26
1 ANNEX III MONITORING GUIDE 1. FINANCIAL STATEMENT A brief explanation of the eligible costs and of the different cost categories is given in article II.14 of the grant agreement. In accordance with the grant agreement, a financial statement needs to be provided together with the progress report when requesting for a further pre-financing (if applicable) and with the final technical implementation report. Besides, the FS1 (see below) needs to be provided together with the interim report which must be submitted by 15 October 2013. The three 'Financial Statement' forms to be used for claiming costs are given in Annex III-1. The 'Individual Financial Statement' form 1 (FS1, see Annex III-1) needs to be completed by the project coordinator. The 'Individual Financial Statement' form 2 (FS2) (see Annex III-1) must be completed by each beneficiary (including the project coordinator). Based on these, the project coordinator compiles the 'Consolidated Financial Statement' form (FS3 see Annex III-1). The financial statements need to be duly signed as indicated in the forms. By signing the financial statements the Authorising legal representative and the duly authorised financial officer certify that the costs claimed are incurred for the project and comply with the definition of eligible costs as given in the grant agreement. They also certify that all supporting documents to justify the costs are available for audit. The coordinator also needs to provide a form on the distribution of the Union's contribution (see FS4 form given in Annex III-1). The FS4 form contains data on the payments made by the project coordinator to the co-beneficiary(ies). The form needs to be duly signed and dated by the authorised legal representative of the group coordinator. A FS4 form can be requested at any time, in particular in case the participation of a beneficiary is terminated and after the end of the project to inform the Commission on the breakdown of the final payment. All costs need to be reported in Euro. Costs incurred in currencies other than the Euro shall be converted in Euro on the basis of the exchange rate that would have applied either: - on the date that the actual costs were incurred or - on the basis of the rate applicable on the first day of the month following the end of the reporting period as defined in art I.5. The choice must be the same for all reporting periods in a given grant agreement. For both options, the daily exchange rates are fixed by the European Central Bank (ECB) and may be obtained at the following internet address: http://www.ecb.int/stats/eurofxref/ or, for the rate of the first day of the month following the reporting period, in the relevant OJ of the European Union. For the days where no daily exchange rates have been published, (for instance Saturday, Sunday and New Year's Day) you must take the rate on the next day of publication. The use of other sources for exchange rates (other than the ECB) is admissible only where no other solution is possible (i.e. when ECB does not include the daily exchange rates for a particular currency).

III MONITORING GUIDE - European Commissionec.europa.eu/assets/eac/culture/calls/general/2012-eac-05/... · ANNEX III MONITORING GUIDE ... FS4 form contains data on the payments made

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1

ANNEX III

MONITORING GUIDE

1. FINANCIAL STATEMENT

A brief explanation of the eligible costs and of the different cost categories is given in article

II.14 of the grant agreement.

In accordance with the grant agreement, a financial statement needs to be provided together with

the progress report when requesting for a further pre-financing (if applicable) and with the final

technical implementation report. Besides, the FS1 (see below) needs to be provided together

with the interim report which must be submitted by 15 October 2013.

The three 'Financial Statement' forms to be used for claiming costs are given in Annex III-1.

The 'Individual Financial Statement' form 1 (FS1, see Annex III-1) needs to be completed by the

project coordinator. The 'Individual Financial Statement' form 2 (FS2) (see Annex III-1) must be

completed by each beneficiary (including the project coordinator). Based on these, the project

coordinator compiles the 'Consolidated Financial Statement' form (FS3 – see Annex III-1). The

financial statements need to be duly signed as indicated in the forms. By signing the financial

statements the Authorising legal representative and the duly authorised financial officer certify

that the costs claimed are incurred for the project and comply with the definition of eligible costs

as given in the grant agreement. They also certify that all supporting documents to justify the

costs are available for audit.

The coordinator also needs to provide a form on the distribution of the Union's contribution (see

FS4 form given in Annex III-1). The FS4 form contains data on the payments made by the

project coordinator to the co-beneficiary(ies). The form needs to be duly signed and dated by the

authorised legal representative of the group coordinator. A FS4 form can be requested at any

time, in particular in case the participation of a beneficiary is terminated and after the end of the

project to inform the Commission on the breakdown of the final payment.

