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Music and Film Production Incentive/Subsidy Application UNITED STATES VIRGIN ISLANDS ECONOMIC DEVELOPMENT AUTHORITY STARS Music and Film 8000 Nisky Shopping Center, Suite 620 St. Thomas, VI 00802 INTRODUCTION Instructions: 1. Applicant must submit an application to STARS@usvieda.org for each proposed project. 2. Pay non-refundable application Fee of Five Hundred Dollars ($500.00). 3. Production must begin within 90 days of approval of this application. 4. Applicant attests that the final product does not and will not contain obscene content as defined under V.I. CODE ANN. tit. 14, § 1024 and will portray the U.S. Virgin Islands (“USVI”) in a positive light. 5. Applicant agrees to provide, at no charge, copies of promotion material, including at least one poster, one print or copy of the final product to the United States Virgin Islands Economic Development Authority (“USVIEDA”). 6. Applicant agrees to allow the USVIEDA access to the sets for photographing the production for promotional purposes under a collaborative effort and subject to reasonable controls or conditions. 7. Applicant agrees to provide production schedules, daily call sheets and crew lists to the USVIEDA. 8. Applicable on-air and/or screen and/or roll credits will be adequately given to the USVIEDA and other local agencies. Exact wording of such credit subject to collaboration and approval by all parties. 9. “Dollars” refer to the currency of the United States of America. (STARS Form 03/2017) APPLICATION Select One: □FILM □MUSIC □FILM & MUSIC 1. Application Date: 2. Working Title of the Film, Video, Music Video, Music Recording, Game: 3. Applicant’s Name and Address: 4. Production Company or Studio Address (if different from above): 5. Contact Information to include email, address, and phone numbers: 6. Website address: (STARS Form 03/2017) 7. Executives: 8. Primary Contact Name and Title: 9. Organizational Structure: Corporation Partnership Limited Liability Individual Proprietorship Subchapter S Corporation Other (explain) 10. State/country in which incorporated or registered: 11. Federal Tax ID Number of the entity and address: 12. Local resident agent and contact information: (STARS Form 03/2017) 13. Intended local address (physical): 14. Local Mailing Address (if different from above): 15. List any Affiliate(s) and/or Affiliated Group(s) (name, address, EIN/TIN, percentage ownership) as defined in 29 V.I.C. § 751(a) and (e): ______ ________________________________________________ 16. List prior project credits noting the production company, if applicable: (attach list, if necessary) 17. Marketing deliverables: Type of production (select one): Television Commercial Internet Commercial Music Video Feature Film Television Series (No. of episodes: _____) Made for Television Movie (STARS Form 03/2017) Television Documentary Feature Documentary Docu-drama Webisode Music Recording Game Other: Explain: 18. Request for confidentiality: Yes No Non-disclosure Agreement (“NDA”) attached? _____ 19. Brief Description of the Project including activities of Affiliate(s)/Affiliated Group(s): (Attach a synopsis, storyboard or treatment) ________________________________________________ 20. Current Phase or Status of Project: 21. Total Number of Production Days in the U.S. Virgin Islands: ______ 22. Total Overall Budget: $ 23. Total USVI Budget: $________________ (attach a detailed budget specifically for the USVI) 24. Total number of visiting personnel: 25. Total number of local hires: ___________ (STARS Form 03/2017) 26. Total Projected Expenditure in the Territory: $___________________ Crew Total % Virgin Islands Residents Talent Total % Virgin Islands Residents Extras Total % Virgin Islands Residents Interns Total __ % Virgin Islands Residents Production Services Total _____ % Virgin Islands firms _____ Total Lodging Expenditures: $_________________ Hotel Rooms: _________ Room Nights _________ F&B _________ Event/conf room space _____________ 27. Will the project be produced entirely in the USVI? Yes __ No ___ If no, what percentage will be in the USVI? _______ 28. Is the production fully funded?* Yes___ No___ If no, what percentage is funded thus far? *(This application may be deferred or denied if your project is not fully funded.) 29. Has distribution been arranged? Yes No If yes, please provide contact information: Company: Name: Contact information: 30. Provide names and contact information for key production personnel below (as applicable): Director: _______ Executive Producer: _______ Producer: _______ Screenwriter: _______________ (STARS Form 03/2017) Production Manager: ________ ______________ Director of Photography: _______ Location Manager: _______ Casting Director: _______ Music Director: _______ 31. Describe any product placement/branding opportunities for the USVI and/or local products, whether in script/on screen/on-air/roll- credits/ promotion, etc., noting specifics: 32. Outline specifically the type of incentive(s) being requested for this project: 33. Is the Applicant or any member of its business owned, affiliated, or controlled, in whole or in part, by any company or person in default on any tax obligation to the U.S. Virgin Islands, or a loan made by the U.S. Virgin Islands or a loan guaranteed by the U.S. Virgin Islands? If yes, please explain. 34. Identify proposed chryon or credit language to be used in accordance with 29 V.I.C. § 747(w) which reads “Filmed in the U.S. Virgin Islands”, “Partially Filmed in the U.S. Virgin Islands”, or such other similar language as approved by the USVIEDA. (STARS Form 03/2017) 35. Applicant’s preferred method of notice from USVIEDA: (Select One) □EMAIL □U.S. POSTAL SERVICE COMPANY DOCUMENTS Please include the following documents with the application: _____ *Application Fee made payable to the USVIEDA _____ *Business License _____ *Certificate of Good Standing/Existence (if applicable) _____ *Certificate of Incorporation and Articles of Organization CERTIFICATION BY APPLICANT Applicant is responsible for accuracy of all data and documentation included in this application. Applications are submitted to the STARS Music and Film Production program of the U.S. Virgin Islands Economic Development Authority. Once submitted, all applications shall become the property of the USVIEDA. USVIEDA shall vet each application and provide its recommendations. It is the Applicant’s responsibility to inform the USVIEDA of any changes to information provided in the application once it has been submitted and deemed complete by the USVIEDA. Any and all amendments must be made in writing. By signing below, Applicant certifies that all information contained herein and exhibits attached hereto are true to the best of their knowledge and are submitted for the purpose of obtaining film and/or music production incentives or subsidies through the USVIEDA on behalf of the U.S. Virgin Islands. ____________________________________ _________________________________ Applicant Title ____________________________________ __________________________________ Date Phone No In order to expedite the review process, please ensure the application covers all aforementioned information. Should you have any questions or require additional information, please contact the Director of Applications at STARS@usvieda.org and via telephone at 340.714.1700. Thank you for your application for film and/or music production incentives or subsidies in the U.S. Virgin Islands. (STARS Form 03/2017) FOR USVIEDA USE ONLY ___________________________ USVIEDA PROJECT NUMBER ___________________________ __ ______________________ _______________________ TIME/DATE APPLICATION RECEIVED APPLICATION FEE PAID/DATE DATE DEEMED COMPLETE _____________________________ _____________________________ DATE FORWARDED TO VIDOT DATE RETURNED FROM VIDOT ___________________________ ______________________________ DATE QUALIFIED BY USVIEDA ESTIMATED ROI FOR USVI (RATIO) FOR DEPARTMENT OF TOURISM (“DOT”) USE ONLY _____________________________ PROJECT NUMBER _____________________________ _____________________ _________________________ DATE RECEIVED FROM USVIEDA DATE QUALIFIED BY VIDOT DATE RETURNED TO USVIEDA ______________________________ ESTIMATED ROI FOR USVI (RATIO)