Signatory ApplicationThank you for your interest in signing your production company to an agreement withthe Directors Guild of America. Upon signatory acceptance by the DGA, your companywill be afforded the opportunity to work with the Industry’s most experienced andcreative directors and related professionals.
The Signatory Application, copyright, and financial assurance documents must besupplied to the DGA at least four (4) weeks prior to the start of principal photography inorder to review and process the material. Please be prepared to expedite responses andexecution of all documents required by the Guild if you are submitting the Applicationless than four (4) weeks before principal. Also, please note that the DGA may require apayroll deposit and residuals reserve from the signatory company prior to the start ofmembers’ employment.
Please complete the attached forms and return the entire Application to the DGA. Allinformation should be completed as it is known or anticipated (it may be updated later).Any duplicate information should be repeated when requested, as it is all necessary forthe Guild’s review process. All information should legible, and clearly printed or typed.
Upon the DGA’s receipt of the entire, completed Signatory Application, it will bereviewed. If acceptable, a Signatory Representative will be assigned and appropriateadherence and financial assurances documents will be forwarded to you. If the companyis not deemed an appropriate signatory, you will be notified.
PHONE: 310-289-5362
FAX: 310-289-5394
EMAIL: [email protected]
II. PROJECT INFORMATION FORM (PIF)
SIGNATORY APPLICATION INDEX
Page 3: Company Information Form (CIF)
Company Information
Page 3: CIF Section A: Corporation (Inc.)
Page 4: CIF Section B: Limited Liability Company (LLC)
Page 5: CIF Section C: Sole Proprietorship
Page 6: CIF Section D: General Partnership or Joint Venture
Page 7: CIF Section E: Limited Partnership (Ltd.)
Parent Company Information
Page 8: CIF Section F: Parent Corporation (Inc.)
Page 9: CIF Section G: Parent Limited Liability Company (LLC)
Additional Information
Page 10: CIF Section H: Corporate Financial Status
Page 10: CIF Section I: Collective Bargaining Agreements
Page 11: CIF Section J: Company Contacts (Agent for Service of Process)
Page 12: CIF Section K: Corporate History of Principal Officers
Page 12: CIF Section L: Authorized Company Signature
Page 13: Project Information Form (PIF)
Page 14: PIF Section A: Project Information - Theatrical
Page 15: PIF Section B: Project Information - Television
Page 16: PIF Section B: Project Information - Television continued
Page 17: PIF Section C: Financing
Page 18: PIF Section D: Financial Assurances
Page 19: Security Interest and Lien Information
Page 19: Copyright Verification
Page 20: PIF Section E: Distribution Information (Residuals Reserve)
Page 21: PIF Section F: Production Contacts
Page 22: PIF Section G: Post-Production Contacts
Page 23: PIF Section H: Payroll Deposits
Page 23: PIF Section I: Authorized Company Signature
I. COMPANY INFORMATION FORM (CIF)
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I. COMPANY INFORMATION FORM (CIF)
CIF SECTION A: CORPORATION (INC.)
OFFICER S: PRINCIPAL STOCKHOLDERS**: % O WNED
Chairman/Board:_______________________________________ ________________________________ _________%
President:_______________________________________ ________________________________ _________%
Vice President:_______________________________________ ________________________________ _________%
Secretary:_______________________________________ ________________________________ _________%
Treasurer:_______________________________________ ________________________________ _________%
Other:_______________________________________ ________________________________ _________%
** Each Principal Stockholder that is a separate company must complete
the corporate information in Section F or G, as applicable.
COMPANY:_______________________________________________________________________________
FORM OF ORGANIZATION (check one): � Inc. � LLC � Ltd. � Other (specify): _________________
Please list the Company’s primary contact for DGA business:
CONTACT: _______________________________________________________ TITLE:_________________
TELEPHONE #:_________________EMAIL: ___________________________ FAX #:__________________
Complete each of the following sections (A-G) that apply to the Applicant Company:
Print full name as it appears on the recorded Articles of Incorporation:
Company Name:_______________________________________________________________________________
Address: ___________________________________________________________________________________
__________________________________________________________________________________
Contact:_________________________________________________________ Title:_____________________
Telephone #:________________ Email: ______________________________ Fax #:____________________
State/Foreign Country of Incorporation*:_______________________________________________________
State/ Foreign Country of Principal Place of Business:_____________________________________________
Date of Incorporation:_______________________________________________________________________
Organization ID#:______________________________ Federal ID #:_______________________________
*Copies of the Articles of Incorporation and the Statement of Corporate Officers are required.
PARENT COMPANY: If there is a parent company, please indicate name below and complete CorporateInformation Sections F or G, as applicable
Parent Company Name: ____________________________________________________________________
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CIF SECTION B: LIMITED LIABILITY COMPANY (LLC)
MEMBERS**: MANAGERS**:
_________________________________________________% ________________________________________________%
_________________________________________________% ________________________________________________%
_________________________________________________% ________________________________________________%
_________________________________________________% ________________________________________________%
_________________________________________________% ________________________________________________%
_________________________________________________% ________________________________________________%
** Each Member and/or Manager that is a separate company must complete
the corporate information in Section F or G, as applicable.