All costs need to be reported in Euro. Costs incurred in currencies other than the Euro shall be

converted in Euro on the basis of the exchange rate that would have applied either:

- on the date that the actual costs were incurred or

- on the basis of the rate applicable on the first day of the month following the end of the

reporting period as defined in art I.5.

The choice must be the same for all reporting periods in a given grant agreement. For both

options, the daily exchange rates are fixed by the European Central Bank (ECB) and may be

obtained at the following internet address: http://www.ecb.int/stats/eurofxref/ or, for the rate of

the first day of the month following the reporting period, in the relevant OJ of the European

Union. For the days where no daily exchange rates have been published, (for instance Saturday,

Sunday and New Year's Day) you must take the rate on the next day of publication. The use of

other sources for exchange rates (other than the ECB) is admissible only where no other solution

is possible (i.e. when ECB does not include the daily exchange rates for a particular currency).

2

2. LIST OF INVOICES

If no external audit report cost is foreseen in the estimated budget, the coordinator should

provide a full summary statement (“List of invoices”) of the receipts and expenditure in the

beneficiary’s accounts for the period of eligibility covered by the agreement in accordance with

the model attached herewith (Annex III-2).

There is no need to provide certified copies of the invoices for the costs of subcontracting or

other specific costs or payslips or timesheets of the personnel who worked on the project. This

information, however, needs to be available and needs to be kept by each beneficiary (for a

period of five years after the final payment) since it may be requested by the Commission during

that period.

3. PROJECT TECHNICAL REPORTING

According to the grant agreement:

- an interim technical implementation report must be delivered by 15 October 2013.

- a final technical implementation report including deliverables, must be delivered within 3

months following the closing date of the action.

- for some projects, the grant agreement can include the possibility of a further pre-financing

payment. If the applicant group requests for such a payment, he needs to deliver a progress

report within the period specified in Article I.6 of the grant agreement, and following the terms

of Article I.5.2 of the grant agreement.

The interim technical implementation report, progress report (if applicable) and final technical

implementation report must be submitted by the project coordinator in 1 original signed paper

copy and 1 electronic copy in English or French.

The details of the technical implementation reports and deliverables are given in Annex III-3 of

this guide. The deadlines should be respected.

3

Annex III-1: Financial Statement Forms

(to complete for any further pre-financing and final payment request. In the case of the interim

report, only the FS1 needs to be provided).

1. FS1 AND FS2 - FINANCIAL STATEMENT FORM

The FS1 needs to be completed by the coordinator of the project. FS1 provides the

overview of the costs that are claimed, the receipts, the requested funding and the

declaration of interests. It covers the entire budget of the project. A FS2 must be

completed by each beneficiary of the project (the coordinator and co-

beneficiary(ies)). In this form, each beneficiary has to provide the details on

personnel costs, travel and subsistence costs, advertising and promotion costs, optical

and digital costs, other costs and indirect costs.

2. FS3 - CONSOLIDATED FINANCIAL STATEMENT

The Consolidated Financial Statement will only be completed by the coordinator. It

summarises all the costs claimed by the beneficiaries. The amounts in the

Consolidated Financial Statement need to be consistent with the amounts claimed in

each beneficiary's Financial Statement form.

3. FS4 – BREAKDOWN OF PAYMENTS

In addition to these three financial statement forms, the coordinator also needs to

provide a form on the distribution of the Union's contribution (see FS4 form). The

FS4 form contains data on the payments made by the project coordinator to the other

co-beneficiaries. The form need to be duly signed and dated by the authorised legal

representative of the group/consortium coordinator. A FS4 form can be requested at

any time, in particular in case the participation of a beneficiary is terminated and after

the end of the project to inform the Commission on the breakdown of the final

payment.

4. DECLARATION OF HONOUR FOR THE BANK ACCOUNT

The special conditions of the grant agreement stipulate the obligation that funds paid

to your bank account shall yield interest or equivalent benefits under the law of the

State on whose territory the account is opened.

