APPENDIX G

APPENDIX G
(See Article A1110)
DECLARATION OF RECEIPTS AND DISTRIBUTION ROYALTY PAYMENTS


 

The Independent Production Agreement requires the payment of a Distribution Royalty based upon Distributors' Gross Revenue to all credited Writers as provided in Article C11 of the IPA. Such Royalty payments are made at least annually and as per the required reporting period and must be accompanied by a statement of all Distributors' Gross Revenue in accordance with the following Distribution Royalty Payment Form. Insurance and Retirement contributions and Writer deductions must be remitted in relation to Distribution Royalty payments. In the case of a limited company, certification must be by an officer or director of the company.

The Distribution Royalty Payment Form contains separate first pages for single productions and series. All subsequent pages are to be included for all projects.

In accordance with the terms of the Distributor's Assumption Agreement:

  1. a Distributor shall be under no obligation to pay Distribution Royalties pursuant to the IPA and this Distributor's Assumption Agreement until such time as the aggregate Distributors' Gross Revenue exceeds one hundred and thirty percent (130%) of the Budget, and

  2. if more than one party (i.e. the Producer and one or more Distributors, or more than one Distributor) reports Distributors' Gross Revenue for a project, for the reporting period that coincides with the point where Distributors' Gross Revenue exceeds one hundred and thirty percent (130%) of the total Budget the Guild shall notify the Producer and all Distributors who have signed a Distributor's Assumption Agreement of the pro-rata portion of Distributors' Gross Revenue to be reported by the Producer and/or each Distributor for inclusion on the Distribution Royalty Payment form.


 

DISTRIBUTION ROYALTY PAYMENT FORM
(see following)


STATEMENT OF DISTRIBUTORS' GROSS REVENUE


SINGLE PRODUCTION     WGC PROJECT ID
   
Section 1   Filed By:

Company ___________________________________
Producer     Distributor    Rights Holder
Address ______________________________________
Contact _________________________________
Phone ___________________
Fax __________________


Section 2   Production Information:

Final Title ________________________________
Previous Title _________________________________
Production Company ________________________________
Year Produced __________
Included in a Distribution Package (Article A1110 (v))? YES    NO
Official Treaty Co-Production? YES    NO
Head Distributor ____________
Delivered to Distributor on m m / d d / y y y y


Section 3   Report Summary:

Cumulative, All Periods of Distribution to: mm / d d / y y y y
Due Date m m / d d / y y y y
(Article A1110 ii)

Distributors' Gross Revenue (From Section 5, Page 2) $_______  A
If reporting in a period where the Aggregate Distributor's Gross Revenue exceeds the project budget x 130%, (as confirmed by the WGC), complete lines B to J
WGC confirmed pro-rata portion of Aggregate Distributor's Gross $_______  B
Royalty Base (Line A - Line B) (If greater than $0.00 proceed to Line D) $_______  C
Royalty Payable         (Line C X 3.2 %) $_______  D
Less: Prior Royalty Payments (If applicable) $_______  E
Royalty Payable With This Report    (Line D - Line E) $_______  F
Administration Fee (If applicable)    (Line D X 2%)    $___________
GST      $___________ $_______  G
Total Payable to WGC for Credited Writers (Line F +Line G ) $_______  H
Total Payable to AFBS     (Line D X 10%) $_______  I
Section 3   Report Summary:
Date Filed m m / d d / y y y y    Due Date m m / d d / y y y y
Number of months late ______    Interest Payable (Article A1103) $_______  J

Certification

Certified correct:
Signature: ____________________
Date: ______________
Title: _________________________
Authorized Official (Print or Type) __________________________


SERIES PRODUCTION     WGC PROJECT ID
   
Section 1   Filed By:

Company ___________________________________
Producer     Distributor    Rights Holder
Address ______________________________________
Contact _________________________________
Phone ___________________
Fax __________________


Section 2   Production Information:

Final Title ________________________________
Previous Title _________________________________
Production Company ________________________________
Year Produced __________
Included in a Distribution Package (Article A1110)? YES    NO
Official Treaty Co-Production? YES    NO
Head Distributor ____________
Delivered to Distributor on m m / d d / y y y y