Print full name as it appears on the recorded Articles of Incorporation:
Company Name:____________________________________________________________________________
Address: ___________________________________________________________________________________
__________________________________________________________________________________
Contact:_________________________________________________________ Title:_____________________
Telephone #:_________________ Email: ______________________________ Fax #:__________________
State/ Foreign Country of Organization*:_______________________________________________________
Date Organized:____________________________________________________________________________
Organization ID#:_______________________________ Federal ID #:_______________________________
*Copies of the Articles of Organization and the signed Operating Agreement are required.
PARENT COMPANY: If there is a parent company, indicate the name below and complete CorporateInformation Sections F or G.
Parent Company Name: ____________________________________________________________________
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CIF SECTION C: SOLE PROPRIETORSHIP
Name:_______________________________________________________ Date Registered:_____________
DBA:________________________________________________________ Date Registered:_____________
Address:___________________________________________________________________________________
__________________________________________________________________________________
Telephone #:_________________ Email: ______________________________ Fax #:__________________
Federal ID #:________________________________________________________________________________
REMINDER: The DGA does not provide signatory status to Loan-Out companies. Likewise, the DGA-Producer Pension and Health Plans will not accept contributions from a member’s loan-out company.
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CIF SECTION D: GENERAL PARTNERSHIP OR JOINT VENTURE
PARTNER OR JOINT VENTURER**:
______________________________________________________________________________________ __________%
______________________________________________________________________________________ __________%
______________________________________________________________________________________ __________%
______________________________________________________________________________________ __________%
**Each Partner or Joint Venturer, which is a separate company must complete
the corporate information in Section F or G, as applicable.
PARTN ER OR JOINT VEN TURER ADDR ESSES:
Name:___________________________ Name:__________________________ Name:____________________________
Address:_________________________ Address:_________________________ Address:___________________________
________________________________ ________________________________ _________________________________
Phone:___________________________ Phone:__________________________ Phone:____________________________
Fax:_____________________________ Fax:____________________________ Fax:______________________________
Print full name as it appears on the recorded Partnership or Joint Venture Agreement:
Company Name:____________________________________________________________________________
Address: ___________________________________________________________________________________
__________________________________________________________________________________
Contact:_________________________________________________________ Title:_____________________
Telephone #:_________________ Email: _____________________________Fax #:____________________
Organized in State/ Foreign Country*:__________________________________________________________
Date formed:_______________________________________________________________________________
Federal ID #:_______________________________________________________________________________
*A copy of the signed Partnership Agreement is required.
All Individual Partners or Joint Venturers listed above must include their mailing address, phone and faxnumbers (post office box is not acceptable). For additional space, please include a separate piece of paper withthe required information:
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CIF SECTION E: LIMITED PARTNERSHIP (Ltd.)
GENERAL PARTNERS**: LIMITED PARTNERS**:
_______________________________________ ______% _______________________________________ ______%
_______________________________________ ______% _______________________________________ ______%
_______________________________________ ______% _______________________________________ ______%
_______________________________________ ______% _______________________________________ ______%
_______________________________________ ______% _______________________________________ ______%
**Each General or Limited Partner which is a separate company must complete
the corporate information in Section F or G, as applicable.
GENERAL PAR TNER O R LIMITED PARTNER ADDRESSES:
Name:___________________________ Name:__________________________ Name:____________________________
Address:_________________________ Address:_________________________ Address:___________________________
________________________________ ________________________________ _________________________________
Phone:___________________________ Phone:__________________________ Phone:____________________________
Fax:_____________________________ Fax:____________________________ Fax:______________________________
Print full name as it appears on the recorded Limited Partnership Agreement:
Company Name:____________________________________________________________________________
Address: ___________________________________________________________________________________
__________________________________________________________________________________
Contact:_________________________________________________________ Title:_____________________
Telephone #:_________________ Email: _____________________________ Fax #:____________________
Organized in State/ Foreign Country*:__________________________________________________________
Date formed:_______________________________________________________________________________
Federal ID #:_______________________________________________________________________________
*A copy of the signed Partnership Agreement is required and must be provided to the DGA.
All General and Limited Partners listed above must include their mailing addresses, phone and fax numbers(post office box is not acceptable). For additional space, please include a separate piece of paper with therequired information:
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PARENT COMPANY INFORMATION
If parent company is an LLC, please skip to Section G.
Parent Company Name*:_____________________________________________________________________
Address:___________________________________________________________________________________
Contact:________________________________________________________Title:_______________________
Telephone #:_________________ Email: ______________________________ Fax #:___________________
*A Copy of the Articles of Incorporation for the parent company are required.
State/Foreign Country of Incorporation:________________________________________________________
Principal State and/or Country of Business:______________________________________________________
Date of Incorporation:_______________________________________________________________________
Organizational ID #:________________________________ Federal ID #:______________________________
Complete the appropriate Section G or F for each additional parent company, or principal stockholder which is acorporation or LLC.
Parent Company:___________________________________________________________________________
Subsidiaries: _______________________________________________________________________________
CIF SECTION F: PARENT CORPORATION (Inc.)
OFFICERS: PRINCIPAL STOCKHOLDERS % OWNED Chair/Board:________________________________ ______________________________ ________% President:________________________________ ______________________________ ________%Vice President:________________________________ ______________________________ ________% Secretary:________________________________ ______________________________ ________% Treasurer:________________________________ ______________________________ ________% Other:________________________________ ______________________________ ________%
SIGNED BY:___________________________________________________ DATE: __________________
Print Name: ___________________________________________________________________________
Corporate Title: __________________________________________________________________________
This form must be signed by an authorized officer of the parent corporation.