However, if legal provisions prevent the opening of an interest-bearing bank account,

if heavy administrative procedures are required or the burden arising from the

opening and/or operation of such a bank account are practically as high as or higher

than the interest that can reasonably be expected to be earned, you may request to be

exempted from this obligation.

If you find yourself in such a situation, please return the attached document duly

completed and signed in order to allow the Commission to analyse the situation.

4

Your attention is drawn to the conditions and consequences that the signature of the

declaration of honour accepts.

5

FS1 Financial Statement (to be completed by the coordinator for the whole project)

Project Title (or Acronym) Grant agreement n°

Coordinator's legal name

Contact Person Telephone

E-mail

Nature of the financial statement (tick the relevant option)

□ further pre-financing payment

□ Interim report

□ Final payment

Period from dd/mm/yyyy to dd/mm/yyyy

1- Declaration of eligible costs (in €)

The costs declared should distinguish between direct and indirect costs excluding VAT

COST CATEGORY TOTAL

Personnel (max. 30% of total eligible costs) 0

Travel and substistence costs 0

Advertising and promotion costs 0

Optical and digital costs 0

Other costs 0

– Audit fees 0

– Subcontracting costs 0

– All other costs 0

Total direct costs 0

Indirect costs (max 7 % of the total direct costs) 0

Total costs (right click to update the field) 0

2- Declaration of income (in €)

Own ressources 0

– Applicant's Investment

– Action's Revenues

Private Sources

Public Funding other than the Preparatory Action

Total

3- Requested EU funding (in €)

Pre-financing payment 0

Further pre-financing payment requested (if applicable)

Final payment requested (if applicable) 0

SPECIMEN

ORIGINAL FORM TO

DOWNLOAD FROM

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6

Total EU contribution (only in the case of the final

payment) 0

4- Declaration of interest generated by the pre-financing

(in €)

Did the pre-financing (advance) you received by the Commission for this period yield

interest? Yes /No

If yes, please indicate the amount.

Beneficiary's certificate:

We certify that:

i. the above costs are related to the resources necessary for the work under the grant agreement

ii. such costs have been incurred and comply with the definition of eligible costs specified in the grant

agreement (Article II.14 of Part B - Financial Provisions)

iii. full supporting documentation to justify the costs hereby declared is available for audit by the

Commission and its authorised representatives or the Court of Auditors.

Name of the Authorised legal representative of the coordinator (PM):

Name of the duly authorised financial officer (AFO):

Signatures of the PM and of the AFO + date (dd/mm/yyyy)

7

FS2 Financial Statement

To be completed by each beneficiary (coordinator + co-beneficiary(ies))

Name of the bebeneficiary: Rate

per

Day

or

Unit

Price

Number of

Days or

Units

in

Euro

% of

total

costs

Currency Exchange

rate

Personnel costs, travel & subsistence costs & any budget item of more than € 10.000 should be

broken down in detail

ISO

Code

EUR=

1 - Personnel Costs (limited to 30% of the total eligible costs)

(please specify Name & Job Title)

1.1. - Management Staff (Managers, Executives…)

(add row if necessary)

1.2. - Assistants, Secretaries, Temporary Staff

(add row if necessary)

1.3. - Miscellaneous Staff (e.g. IT, accountancy…)

(add row if necessary)

TOTAL Heading 1 0

2 - Travel and substistance costs

2.1 - Travel costs

(add row if necessary)

2.2 - Subsistence costs

(add row if necessary)

TOTAL Heading 2 0

3 - Advertising and promotion costs 3.1 - Publicity material 3.1.1 - Poster design and layout 3.1.2 - Poster printing 3.1.3 - Slides and stills 3.1.4 - TV spots 3.1.5 - Radio spots 3.1.6 - Advertising / publicity material (all kinds): design and layout

3.1.7 - Flyers

3.1.8 - Production trailer

3.1.9 - Inter-negative trailer

3.1.10 - Prints of trailer

3.1.11 - Showreels and promoreels

3.1.12 - Poster costs

3.1.13 - Stills

3.1.14 - Advertising all kinds: design and layout

3.1.15 - Other (please specify below) (add row if necessary) 3.2 - Publicity space

3.2.1 - Placing of publ. material (posters, trailers, flyers, mailing...)

