaffer, Electrics, GennyOperator,GripDepartment,DollyOperator,SoundMixer,Boom Operator)

Production (eg. Accounting, Production Office, Assistant Director,Continuity,CraftService,Locations,Catering)

Post-Production(eg.PictureEdit,SoundEdit)

TOTAL#ofTrainingOpportunities TOTALcrewsize:

Producer

Date

Note: MANITOBA FILM & MUSIC’s level offinancial participation in any project will beassessed according to the overall benefitsprovidedtotheprovince’sfilmindustry.

#ofTrainingOpportunities



MANDATORY DOCUMENTATION - FEATURE FILM PRODUCTION FUND CHECK LIST (all documents must be numbered, versioned and dated)

Please number documents accordingly on top right corner of the page.

Items #1-18 must be submitted at the time of the application for the analysis of the funding request (preparation of Business Affairs Report).

1. Completed, signed and dated application2. Project Synopsis3. Detailed budget - locked, signed and dated (with no convergent elements included)4. Detailed budget for convergent elements – locked, signed and dated (if applicable)5. Financing structure6. Evidence of distributor commitment (if applicable)7. Evidence of broadcaster commitment (if applicable)8. Signed commitment letters from ALL financial participants (minimum 75% required

to be reviewed)9. Projected Manitoba expenditures (Form B(2))10. List of related party expenditures11. Co-production agreement between co-producers (if a co-production)12. Production schedule13. Detailed cast & crew list (indicate Manitoba content points as applicable)14. Detailed training plan (to support Manitoba Training Requirements)15. Proposed recoupment schedule based on MFM’s recoupment policy16. Detailed marketing and distribution plan17. List of past projects, including all MFM supported projects and history of

recoupment to MFM18. Information on the co-production partners (if a co-production)

Items #19-34 must be submitted to go to contract.19. Complete chain of title documentation20. Pre-sale/agreements pledged to distributor (if applicable)21. Completion guarantor agreement/Producer holdback agreement

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Winnipeg Manitoba Canada R3B 3B1 | TEL. 204.947.2040


22. National and International revenue projections23. Resumes of key creative positions/production staff24. Signed long form agreements for all financial participants (including broadcasters

and distributors as applicable)25. Interim financing long form agreement26. One copy of the final script27. Insurance agreements and certificates (showing MFM as an additional insured and/

or loss payee)28. Project cash flow statement29. Business registration/Articles of incorporation for all production companies

involved30. Most recent copy of annual corporate return of information for all companies

involved (if incorporated more than 1 year)31. Resolution of the board of directors (indicating the list of directors, officers, voting

shareholders and contract signing authorities) for all companies involved32. Most current financial statements (parent company statements if newly

incorporated)33. Void cheque for the production accounts through which all expenses will be paid34. Banking resolution showing cheque signing authority for production accounts

Where applicable.35. Information of commercial success of the work (if based on previous work)36. One copy of original work (if applicable)

37. Any other relevant information

APPLICATIONS WILL NOT BE PROCESSED UNTIL ALL REQUIRED DOCUMENTS ARE RECEIVED BY MANITOBA FILM & MUSIC

Page 12 of 12© 2016 MANITOBA FILM & MUSIC / MUSIQUE ET FILM MANITOBA. | 410-93 Lombard Avenue Winnipeg Manitoba Canada R3B 3B1 | TEL. 204.947.2040


MANITOBA PRODUCER'S SIGNING AUTHORITY

Name Title Date

Signature

I hereby confirm that the information in this application, and in all supporting documents, is verified true and correct. Application materials will NOT be returned. All submissions become the property of MANITOBA FILM & MUSIC.

PRODUCER(S)/DIRECTOR(S)/WRITER(S) INFORMATIONFullNames MB Resident

(Y/N)Francophone

(Y/N)Cultural Minority

(Y/N)

APPLICANTS: For this program, Manitoba Film & Music requests that you indicate the gender, cultural origin andlanguage of communication for the Producer(s), Director(s) and Writer(s) in the chart below. Manitoba Film & Music uses this information internally for program planning, evaluation and policy development. This information will not be used to assess your application. Completing this information is entirely voluntary. It will help Manitoba Film & Music identify whether its programs are reaching a diverse and wide range of clients as intended.

Gender First Nations, Métis, or Inuit Descent (Y/N)

Documents

PROJECT INFORMATION - Manitoba Film and Music...Feature Film Production Fund Application COMMUNICATION AUTHORIZATION FORM Name of Project: (the “Project) Program (TV/Web Development,