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CIF SECTION G: PARENT LIMITED LIABILITY COMPANY (LLC)
MEMBERS: MANAGERS:
_____________________________________ ________% _____________________________________ ________%
_____________________________________ ________% _____________________________________ ________%
_____________________________________ ________% _____________________________________ ________%
_____________________________________ ________% _____________________________________ ________%
_____________________________________ ________% _____________________________________ ________%
SIGNED BY: ___________________________________________________ DATE: __________________
Print Name: ___________________________________________________________________________
Corporate Title: _________________________________________________________________________
This form must be signed by an authorized officer of the parent company.
Principal place of business in State/Foreign County:
Parent Company Name*:____________________________________________________________________
Address:___________________________________________________________________________________
___________________________________________________________________________________
Contact Name:_____________________________________________________________________________
Telephone #:_________________ Email: _______________________________ Fax #:__________________
Organized in the State and/or Country of:__________________________ Date Organized:______________
Principal State and/or Country of Business:______________________________________________________
Organization ID#:_______________________________ Federal ID #:_________________________________
*Copies of the Articles of Organization and the signed Operating Agreement are required.
Mailing Address, if different from above:
Address:___________________________________________________________________________________
___________________________________________________________________________________
Contact Name:_____________________________________________________________________________
Telephone #:_________________ Email: _______________________________ Fax #:__________________
Complete the appropriate forms (Section G or F) as many times as necessary for each additional parentcompany, member or manager who is a corporation or LLC, to end at the “ultimate” parent.
Parent Company:__________________________________________________________________________
Subsidiaries: ______________________________________________________________________________
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CIF SECTION I: COLLECTIVE BARGAINING AGREEMENTS
CIF SECTION H: COMPANY FINANCING INFORMATION
ADDITIONAL INFORMATION
Please complete the required information in Sections H-J.
Does the Company submitted for signatory status have a Revolving Line of Credit?: � Yes � No
Lending Bank Name: _______________________________________________________________________
Contact Name:_____________________________________________________________________________
Does the Parent Company have a Revolving Line of Credit?: � Yes � No
Lending Bank Name: ________________________________________________________________________
Contact Name:_____________________________________________________________________________
Do any of the following apply? (check all that apply):
� Letter of Credit � Private Equity � Personal Funds � OTHER (explain):______________________
Is DGA Signatory Applicant currently signatory to any other collective bargaining agreements?
Check all that apply:
� SAG � WGA � DGC � AFTRA � IATSE � NABET � AFM � OTHER:_________________
Is the Parent Company currently signatory to any other collective bargaining agreements?
Check all that apply:
� SAG � WGA � DGC � AFTRA � IATSE � NABET � AFM � OTHER:_________________
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OTHER C ONTACT:
_______________________________________________
Name
_______________________________________________
Company
_______________________________________________
Address
_______________________________________________
Address
_______________________________________________
City/State/Zip
_______________________________________________
Phone Fax
_______________________________________________
CIF SECTION J: COMPANY CONTACTS
BUSINESS ACCOUNTANT OR MANAGER:
_______________________________________________
Name
_______________________________________________
Company
_______________________________________________
Address
_______________________________________________
Address
_______________________________________________
City/State/Zip
_______________________________________________
Phone Fax
_______________________________________________
AGENT FOR SERVICE OF PROCESS:
_____________________________________________
Name
_____________________________________________
Law Firm
_____________________________________________
Address
_____________________________________________
Address
_____________________________________________
City/State/Zip
_____________________________________________
Phone Fax
_____________________________________________
OTHER C ONTACT:
_______________________________________________
Name
_______________________________________________
Company
_______________________________________________
Address
_______________________________________________
Address
_______________________________________________
City/State/Zip
_______________________________________________
Phone Fax
_______________________________________________
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CIF SECTION K: CORPORATE HISTORY OF PRINCIPAL OFFICERS
This Company Information Form must be signed by an authorized OFFICER, OWNER, PARTNER, or MEMBER/MANAGER of the Company.
SIGNED BY: __________________________________________________ DATE: _________________
Print Name: ____________________________________________________________________________
Title: __________________________________________________________________________________
Telephone #_______________ Email:__________________________ FAx #:__________________
Is any Officer, Owner, Partner or Member of this company presently, or had been previously, an Officer, Owneror Partner involved in any other production company? � Yes � No
LIST ALL COMPANIES:
Principal: ___________________________________________________________ DGA Signatory?:
Companies ___________________________________________________________ � Yes � No ___________________________________________________________ � Yes � No
___________________________________________________________ � Yes � No
___________________________________________________________ � Yes � No
Principal: ___________________________________________________________ DGA Signatory?:
Companies ___________________________________________________________ � Yes � No ___________________________________________________________ � Yes � No
___________________________________________________________ � Yes � No
___________________________________________________________ � Yes � No
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II. PROJECT INFORMATION FORM (PIF)
Please indicate the type of project . Check all that apply.
THEATRICAL� Motion Picture � Low Budget Film � Documentary � Freelance Short � Experimental <30min/#$50K
TELEVISION� Motion Picture � Live � Single-Camera � Documentary� Multi-Camera � Presentation <30min, not for a ir
� Direct to DVDCOMMERCIAL� Commercial � Industrial
OTHER:� Internet � Promo/Trailor� Interactive � Educational� Other (specify):______________________________
The below information and Sections C - F must be completed for all projects as it is currently planned, knownor scheduled. Theatrical projects must also complete Section A. Television projects and commercials must alsocomplete Section B.