Section 3   Report Summary:

Cumulative, All Periods of Distribution to: mm / d d / y y y y
Due Date m m / d d / y y y y
(Article A1110 ii)

Distributors' Gross Revenue (Section 5, Page 2)  Total $____________ Per Episode $_______  A
If reporting in a period where the aggregate Distributor's Gross Revenue exceeds the project budget + 130%, (as confirmed by the WGC) complete lines B to K
Per episode WGC confirmed pro-rata portion of Aggregate Distributor's Gross $_______  B
Per Episode Royalty Base (Line A - Line B) (If greater than $0.00 proceed to Line D) $_______  C
Per Episode Royalty Payable      (Line C X 3.2 %) $_______  D
Total Royalty Payable   (Episodes to which WGC Royalties apply ____ X Line D) $_______  E
Prior Royalty Payments (If Applicable) $_______  F
Royalty Payable With This Report   (Line E - Line F) $_______  G
Administration Fee (If applicable)    (Line G X 2%)    $___________
GST      $___________ $_______  H
Total Payable to WGC for Credited Writers (Line G +Line H) $_______  I
Total Payable to AFBS   (Line G X 10%) $_______  J
Section 4   Interest Payable:
Date Filed m m / d d / y y y y    Due Date m m / d d / y y y y
Number of months late ______    Interest Payable (Article A1103) $_______  J

Certification

Certified correct:
Signature: ____________________
Date: ______________
Title: _________________________
Authorized Official (Print or Type) __________________________

ALL PRODUCTIONS

Section 5   Distributors' Gross Revenue
Pre-Sales:   (Article C1103(c))

Specify Source _____________________ $______  
Specify Source _____________________ $______  
Specify Source _____________________ $______ $______1
 
Distribution Revenue:
Received by the Producer: (Specify Name)________________________
    From Regular Distribution (From List of Distribution Territories, Section 6) $______  
    From Package Exploitation (Article A1110 (v)) (Section 7) $______  
    From Treaty Co Production (Section 8) $______  
    From Collective Societies and Similar Agencies $______ $______ 2
 
Received by the Head Distributor: (Specify Name)________________________
    From Regular Distribution (From List of Distribution Territories, Section 6) $______  
    From Package Exploitation (Article A1110 (v)) (Section 7) $______  
    From Treaty Co Production (Section 8) $______ $______ 3
 
Received by Sub Distributors:
    (Specify Name)__________________________
    (Specify Name)__________________________
    (Specify Name)__________________________
    From Regular Distribution(From List of Distribution Territories, Section 6) $______  
    From Package Exploitation (Article A1110 (v)) (Section 7) $______  
    From Treaty Co Production (Section 8) $______ $______ 4
 
Other Revenue:
Compact Devices (Article C1103(d)):
Typical Sell-Through      $______________ X 20% $______  
Less than Typical Sell-Through      $______________ X 10% $______ $______ 5
 
Other Revenue Streams:
Specify Source _____________________ $______  
Specify Source _____________________ $______  
Specify Source _____________________ $______ $______ 6
Total Distributors' Gross Revenue (To Line A, Section 3, Page 1)   $______

ALL PRODUCTIONS            
 
Section 6   Distribution Territories
 
Distribution
License Period
Territory and Media
Licensed
Revenue
Collected
In
Perpetuity
Period
Ending

(mm / dd / yyyy)
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
If insufficient space, please attach a list.

ALL PRODUCTIONS            
 
Section 7   Package Distribution
Title
Production Company
Allocation of Revenue
   
%
Dollars
       
       
       
       
       
       
Total Package Value    
Total This Project (To Section 5, Page 2)  
If insufficient space, please attach a list.


Section 8 Official Treaty Co-Productions

Canadian Co-Producer______________________________________

Exclusive Territories
Revenue
 
     
     
     
     
     

Other Co-Producers _______________________________________

Territories
Revenue
 
 
Gross
%
CDN Prod'r
 
         
         
         
         
         
         
         
         
         
Total Co-Production Revenue Transfer to Section 5, Page 2  

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