Applicants should be familiar with the Low Budget Independent by taoyni

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									                                                                                                         For Telefilm Canada use
                           International Marketing Program                                               Application #
                           International Sales Promotion Pilot                                           Date Received
                                                                                                                             Y        M             D
                           Initiative (French-language Films)
                           Application Form
                                                                                                                                          Page 1 of 4

                                         Did you know you can apply online using eTelefilm?
It’s fast, secure and user-friendly! Benefits for this program include direct deposit and more! Give it a try: http://www.telefilm.gc.ca/eTelefilm

Applicants should be familiar with the International Sales Promotion Pilot Initiative (French-language Feature Films)
guidelines, the Canada Feature Film Fund (CFFF) guidelines and the applicable Telefilm Canada business policies prior to
completing this application form. Please complete all information requested and include all relevant documentation with your
application. Please note that this application form must be signed by all applicants prior to submission to Telefilm Canada.

CURRENT TITLE OF PROJECT                                                           PREVIOUS TITLE(S) OF PROJECT


ISAN NUMBER (IF APPLICABLE; 26 DIGITS):
LEGAL NAME OF APPLICANT COMPANY                                                    APPLICANT’S RELATIONSHIP TO THE PROJECT:
                                                                                   Production company:     Distribution Company:   Sales Company:
ADDRESS                                                                            CITY                 PROVINCE        COUNTRY        POSTAL CODE

TELEPHONE                           FAX                                            EMAIL FOR OFFICIAL NOTIFICATION      WEB ADDRESS
(     )      -                      (       )        -
CONTACT FOR THIS FILE




LEGAL NAME OF SALES COMPANY (IF APPLICABLE)


ADDRESS                                                                            CITY                 PROVINCE        COUNTRY        POSTAL CODE

TELEPHONE                           FAX                                            WEB ADDRESS
(     )           -                 (       )        -

     PROJECT MUST HAVE RECEIVED FUNDING FROM THE CANADIAN FEATURE FILM FUND (CFFF) – FRENCH-LANGUAGE
                                                                                        1
                 MARKET IN EITHER THE CURRENT OR THE PREVIOUS FISCAL YEAR TO BE ELIGIBLE .

PLEASE PROVIDE CFFF PRODUCTION FINANCING INFORMATION
CFFF PRODUCTION APPLICATION NUMBER:                                                DATE OF CONTRACT:




HAS THIS PROJECT EVER BEEN SUBMITTED TO TELEFILM                           Yes            No If it received funding, please provide the following
CANADA FOR INTERNATIONAL MARKETING SUPPORT?                                                  information:
                                                                                           FESTIVAL / SALES PROMOTION
AMOUNT                            DATE OF CONTRACT                                         SUPPORT                            APPLICATION NUMBER
$
                              Y            M                                   D
HAS THIS APPLICANT EVER APPLIED TO TELEFILM CANADA                         Yes            No If it received funding, please provide the following
FOR INTERNATIONAL MARKETING SUPPORT?                                                         information:
AMOUNT                    DATE OF CONTRACT                                                 PROJECT TITLE(S)                   APPLICATION NUMBER
$
$
$
                                        Y                M                     D




1
    Telefilm Canada’s fiscal year starts in April 1st and ends in March 31st                                                                 TFC0210
Telefilm Canada International Marketing Program
International Sales Promotion Pilot Initiative (French-language Feature Films)
Application Form
                                                                                                                                            Page 2 of 4

TECHNIQUE:              ORIGINAL VERSION:                PROJECT GENRE (SELECT ONLY ONE):                SHOOTING FORMAT:
    Animation           X French                            Action/Adventure                             Film                               mm
    Conventional                                            Animation                                    Video                              (specify)
                                                            Comedy                                       DELIVERY FORMAT:
                                                            Romantic Comedy                              Film                               mm
                                                            Drama                                        Video                              (specify)
TARGET AUDIENCE:        DUBBED VERSION:                     Historical Drama
    Children                English                         Documentary                                  DURATION:              mins
    Youth                   Other                           Horror/Thriller
    General                                                 Mystery/Crime/Police                         PRODUCTION YEAR:
                                                            Musical
                                                            Science Fiction/Fantasy/Tale
                                                            Western

CULTURAL CONTENT        Cultural content refers to content only – NOT production personnel
(CHECK ONLY ONE):       (Note: this information is gathered for statistical purposes only)
    Aboriginal          Must be PRIMARILY about aboriginal characters or issues.
                        Must be PRIMARILY about visible minority characters or issues OR characters or issues based on first
    Multicultural
                        generation immigrants to Canada from Eastern Europe or Latin America.
    General             All other projects.

OFFICIAL CANADIAN CO-PRODUCTION:                                No                          Minority*                         Majority
CO-PRODUCTION COUNTRIES (SPECIFY WHICH COUNTRIES):
CANADIAN CERTIFICATION:                                    Type:                       Number:                            Content Points:
WHICH VERSION DOES THIS APPLICATION COVER?                      Original                    Dubbed or sub-titled              Both
* Note: Applications for co-productions where Canada is the minority country are not eligible under this program.