PROJECT SIGNATORY CONTACT:
Contact Name:___________________________________________________Title:______________________
Company:_________________________________________________________________________________
Telephone #:_________________Email: _______________________________ Fax #:__________________
PRODUCTION OFFICE: � Temporary Address � Permanent Address
Contact Name:___________________________________________________ Title:_____________________
Address:___________________________________________________________________________________
City/State/Zip:_____________________________________________________________________________
Telephone #:________________Email: _______________________________ Fax #:__________________
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PIF SECTION A: PROJECT INFORMATION - THEATRICAL
NAME ALL: START DATE
Director:______________________________________________________ ___________________
UPM:________________________________________________________ ___________________
First AD:______________________________________________________ ___________________
Key Second AD:________________________________________________ ___________________
2nd Second AD:_________________________________________________ ___________________
3rd Second AD:_________________________________________________ ___________________
Other:________________________________________________________ ___________________
Other:________________________________________________________ ___________________
Title:______________________________________________________________________________________
AKA Title/s:_______________________________________________________________________________
Budget (U.S. Dollars): $_______________________________________________________________________
Screenwriter/s:___________________________________________________________ WGA?: � Yes � No
FORMAT: � Film � Digital � Tape � Other:______________ LENGTH (in minutes): ___________
PROJECT TYPE (check one):
� Motion Picture � Documentary � Low Budget Film � Experimental #30min/#$50K
� Internet (dramatic) � Industrial � Freelance Short � Other (specify):_____________________
LOCATIONS: PRODUCTION DATES: Pre-Production: _________________________ Pre-Production Start:_______________________________
Principal Photography:____________________ Principal Photography Start:________________________
______________________________________ Principal Photography Wrap:_________________________
Post Production:_________________________ Post Production Wrap:______________________________
______________________________________ Theatrical Release Date:_____________________________
THEATRICAL FILM:
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PIF SECTION B: PROJECT INFORMATION - TELEVISION
COMMERCIAL:
Product/s:_________________________________________________________________________________
Advertising Agency:_________________________________________________________________________
Program or Series Title:______________________________________________________________________
AKA Title/s:_______________________________________________________________________________
Budget (US Dollars): $_______________________________________________________________________
Writer/s:_________________________________________________________________ WGA?: � Yes � No
LOCATIONS: PRODUCTION DATES: Pre-Production: _______________________ Pre-Production Start:_______________________________
Principal Photography:__________________ Principal Photography Start:________________________
____________________________________ Principal Photography Wrap:_________________________
Post Production:_______________________ Post Production Wrap:______________________________
_____________________________________ Air/Release Date:__________________________________
FORMAT: � Film � Digital � Tape � Other (specify):_____________________________
MADE FOR AIR: � Prime Time � Non-Prime Time
TYPE OF PROGRAM: PROGRAM STATUS: LENGTH OF PROGRAM:
� Dramatic � TV Movie � Pilot � 30 Minutes� Sitcom � Variety � Presentation (<30min/not for air) � 60 Minutes� Reality � Documentary � Series � 90 Minutes� Talk � Internet (non-dramatic) � Special � 120 Minutes� Other (describe):_______________ � Other (specify ):_____
FREE TELEVISION: BASIC CABLE: PAY TV:
� ABC � PAX � A&E � TNT � HBO � Starz� CBS � PBS � Lifetime � USA � Showtime � TMC� FOX � UPN � MTV � Disney Channel � Cinemax� NBC � WB � VHI � Nickelodeon � List Other:_____________� List Other:_____________ � List Other:______________
� SYNDICATION � DIRECT TO VIDEO
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PIF SECTION B: PROJECT INFORMATION - TELEVISION Continued
NAM E ALL: START DATE
Director:__________________________________________________________________________ _______________
UPM :_____________________________________________________________________________ _______________
First AD:__________________________________________________________________________ _______________
Key Second AD:____________________________________________________________________ _______________
2nd Second AD:_____________________________________________________________________ _______________
Add’l Second:______________________________________________________________________ _______________
Other:____________________________________________________________________________ _______________
NAM E ALL: START DATE
Director:___________________________________________________________________________ _______________
UPM :______________________________________________________________________________ _______________
First AD:___________________________________________________________________________ _______________
Key Second AD:_____________________________________________________________________ _______________
2nd Second AD:______________________________________________________________________ _______________
Add’l Second:_______________________________________________________________________ _______________
Assoc.Dir:__________________________________________________________________________ _______________
Assoc.Dir (line cut):__________________________________________________________________ _______________
Other: _____________________________________________________________________________ _______________
NAM E ALL: START DATE
Director:___________________________________________________________________________ _______________
Assoc,. Dir:_________________________________________________________________________ _______________
Stage Manager:______________________________________________________________________ _______________
2nd SM:____________________________________________________________________________ _______________
3rd SM:____________________________________________________________________________ _______________
Production Assoc./Asst.:_______________________________________________________________ _______________
Other: _____________________________________________________________________________ _______________
SINGLE CAMERA:
MULTI-CAMERA, PRIME-TIME DRAMATIC:
LIVE & TAPE (multi-camera, other than prime-time dramatic):
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PIF SECTION C: FINANCING
Percentage of Budget financed: ___________%
Type of Financing: � Bank Loan � License Fee � Distribution Advance � Equity
� Gap Financing � Other (explain): ___________________________________
Name of Financier: ___________________________________________________________________
Address: ___________________________________________________________________
___________________________________________________________________
Contact Name: ___________________________________________Title:____________________
Phone: ________________ Fax:_____________ Email: ___________________________
Percentage of Budget financed: ___________%
Type of Financing: � Bank Loan � License Fee � Distribution Advance � Equity
� Gap Financing � Other (explain): ___________________________________
Name of Financier: ___________________________________________________________________
Address: ___________________________________________________________________
___________________________________________________________________
Contact Name: ___________________________________________Title:____________________
Phone: ________________ Fax:_____________ Email: ___________________________
In spaces below, identify the specific sources providing funding to the producer, including banks, pre-production loan financiers and any other financiers.
