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$: DGA, Homepage - Signatory Application/media/Files/Employers/new...Rev. 4-7-2011 J:\SIG-RC\FILESHR\2008 DGA Form Templates\08 PIFs and Signatory Application\Signatory Application-092408.wpd$
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: ____________________________________________________________________


CIF SECTION B: LIMITED LIABILITY COMPANY (LLC)

MEMBERS**: MANAGERS**:

_________________________________________________% ________________________________________________%

_________________________________________________% ________________________________________________%

_________________________________________________% ________________________________________________%

_________________________________________________% ________________________________________________%

_________________________________________________% ________________________________________________%

_________________________________________________% ________________________________________________%

** Each Member and/or Manager that is a separate company must complete


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: ____________________________________________________________________


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.


CIF SECTION D: GENERAL PARTNERSHIP OR JOINT VENTURE

PARTNER OR JOINT VENTURER**:

______________________________________________________________________________________ __________%

______________________________________________________________________________________ __________%

______________________________________________________________________________________ __________%

______________________________________________________________________________________ __________%

**Each Partner or Joint Venturer, which is a separate company must complete


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:


CIF SECTION E: LIMITED PARTNERSHIP (Ltd.)

GENERAL PARTNERS**: LIMITED PARTNERS**:

_______________________________________ ______% _______________________________________ ______%

_______________________________________ ______% _______________________________________ ______%

_______________________________________ ______% _______________________________________ ______%

_______________________________________ ______% _______________________________________ ______%

_______________________________________ ______% _______________________________________ ______%

**Each General or Limited Partner which is a separate company must complete


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:


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.


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: ______________________________________________________________________________


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:_________________


OTHER C ONTACT:

_______________________________________________

Name

_______________________________________________

Company

_______________________________________________

Address

_______________________________________________

Address

_______________________________________________

City/State/Zip

_______________________________________________

Phone Fax

_______________________________________________

Email

CIF SECTION J: COMPANY CONTACTS

BUSINESS ACCOUNTANT OR MANAGER:

_______________________________________________

Name

_______________________________________________

Company

_______________________________________________

Address

_______________________________________________

Address

_______________________________________________

City/State/Zip

_______________________________________________

Phone Fax

_______________________________________________

Email

AGENT FOR SERVICE OF PROCESS:

_____________________________________________

Name

_____________________________________________

Law Firm

_____________________________________________

Address

_____________________________________________

Address

_____________________________________________

City/State/Zip

_____________________________________________

Phone Fax

_____________________________________________

Email

OTHER C ONTACT:

_______________________________________________

Name

_______________________________________________

Company

_______________________________________________

Address

_______________________________________________

Address

_______________________________________________

City/State/Zip

_______________________________________________

Phone Fax

_______________________________________________

Email


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


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 #:__________________


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:


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


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:____________________________________________________________________________ _______________


Director:___________________________________________________________________________ _______________

UPM :______________________________________________________________________________ _______________

First AD:___________________________________________________________________________ _______________

Key Second AD:_____________________________________________________________________ _______________

2nd Second AD:______________________________________________________________________ _______________

Add’l Second:_______________________________________________________________________ _______________

Assoc.Dir:__________________________________________________________________________ _______________

Assoc.Dir (line cut):__________________________________________________________________ _______________

Other: _____________________________________________________________________________ _______________


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):


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.


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:

__________________________________________________________________________________


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:_______________________________________


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:_______________________________________


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:_______________________________________


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.


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#:____________________


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#:____________________


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.”)

http://www.dga.org

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


MALE

FEMALE


MALE

FEMALE


MALE

FEMALE


MALE

FEMALE


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:____________________________

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