3.2.2 - Advertising on TV

3.2.3 - Advertising on Radio

3.2.4 - Advertising on Internet

3.2.5 - Advertising in professional press

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8

3.2.6 - Advertising in papers

3.2.7 - Advertising in magazines 3.2.8 - Advertising space markets and festivals 3.2.9 - Other (please specify below) (add row if necessary) 3.3 - Promotion material and events

3.3.1 - Promotion material (press files, EPK, Beta,...)

3.3.2 - Market and Press screenings

3.3.3 - Previews, receptions

3.3.4 - Test screenings and market research

3.3.5 - Promotional tour by director/cast

3.3.6 - Press Agency, Press Officer, Publicist, PR fees

3.3.7 - Website of film 3.3.8 - Other (please specify below) (add row if necessary)

OTAL Heading 3 0

4 - Optical and digital costs 4.1 - Prints

4.1.1 - Inter-negative optical trailer

4.1.2 - Inter-negative optical film

4.1.3 - Striking optical prints of trailers / number of prints

4.1.4 - Striking optical prints of film / number of prints

4.1.5 - Master digital trailer

4.1.6 - Master digital film

4.1.7 - Duplication digital copies of trailers / number of copies

4.1.8 - Duplication digital copies of films / number of copies 4.1.9 - Dubbing and Subttling (incl. Translation) 4.1.10 - Maintenance 4.1.11 - Transport and taxes levied on film 4.1.12 - Insurance 4.1.13 - Digital "Virtual" Print Fees 4.1.14 - Other (please specify below) (add row if necessary)

TOTAL Heading 4 0

5 - Other costs 5.1 - Audit fees (cost of the certification by the Approved External

Auditor of the final report)

5.2 - Subcontracting costs (please specify below) 5.3 - All other costs (please specify below) Other (please specify below) (add row if necessary)

TOTAL Heading 5 0

SUB-TOTAL (1+2+3+4+5) 0

maximum

Overheads: May not exceed 7% of the total eligible costs (Sub-

total)

0

TOTAL in Euro 0

SPECIMEN

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9

FS3 Consolidated Financial Statement

to be completed by the coordinator for the whole project

PART I

Beneficiary

Beneficiary

name Total eligible costs

EU pre-financing

payment

EU further pre-financing

payment requested, if

applicable

EU final payment

requested, if

applicable

Total EU contribution, only

in the case of the final

payment request

1

2

add rows if

necessary

PART II

Total eligible costs 0

Applicant's Investment 0

Action revenues 0

Private sources 0

Public funding other than the Preparatory Action 0

Total income 0

Total EU first pre-financing payment 0

Total EU further pre-financing payment, if applicable 0

Total EU pre-financing payment 0

Total EU final payment requested, if applicable 0

Total EU contribution, only in the case of the final payment request 0

SPECIMEN

ORIGINAL FORM TO

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10

FS4 Report on the breakdown of the EU contribution

Grant agreement n°

Project Title (or Acronym)

Part I EU contribution sent to the coordinator

Pre-financing payment

Further pre-financing

payment, if applicable Final payment Total Amount

Date Amount Date Amount Date Amount

Total (€) 0 0 0 0

Part II Breakdown of EU contribution between beneficiaries

Pre-financing payment Further pre-financing

payment, if applicable Final payment Total Amount

Beneficiary Name Date Amount Date Amount Date Amount

0 0 0 0

add rows if necessary 0 0 0 0

Total (€) 0 0 0 0

Part III EU contribution sent to the coordinator not yet distributed between beneficiaries

Pre-financing payment

Further pre-financing

payment, if applicable Final payment Total Amount

EU contribution not yet distributed between

beneficiaries 0 0 0 0

I certify that the information set out in this(these) form(s) is accurate and correct and agreed by all beneficiaries

Name (Authorised legal representative of the coordinator) Signature Date (dd/mm/yyyy)

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11

Declaration of honour for the bank account

(if applicable)

I, the undersigned, (forename(s)) (surname)

Acting as legal representative of the entity: (full name, legal form, any other element essential for identification, such

as national registration number or PIC/LEF)

In my quality of: (function)

Address of the entity: (full address of the entity)

Declare on my honour, on behalf of this entity, that:

Please make a check in front of the paragraph which applies to your case.