Pursuant to Section 17-119 of the DGA Basic Agreement, Article 22 of the DGA Freelance Live and TapeTelevision Agreement, and the DGA Adherence Letter, producers are required to provide Proof ofPerformance.
PROJECTED BUDGET OF PROJECT (U.S. Dollars): $___________________________________________
If more space is needed, please provide a separate piece of paper with required information.
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PIF SECTION D: FINANCIAL ASSURANCES
Please complete the required information below:
BANK INFORMATION:
Bank/Financier Name:_________________________________________________________________________
Address:___________________________________________________________________________________
___________________________________________________________________________________
Contact Name:_______________________________________________________________________________
Telephone #:_________________ Email: ________________________________ Fax #:__________________
Account Name:______________________________________________________________________________
Account Number:____________________________________________________________________________
� Is financing for this project a single-picture loan or part of a revolving credit facility? (Check one):
� SINGLE PICTURE LOAN � REVOLVING LINE OF CREDIT
� Name the party that is directly receiving the loan and has the obligation to pay the loan back:
________________________________________________________________________________
� Has the above bank loan closed?: � YES � NO
If yes, please provide date the Bank loan closed:__________________________________________
BOND COMPANY INFORMATION:
Company Name:_____________________________________________________________________________
Address:___________________________________________________________________________________
____________________________________________________________________________________
Contact Name:______________________________________________________________________________
Telephone #:_________________ Email: ________________________________ Fax #:__________________
� Has the above Bond Company issued the Bond?: � YES � NO
If yes, please provide date the Bond loan was issued:________________________________________
� Name the entity or entities the Bond Company is bonding:
__________________________________________________________________________________
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SECURITY INTEREST AND LIEN INFORMATION
List ALL companies (i.e. bank, bond, financiers, distributors), agencies, unions and individuals who have or willhave a security interest or lien related to the project:
COPYRIGHT VERIFICATION
Please complete the required information below and provide the DGA with the Form PA as registered with theUnited States Copyright Office, and a complete copy of the Chain of Title including all assignments unrecordedor recorded at the United States Copyright Office:
� Identify the entity which owns the underlying rights to the material and/or project at the time of PrincipalPhotography:
Company and/or Individual/s Name:___________________________________________________________
Contact:_________________________________Phone:_________________ Email:_____________________
� Identify the entity that will hold the copyright once the project is completed:
Company and/or Individual/s Name:____________________________________________________________
Contact:_________________________________Phone:_________________ Email:_____________________
Company:_____________________________________
Contact:_______________________________________
Phone:_______________________Fax:_________________
Email:_______________________________________
Company:_____________________________________
Contact:_______________________________________
Phone:_______________________Fax:_________________
Email:_______________________________________
Company:_____________________________________
Contact:_______________________________________
Phone:_______________________Fax:_________________
Email:_______________________________________
Company:_____________________________________
Contact:_______________________________________
Phone:_______________________Fax:_________________
Email:_______________________________________
Company:_____________________________________
Contact:_______________________________________
Phone:_______________________Fax:_________________
Email:_______________________________________
Company:_____________________________________
Contact:_______________________________________
Phone:_______________________Fax:_________________
Email:_______________________________________
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PIF SECTION E: DISTRIBUTION INFORMATION
DISTRIBUTOR: Domestic Rights DISTRIBUTOR: Foreign Rights
Name:___________________________________________ Name:________________________________________
Address:_________________________________________ Address:______________________________________
_________________________________________ ______________________________________
Contact:_________________________________________ Contact:_______________________________________
Phone:_______________________Fax:________________ Phone:_______________________Fax:_____________
Email:___________________________________________ Email:________________________________________
SALES AGENT: Domestic Rights SALES AGENT: Foreign Rights
Name:___________________________________________ Name:________________________________________
Address:_________________________________________ Address:______________________________________
_________________________________________ ______________________________________
Contact:_________________________________________ Contact:_______________________________________
Phone:_______________________Fax:________________ Phone:_______________________Fax:_____________
Email:___________________________________________ Email:________________________________________
COLLECTION ACCOUNT:
Is there or will there be a collection account in connection with this project?: � YES � NO
Collection House:__________________________________ Attorney:______________________________________
Address:_________________________________________ Address:______________________________________
_________________________________________ ______________________________________
Contact:_________________________________________ Contact:_______________________________________
Phone:_______________________Fax:________________ Phone:_______________________Fax:_____________
Email:___________________________________________ Email:________________________________________
Please complete Section E by providing information on any distributors and sales agents attached to the project. All licensees and distributors (including pre-sales) must be named:
� A Residuals Reserve may be required by the Guild.
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PIF SECTION F: PRODUCTION CONTACTS
In PIF Sections F-G, please identify the appropriate contact:
Reports Compliance Contact (Deal Memos, Earnings Reports and Employment Data Reports):
Name: __________________________________________________________ Title:______________________
Company:_________________________________________________________________________________
Phone #:_________________ Email: __________________________________ Fax#:____________________
Unit Production Manager:
Name: _________________________________________________________________________________
Company:_________________________________________________________________________________
Phone #:_________________ Email: __________________________________ Fax#:____________________
Production Accountant:
Name: _________________________________________________________________________________
Company:_________________________________________________________________________________
Phone #:_________________ Email: __________________________________ Fax#:____________________
Payroll House:
Contact Name: ____________________________________________________ Title:______________________
Company:_________________________________________________________________________________
Phone #:_________________ Email: __________________________________ Fax#:____________________
Production Attorney:
Name:_____________________________________________________________________________________
Law Firm:_________________________________________________________________________________
Phone #:_________________ Email: __________________________________ Fax#:____________________
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PIF SECTION G: POST-PRODUCTION CONTACTS
Screen Credits Contact:
Name: _________________________________________________________________________________
Company:_________________________________________________________________________________
Phone #:_________________ Email: __________________________________ Fax#:____________________
Residuals Contact:
Name: ___________________________________________________________ Title:______________________
Company:_________________________________________________________________________________
Phone #:_________________ Email: __________________________________ Fax#:____________________
Post Production Supervisor:
Name: _________________________________________________________________________________
Company:_________________________________________________________________________________
Phone #:_________________ Email: __________________________________ Fax#:____________________
Post Production Accountant:
Name: _________________________________________________________________________________
Company:_________________________________________________________________________________
Phone #:_________________ Email: __________________________________ Fax#:____________________
Film Lab:
Contact Name: _____________________________________________________ Title:______________________
Company:_________________________________________________________________________________
Phone #:_________________ Email: __________________________________ Fax#:____________________
Other (identify):___________________________________________________
Name: ___________________________________________________________ Title:______________________
Company:_________________________________________________________________________________
Phone #:_________________ Email: __________________________________ Fax#:____________________
Rev. 4-7-2011J:\SIG-RC\FILESHR\2008 DGA Form Templates\08 PIFs and Signatory Application\Signatory Application-092408.wpd Sig App 23 of 23
PIF SECTION H: PAYROLL DEPOSITS
This Project Information Form must be signed by an OFFICER, OWNER, PARTNER, or MEMBER/MANAGER of the Company.
SIGNED BY: _________________________________________________ DATE: ________________
Print Name: __________________________________________________________________________
Title: ________________________________________________________________________________
Telephone #:_________________ Email: ___________________________Fax #:__________________
The DGA will require a payroll deposit for all projects. Exceptions may be:
� Companies which have a 100% guarantee from a Qualified Distributor/Buyor (“QD”) or Qualified
Residuals Payor (“QRP”) company for signatory obligations;
� Companies whose Parent Company is a QD or QRP company;
� All of the initial compensation due to the DGA-covered categories of crew is escrowed with a third party
acceptable to the DGA;
� The signatory company has a long-standing, credible history with the Guild and with the DGA-Producer
Pension and Health Plans.
A Signatories Representative will calculate the deposit and inform the producer. The deposit agreement must be
signed and the deposit delivered to the payroll house prior to the time DGA members begin to provide their
services. The payroll deposit is held until the Guild has confirmed that the correct and full payment of all
compensation due to the DGA crew during principal photography, or according to an individual personal
services contract, has been received by each individual.
LB-DM-DIR
Directors Guild of America 7920 Sunset Blvd. Los Angeles CA 90046 (310) 289-2000 (310)289-5393-FAX
LOW BUDGET AGREEMENTDIRECTOR DEAL MEMORANDUM
Deal Memos must be submitted no later than commencement of servicespursuant to Basic Agreement Article 4 -108.
This confirms our agreement to employ you to direct the project described as follows:
DIRECTOR INFORMATIONName: ________________________________________________ SSN# (last 4 digits): __________________
Loanout: _______________________________________________________ FID.#: _________________
Address: _______________________________________________________ Tel.#: __________________
_______________________________________________________
Salary (U.S. dollars): $____________________ per Film per Week per Day
Additional Time: $_____________ per Week per Day
Start Date (on or about): ___________________ Guaranteed Period: __________ Days Weeks
If this is the employee’s first DGA-covered employment, check here (optional): YesIf the Director’s compensation will be $200,000 or more, is it contemplated that the Director’s serviceson the project will span two (2) calendar years (i.e. commence in one calendar year and finish in a subsequentcalendar year) between commencement of preparation and delivery of answer print? Yes No
PROJECT INFORMATIONFilm Title: _______________________________________________________________________________
Budget (U.S. dollar amount): $_______________________________
Check (if applicable): Second Unit Director Replacement Director Trailer, Talent Test or Promo Additional Photography
INDIVIDUAL having final cutting authority over the film is: ___________________________________Other Conditions (include credit above minimum): _______________________________________________________________________________________________________________________________________
POST PRODUCTION INFORMATIONAll dates must be provided upon commencement of Principal Photography. Revisions should be submitted assoon as practicable.Director’s Cut Start Date:___________________________ Director’s Cut Finish Date:______________________Special Photography & Processes Date (if any):____________ Delivery of Answer Print Date:___________________Theatrical Release Date:______________________________ Post-Production Location:______________________
This employment is subject to the provisions of the Directors Guild of America Basic Agreement.