-yielding bank account:

(Insert all legal references: type, authority, number, enacting date)

In force since (insert the date of the entry into force)

And in particular Article(s) (insert the number(s) of the article(s) concerned) thereof.

The information should identify the obligation and the fact that this obligation applies to this entity. If possible, enclose a link to or a copy of the full text of the

above-mentioned legal provisions.

-yielding bank

account:

Describe briefly the heavy administrative procedures:

-bearing bank account(s) to hold pre-financing received under the

Preparatory Action "Circulation of European films in the digital era" is not in line with the principle of sound

financial management.

As a matter of example, the following factual circumstances may lead the beneficiary, acting in good faith, to reaching the above conclusion:

– opening and/or operating (an) interest-bearing bank account(s) is not or would not be cost effective in view of the start-up costs (e.g. procurement procedures,

obtaining administrative permissions, adjustment of IT and accounting systems) and recurrent costs (e.g. bank fees, reconciliation and auditing, allocation of

interests to projects), and of the interest that can or could be reasonably expected;

– the costs and risks arising from exchange rate fluctuations would not make opening and/or operating (an) interest-bearing bank account(s) a practice of sound

financial management;

– the beneficiary, as part of government, considers as sound financial management to pool the funds for the government as a whole in order to limit costs of borrowing

and hence to limit cash balances held with commercial banks to the minimum.

N.B. Invoking this exemption implies that the generation of interest on the pre-financing has effectively to be stopped. Accordingly, the pre-financing has to be

deposited on accounts that do not bear interest.

12

Acknowledge

That in case of a false declaration (including the failure to inform of any relevant changes without undue delay),

administrative and financial sanctions could be implemented against me or against this entity, in accordance with

the Financial Regulation and its Implementing Rules;

And

That I am also aware of all civil and penal consequences of a false declaration (including the failure to inform of

any relevant changes without undue delay), according to national law.

Done at (place), on (date)

Signature…………………………………………………………….

Stamp of the entity [if applicable]

13

Annex III-2: List of invoices

LIST OF INVOICES¹ For unique actions please only indicate the finishing date.

² See 1. Financial Statement - (Annex III).

PLEASE USE A SEPARATE TABLE FOR EACH SECTION OF THE BUDGET (i.e. Heading 1-Personnel costs, Heading 2-Travel and substistence costs, Heading 3-Advertising and promotion costs, Heading 4-Optical and digital costs, Heading 5-Other costs), RELEVANT TO THE EXPENDITURE YOU DECLARE.

Name of organisation

responsible for the expense

EURO

exchange

rate²

PAID by a

co-

organiser/

partner

from the

EURO area

IF PAID…NOT YET

PAID

Starting date

(dd.mm.yy)

Finishing date

(dd.mm.yy)

Currency

(ISO code)NET amount

VAT (only if not able

to recover)

% National/€ NET amountVAT

(only if not able

to recover)

%(tick here if

appropriate)

Date of

payment

(dd.mm.yy)

(tick here if

appropriate)

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

0,00 0,00

TOTAL NET TOTAL VAT

0,00 0,00

TOTAL EXPENDITURE

0,00

(EURO)

Amount in National currency Amount in EURO - €Date of

issue

Supplier of either

goods or services

Date of the action¹Budget

SectionPurpose of the action Invoice N°

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14

Annex III-3: Templates for interim/final technical Implementation Report

1. INTERIM TECHNICAL IMPLEMENTATION REPORT

An interim technical implementation report must be submitted by 15 October 2013. A template is available for

this report (see below). You will be asked to provide brief information on key project actions. The report includes

information on the project objectives and major achievements, progress towards meeting your objectives for each

work package, the status of project management and the activities of the beneficiaries, including any problems

and how they were solved and any changes to responsibilities, and dissemination activities. You will also be

asked to provide a short publishable executive summary of the project. The FS1 needs to be provided together

with the interim report.