Accepted and Agreed: Signatory Employer (print): ____________________________________
Employee:_______________________________ By: ____________________________________
Date:___________________________________ Date: ____________________________________
BA-C3-Addendum
Theatrical and Television Film Director
Post-Production Information
Pursuant to Sections 4-108 and 7-506 of the Directors Guild of America Basic Agreement, the Employer is
required to furnish the Guild with post-production information upon commencement of principal photography of
a theatrical motion picture or a television motion picture 90 minutes or longer, to the extent that such
information is then known to the Employer.
The Employer shall notify the Director and the Guild as soon as practicable in the event of a change in the
post-production schedule.
Director:____________________________________________________________________
Project Title:_________________________________________________________________
Director’s Cut Start Date:_______________ Director’s Cut Finish Date:_______________
Post-Production Location: ____________________________________________________
Dates of Special Photography & Processes (if any): ________________________________
Delivery of Answer Print Date:__________________________________________________
Theatrical Release Date:_______________ Television Broadcast Date:_______________
Company Representative (signature):___________________________________
Representative Name (please print):___________________________________
Name of Company (please print):___________________________________
Contact Phone #:___________________________________
Please return to: Directors Guild of America
ATTN: Reports Compliance Dept.
7920 Sunset Blvd.
Los Angeles CA 90046
FAX: 310.289.5393
For your convenience: DGA forms and deal memos may be obtained by logging on to
www.dga.org (select “Contracts” then “DGA Forms.”)
LB-DM-BTL
Directors Guild of America 7920 Sunset Blvd. Los Angeles CA 90046 (310) 289-2000 (310)289-5393-FAX
LOW BUDGET AGREEMENTUNIT PRODUCTION MANAGER AND ASSISTANT DIRECTOR
DEAL MEMORANDUMDeal Memos must be submitted no later than commencement of services,
pursuant to Basic Agreement Article 13-107.
This confirms our agreement to employ you on the project described as follows:
AD/UPM INFORMATION
Name: _________________________________________________ SSN# (last 4 digits): _________________
Loanout: _______________________________________________________ FID.#: _________________
Address: _______________________________________________________ Tel.#: __________________
_______________________________________________________
Category: Unit Production Manager 2nd Second Assistant Director First Assistant Director Additional Second Assistant Director Key Second Assistant Director Technical Coordinator / Other
Photography (check all that apply): Principal Second Unit Re-Shoots Add’l Photography
Salary (U.S. dollars): (Studio) $____________ (Location) $____________ per Day Week and shall be prorated thereafter.
Production Fee (U.S. dollars): (Studio) $____________ (Location) $____________
Start Date (on or about): ______________________ Guaranteed Period: _________ Days Weeks
PROJECT INFORMATION
Film Title: _______________________________________________________________________________
Budget (U.S. dollar amount): $ _____________________________________
Other conditions (credit, suspension, per diem, deferred compensation, etc.):______________________________
________________________________________________________________________________________
________________________________________________________________________________________
Location: Studio Distant Location: _____________________ Both: _____________________
This employment is subject to the provisions of the Directors Guild of America Basic Agreement.
Accepted and Agreed: Signatory Employer (print): __________________________________
Employee:________________________________ By: ______________________________________
Date:____________________________________ Date: ______________________________________
DIRECTORS GUILD OF AMERICA, INC.REPORTS COMPLIANCE
Deal memoranda and the reports described below must be submitted to:
Directors Guild of America, Inc.Attn: Reports Compliance
7920 Sunset Blvd.Los Angeles, CA 90046Email: [email protected]
Phone: 310-289-2064 / Fax: 310-289-5393
DEAL MEMORANDA, pursuant to Paragraphs 4-108 and 13-107 of the DGA Basic Agreement (“BA”) andArticle 14 of the Freelance Live & Tape Agreement (“FLTTA”), must be delivered to the DGA for all personsemployed in DGA-covered categories. Each deal memo is due before commencement of employment andmust be signed by an authorized representative of the signatory company.
EMPLOYMENT DATA REPORTS (“EDR”), pursuant to BA Article 15 and FLTTA Article 19, andeffective as of September 1, 2013, are due within:
* 45 days after the close of principal photography for a theatrical motion picture, a television motion pictureninety (90) minutes or longer, pilot, presentation or single program;
* 45 days after the wrap or recording of the last episode of the season of a television series; or
* no later than February 15th of the following year for strip dramatic, strip variety, quiz and game and “AllOther” programs produced on an annual rather than seasonal basis.
If the Employer is unable to submit the EDR within the above time periods, it may request an additional 15days within which to submit the EDR. The Guild will not unreasonably deny the Employer’s request .
Each EDR may cover only one motion picture, one season of an episodic television series, one year of anannual program or one single project. The EDR identifies the gender and ethnicity of persons employed onthat motion picture, season, year or single project. The EDR should not include DGA Trainees. (Seeenclosed instructions and form for further information.)
EMPLOYER QUARTERLY GROSS EARNINGS REPORTS, pursuant to BA 1-501 and FLTTA Article5, are due within 15 days after the close of each calendar quarter. Each report must list all persons employedin DGA-covered categories along with their projects, Social Security numbers and total gross earnings for thatquarter. Each report may cover only one signatory company but may include more than one project by thatsignatory company.