2. PROGRESS REPORT (IF APPLICABLE)

In the case of a further pre-financing request, a template for a progress report would be provided. You will be

asked to provide brief information on key project actions. The report includes information on the project

objectives and major achievements, progress towards meeting your objectives for each work package, the status

of project management and the activities of the beneficiaries, including any problems and how they were solved

and any changes to responsibilities, and dissemination activities. You will also be asked to provide a short

publishable executive summary of the project.

3. FINAL TECHNICAL IMPLEMENTATION REPORT

A template is available for the final technical implementation report (see below). You will be asked to provide

brief information on key project actions. The report includes information on the project objectives and major

achievements, the status of project management and the activities of the beneficiaries, including any problems

and how they were solved and any changes to responsibilities, and dissemination activities. You will also be

asked to provide a detailed publishable executive summary. This publishable executive summary will normally

not be more than two pages and of suitable quality to enable direct publication by the Commission. It should

include a summary description of project objectives, beneficiaries involved, project coordinator contact details,

work done, intentions for use and impact. While not excluding technical language, it should be broadly

comprehensible to an interested general reader.

4. DELIVERABLES

A project deliverable represents a verifiable output of the project which is subject to review by the Commission.

In principle, each project will produce one or more deliverables during its lifetime.

Any deliverable (report or any other information) which is considered as "public", "publishable" or "for

publication" shall be submitted to the Commission in a publishable format (electronically and on paper as for

project reports) together with the final technical implementation report.

15

Preparatory Action

"Circulation of European films in the digital era"

Call for proposals 1/2012

TECHNICAL IMPLEMENTATION REPORT

Grant Agreement n°xxxxx

STATUS (Tick the relevant option) □ Interim technical implementation report

□ Final technical implementation report

PROJECT TITLE

DURATION OF THE PROJECT

(as mentioned in the Article I.2.2 of the grant agreement)

NAME OF THE CO-ORDINATOR

NAME OF THE CO-BENEFICIARY (IES)

1.

….

TOTAL ESTIMATED COSTS

TOTAL DECLARED COSTS

EU CONTRIBUTION – PRE FINANCING

EU CONTRIBUTION – FURTHER PRE FINANCING

(if applicable)

EU CONTRIBUTION REQUESTED – FINAL PAYMENT

TOTAL EU CONTRIBUTION

AMENDMENT(S) TO THE GRANT AGREEMENT

YES: NO:

Specify type (ie. dates, budget, change of co-beneficiary, bank

account, co-ordinator's address, name legal representative/project

manager):

16

PART ONE (to be filled in by the co-ordinator)

EXECUTIVE SUMMARY - MAIN PROJECT RESULTS

(between 0,5 and 2 pages)

Please write here

OVERVIEW - MAIN PROJECT RESULTS

(between 5 and 10 pages)

You must provide an overview of the project results as compared to the initial objectives.

Please write here

Reminder:

As mentioned in the Work programme, the expected results of the Preparatory Action are the following:

- Enabling the emergence of new models based on a more efficient relationship between the various sectors of the

cinematographic industry (producers, distributors, sales agents, festivals, cinemas, VOD platforms, television channels);

- Making legal VOD services more attractive;

- Strengthening complementarity between distribution platforms and territories in order to improve the global audience for

European films within the European Union;

- Renewing promotion and marketing methods and tools and strengthening the efficiency of investment at this level;

- Strengthening the availability of and global audience for European films on all distribution platforms within the

European Union;

- Specifying the nature of any worthwhile changes which could be made in terms of "media chronology";

- Providing a typology of films and countries for which such planning would be potentially appropriate.

17

PART TWO (to be filled in by the co-ordinator)

DETAILED DESCRIPTION OF FILMS DISTRIBUTION

I. Information regarding the film

For each film covered by the action, please provide the following details.

Original Title: .........................................................................................................................................

Local Title:

Genre:

Fiction Documentary Animation

Length (in minutes): . ............................................ . Format: ............................................................

Shooting language: ..........................................................................................................................

Year of copyright: ...............................................................................................................................

Cost of production: local currency ..............................in EURO (€).............................

Marketing strategy

Please describe the promotion and marketing strategies in order to reach the target audience and target territories, as well

as the techniques and tools deployed for the transnational marketing/distribution (Max: 1,5 pages).

Please describe the strategy in order to achieve a higher degree of complementarity between territories on the one hand and

distribution platforms on the other hand (festivals, cinemas, VOD platforms, TV, etc.), (Max: 1,5 pages).

Cast and crew list:

Director:

Name: .......................................... Nationality / Residence: .........................................................

18

This film is the director’s

1st feature film 2

nd feature film Other

Script Writer:

Name: ............................................................. Nationality / Residence: ..............................................

Main cast (official credits order):

Name: ............................................................ Nationality / Residence: ..............................................

Name: ............................................................ Nationality / Residence: ..............................................

Name: ............................................................ Nationality / Residence: ..............................................

Composer:

Name: ............................................................ Nationality / Residence: ..............................................

Production design (art direction) :

Name: ............................................................ Nationality / Residence: ..............................................

Director of photography:

Name: ............................................................ Nationality / Residence: ..............................................

Editor:

Name: ............................................................ Nationality / Residence: ..............................................

Sound:

Name: ............................................................ Nationality / Residence: ..............................................

Shooting location: Country: ........................................................................

19

Laboratory: Country: .......................................................................

Date of beginning of principal photography: ............................................................................................

Date of completion of principal photography: ..........................................................................................

Financing Plan of the film

Please enclose the Financing Plan, including the Total Production Cost, certified by the lead producer. The Financing Plan

should identify the (co)producer(s) of the film (as officially credited) and their share in the (co)production.

Statement of confidentiality: the above requested document is strictly for the internal use of the Preparatory Action and

for qualification purposes only.

Producer (or Lead producer in case of international co-productions):

Name of the Company Town Country % in the co-production

.................................................. .............................. .................... ..................................................

Co-producers:

Name of the Company Town Country % in the co-production

............................................. .............................. .................... ..................................................

............................................. .............................. .................... ..................................................

............................................. .............................. .................... ..................................................

............................................. .............................. .................... ..................................................

TOTAL ..................................................

World sales agent:

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Name of the Company:

Street: . ........................................................................... Tel: .......................................................

Town: ............................................................................ Fax: .......................................................

Country: ....................................................................... E-mail ...................................................

II. Information regarding the distribution of the film

For each film released in a given territory, please provide the following details (for a given film provide 1 fiche per

territory)

Original Title: .........................................................................................................................................

Local Title: .........................................................................................................................................

Number and list of territories covered: ......................................................................................................

Distribution territory: ………………………………………………………………………….

Duration of rights ownership of the distributor: ....................................................................................

Contract type: Minimum guarantee Percentage remuneration Flat fee

Date of contract signature: ........................................................................................................

Amount of MG in currency of the contract: .............................................................................................

Other rights to the film held by the distributor for those territories:

Video: rental sell-through

Television: Pay-TV Free TV Other (please specify):

Enclose one copy of the distribution contract or agreement with the producers and/or sales agent (complete copy,

with annexes and without any deletion) with the hand written statement "Copy certified as conforming to the

original" signed by the statutory legal representative of the company.

21

Publicity campaign for the film:

Television: local national European

Radio: local national European

Press: local national European

Poster: local national European

Other: local national European

(Please specify) ...............................................................................................................................

Distribution platforms

Festivals

Please provide the list of European festivals where the film under consideration was screened (for each festival, please

indicate the name, the town/city and country of location and the date(s) of screening(s)).

Cinemas

Please provide the list of cinemas from the territory where the film under consideration was screened (for each cinema,

please indicate the name, the town/city of location, date of release, number of running weeks, number of screenings of the

considered film, number of admissions and gross-box office for the film).