Gross earnings include, but are not limited to:
*salary (prep, shoot & post) * production fee * completion of assignment*extended workday/overtime * turnaround pay * holiday pay (worked & unworked)*vacation pay * series sales bonus * capricious discharge pay
Gross earnings should not include residuals payments of any kind, per diem (including incidentals), travelallowance, profit participation, gross participation and reimbursements which are not compensation forservices rendered under the BA or FLTTA.
WEEKLY WORK LISTS, pursuant to BA 1-501, show all persons employed in DGA-covered categoriesduring the prior week along with their categories, projects and dates of employment. Each Weekly Work Listmay cover only one project and should not include DGA Trainees.
Deal memoranda and other Reports Compliance forms can be found on the DGA website at www.dga.org(at the top of the homepage, place the cursor on "Employers," and then select "Deal Memos & ReportsCompliance Forms") or by calling the DGA Reports Compliance Dept. at 310-289-2064.
White African- American Hispanic Asian-American Native American Unknown
MALE 1/56
FEMALE 1/25
Instructions for Employment Data Report
Pursuant to Article 15 of the DGA Basic Agreement and Article 19 of the DGA Freelance Live &Tape Television Agreement, Employers must submit Employment Data Reports identifying thegender and ethnicity of persons employed in DGA-covered categories. The report must alsoidentify Directors employed on prime time dramatic television programs who have no prior creditson such programs.
Employment Data Reports should be submitted:
- once for a theatrical motion picture, television motion picture ninety (90) minutes orlonger, pilot, presentation or single program and is due within 45 days after close ofprincipal photography;
- once per season for an episodic television series and is due within 45 days after thewrap or recording of the last episode; or
- once per year for strip dramatic, strip variety, quiz and game and “All Other” programsproduced on an annual rather than seasonal basis and is due no later than February 15thof each year following production.
Two types of statistics must be reported in the following format:
1. Indicate the number of persons employed in the categories listed below:
White Asian-AmericanAfrican-American Native AmericanHispanic Unknown
2 Indicate the total number of days worked or guaranteed. Total days shouldinclude travel days, prep days, production days and post-production days.When the same member is employed on multiple episodes in a series, theemployee should only be counted once in the number of employees, but allthe employee's cumulative days worked should be included in the totalnumber of days worked or guaranteed.
* * * *
The below example shows one male White director was employed for a total of 56 days worked orguaranteed. One female African American director was employed for a cumulative total of 25days worked or guaranteed.
DIRECTOR:
Date: Signatory Company:
Project Title: Prepared By:
Season/Year Covered: Phone: Email:
White African-American Hispanic Asian-American Native American Unknown
MALE
FEMALE
White African-American Hispanic Asian-American Native American Unknown
MALE
FEMALE
White African-American Hispanic Asian-American Native American Unknown
MALE
FEMALE
White African-American Hispanic Asian-American Native American Unknown
MALE
FEMALE
White African-American Hispanic Asian-American Native American Unknown
MALE
FEMALE
White African-American Hispanic Asian-American Native American Unknown
MALE
FEMALE
Directors Guild of America, Inc.7920 Sunset Blvd.Los Angeles CA 90046310-289-2064 / Fax: 310-289-5393Email: [email protected]
DGA Employment Data Report(print or type)
DIRECTOR:
FIRST TIME DIRECTORS: Primetime Dramatic Television Programs
UNIT PRODUCTION MANAGER:
FIRST ASSISTANT DIRECTOR:
SECOND ASSISTANT DIRECTOR (all Second ADs, including Key Second ADs, Second Second ADs and Additional Second ADs):
ASSOCIATE DIRECTOR (formerly known as “Technical Coordinators”): Primetime Multi-Camera Dramatic ProgramsWhite African-American Hispanic Asian-American Native American Unknown
MALE
FEMALE
ASSOCIATE DIRECTOR: Live & Tape TelevisionWhite African-American Hispanic Asian-American Native American Unknown
MALE
FEMALE
STAGE MANAGER: Live & Tape Television
Directors Guild of AmericaEmployer Quarterly Gross Earnings Report
QUARTER/YEAR COVERED:_____________________________________________
Signatory Company: ____________________________Contact Name: _______________________________Address: ____________________________City/State/Zip: ___________________________________________________________________________________Phone:_____________ __Fax: ___ _____Email:____________________
RETURN TO: Directors Guild of America, Inc. Email: [email protected]: Reports Compliance Phone: 310-289-20647920 Sunset Blvd. Fax: 310-289-5393Los Angeles, CA 90046
Name SSN (last 4 digits) Category Project Earnings
Prepared By:____________________________________________________________________________Phone:______________________ Fax:____________________ Email:_____________________________
Directors Guild of America
WEEKLY WORK LISTProject / Episode: _Week Start Date: Week End Date: _Signatory Company: ____________________________Contact Name: _______________________________Address: ____________________________City/State/Zip: ___________________________________________________________________________________Phone:_____________ __Fax: ___ _____Email:____________________
RETURN TO: Directors Guild of America, Inc. Email: [email protected]: Reports Compliance Phone: 310-289-20647920 Sunset Blvd. Fax: 310-289-5393Los Angeles, CA 90046
Name SSN (last 4 digits) Category
Prepared By:_________________________________________________________________________Phone:____________________ Fax:___________________ Email:____________________________