Video On Demand services

Please provide the list of Video On Demand services from the territory where the film was made available: for each

service, please describe briefly the main characteristics of the service, the date of release of the considered film, the

conditions of the availability of the film on the considered VOD services (rental/purchase, pricing, period of availability),

the number of transactions concerning the considered film number of running weeks (if possible, please distinguish rentals

from purchases), the gross box-office (if possible, please distinguish rentals from purchases).

TV channels

Please provide the list of TV channels from the territory under consideration where the film was broadcasted: for each

channel, please describe briefly the main characteristics of the channel (free/pay TV, public/private, generalist/thematic,

mode of delivery, audience market share/number of subscribers…), the date(s) of programming of the film, the film

audience for each broadcast.

Others

Please describe

22

III. Summary

Table 1. List of films distributed in cinemas

Title of the film/audiovisual

work Budget (M€) Nationality Territories covered

Name of the

distributor

Release

date

Total number of

running weeks

Number of prints (first

week)

Number of prints

(best week) MG (€)

P&A

Costs (€) Admissions

Gross Box-

office (€)

Original Title 1 X M€ C PM XX dd.mm.yy X

NB ZZ dd.mm.yy Y

Original Title 2

Add rows if necessary

Table 2. List of films released on Video On Demand Platforms

Title of the film/audiovisual

work Budget (M€) Nationality Territories covered

Name of the

distributor

Release

date

Timing (1) Number of VOD

services MG (€), (2)

P&A

Costs (€)

Number of

transactions Gross Box-office (€)

Original Title 1 X M€ C PM XX dd.mm.yy X

NB ZZ dd.mm.yy Y

Original Title 2

Add rows if necessary

(1). Timing: please indicate the number of days/weeks between the release on vod and the one in theatres.

(2). MG: only if not included in the MG mentioned in the table 1

23

PART THREE (to be filled in by the co-ordinator) – Only

for the final technical implementation report

EVALUATION OF PROJECT ACTIVITIES

(between 2 and 5 pages)

Based on the information presented above, please provide an evaluation of the development, progress and achievements of

the project. Where appropriate, interaction with other projects should be included.

How did the project contribute to the objectives of the Preparatory Action "Circulation of European films in the digital

era" ?

Objectives of the Preparatory Action:

- improving conditions for the circulation of European films within the European Union

- Increasing and expanding the global audience for European films

- Informing market players and local authorities of changes likely to improve complementarity between distribution

platforms.

Considering the results of the project, what are the conditions under which distribution platforms may more readily

complement one other, so that European can circulate more easily and reach a wider audience within the European Union

?

How were the project activities communicated/disseminated? (Please attach a copy of press releases, banners, posters or

other type of communication material used.)

What will be the impact of the project on a long term basis?

What problems have you encountered during the implementation of the project? Please describe shortly how you plan to

solve these problems over the next edition (s).

Please explain any modification between the initial project (as described in the annex 1 to the grant agreement) and the

final result.

24

EVALUATION OF COOPERATION AMONG BENEFICIARIES

(between 2 and 4 pages)

Please provide a detailed description and a qualitative evaluation of the overall cooperation between the co-ordinator and

the co-beneficiary (ies) of the project.

PART FOUR (to be filled in by the co-ordinator)

Only for the final technical implementation report

THE FINAL WORKSHOP

DETAILED DESCRIPTION

Place/Dates:

Description:

Agenda: please provide a detailed agenda of the workshop

Participants: number, geographical origins, split between the various categories of professionals. Please provide the

full list of participants who attended the event (use the table 3 provided below)

Speakers (if applicable): final number, geographical origins, split between the various categories of professionals.

Please provide the full list of speakers (use the table 4 provided below)

Minutes: please provide the minutes of the workshop

How were the workshop communicated/disseminated? (Please attach a copy of type of communication material

used.)

25

Table 3. List of participants to the workshop

Mr/

Ms Surname Name Nationality Age Company Profession

Contact

details e-mail

Add rows if necessary

Table 4. List of speakers

Mr/

Ms Surname Name Nationality Age Company Profession

Contact

details e-mail

Add rows if necessary

26