PROPOSED FINANCING               SPECIFY LEGAL NAME OF COMPANY OR ORGANIZATION                                                                  AMOUNT
Telefilm Canada                  May not exceed the lesser of 75% of eligible costs or $50,000                                                  $
Distribution Company                                                                                                                            $
                                                                                                                                                $
                                                                                                                                                $
Other                                                                                                                                           $
Total financing                                                                                                                                 $

IS THE PRODUCTION COMPANY RELATED TO THE DISTRIBUTION COMPANY?                           Yes             No

DATE OF DISTRIBUTION AGREEMENT:                                                      DATE OF SIGNATURE:
                                        Y/M/D                                                                       Y/M/D

DURATION OF RIGHTS:                                                         FROM:                                   TO:
                                        Years                                        Y/M/D                                 Y/M/D
TERRITORY(IES):
MEDIA:




                                                                                                                                               TFC0210
Telefilm Canada International Marketing Program
International Sales Promotion Pilot Initiative (French-language Feature Films)
Application Form
                                                                                                                                                   Page 3 of 4

                                             REQUIRED DOCUMENT CHECKLIST
At the time of application, together with this completed application form, the applicant must provide all of the documentation
listed below. Please be advised that during the review of your project, the applicant may be required to provide additional
documentation or information. Telefilm Canada reserves the right to request any document or information it deems relevant,
including, but not limited to, any document or information pertinent to the eligibility of the applicant and the project.

Please be advised that Telefilm Canada will not act as a depositary or be responsible in any way for the holding or return of
any material submitted at any time in connection with the application or the project and such material may be destroyed at
any time. All applications, complete with the required documentation, must be submitted no later than 5 p.m. local time on
the deadlines established for the Initiative. Refer to Telefilm Canada’s website for the deadline dates.
                                                                                                                                                    FOR TFC
                                                                                                                                    ENCLOSED
                                                                                                                                                    USE ONLY
1. Application form, duly completed and signed.
2. Detailed International Marketing Plan including:
      a description of the international sales and promotion strategy
      a detailed description of the eligible costs
      a detailed budget
      targeted foreign territories and media
      international sales revenues estimation (gross and net) by media and foreign market
3. Brief description of the applicant’s track record
4. Brief description of the foreign sales agent or distributor’s track record, when the applicant is the
   producer.
5. A brief description of the film director’s track record, main cast and their track record, and the film’s
   domestic performance if it has been released on the domestic market.
6. A letter by the applicant confirming that costs applied for will not be covered by any other federal or
   provincial support program.
7. Copy of the distribution or sales agreement (if the sales agent or international distributor is non-                                (N/A    )
   Canadian)

8. The following documents are required if they have been updated or modified since the                              ENCLOSED                       FOR TFC
                                                                                                                                     ON FILE
   production company’s last funding application to Telefilm Canada:                                                                                USE ONLY
    Incorporation documents for applicant production company(ies) and parent company(ies), if
     applicable, with list of shareholders indicating citizenship and ownership share
    Corporate financial statements for the past three fiscal years
                                                                     1

    Shareholder or partner’s agreement (as applicable)
    Corporate secretary’s certificate naming the shareholders and the number of shares held
     by each
    Corporate secretary’s certificate naming the officers and indicating their signing authority
    Declaration of Corporate Information (form available on TFC website)
    Canadian Status of Corporation Affidavit (form available on TFC website)

Please be advised that the successful applicant will be required during contracting to provide Telefilm Canada with further
documentation. This documentation may include but not be limited to:
       Canadian citizenship affidavits
       Cost reports (as required by Telefilm Canada)
       Final cost report with affidavit or final review engagement report or audited final cost report (as specified in the agreement)




1
    The applicant must provide for the last three fiscal years:
       (a) consolidated and audited annual financial statements, if consolidated annual gross revenue of the applicant and its related parties is equal to
            or greater than $10 million;
       (b) consolidated annual financial statements, together with a review engagement report if consolidated annual gross revenue of applicant and its
            related parties is equal to or greater than $5 million but less than $10 million;
       (c) non-consolidated annual financial statements, together with a notice to readers if consolidated annual gross revenue of the applicant and its
            related parties is less than $5 million.
     Notwithstanding the foregoing, Telefilm reserves the right to request from the applicant, at any time and at Telefilm’s absolute discretion, consolidated
     and audited annual financial statements.

                                                                                                                                                     TFC0210
Telefilm Canada International Marketing Program
International Sales Promotion Pilot Initiative (French-language Feature Films)
Application Form
                                                                                                                               Page 4 of 4

                            TELEFILM CANADA IS SUBJECT TO THE ACCESS TO INFORMATION ACT

APPLICANT STATEMENTS

The undersigned authorized representative of the applicant hereby:
        Authorizes Telefilm Canada to discuss and disclose any information concerning any aspect of the funding application, the
         project, any previously completed project, the applicant and any related party to the applicant with every entity connected (in
         Telefilm’s opinion) with the funding application, the project, any previously completed project, the applicant and any related
         party to the applicant, including, but not limited to, actual or proposed financial partners, corporate and/or completion
         guarantors, interim financier(s), auditors, legal counsel(s), the Department of Canadian Heritage, CAVCO and other
         governmental entities, (collectively the “Entities”). The applicant further authorizes said Entities to discuss and disclose to
         Telefilm Canada, any information concerning any aspect of the funding application, the project, any previously completed
         project, the applicant, its company and any related party to the applicant or its company;
        Authorizes Telefilm Canada to disclose on its website any and all information pertaining to the application and/or project, such
         as the project title, genre and format, writing language and production companies;
        Agrees to notify Telefilm Canada immediately if and when any changes occur to any of the submitted documents and shall
         provide written details of same;
        Declares that the applicant has not entered into any oral or written agreement or side deal that conflicts with any of the
         provisions of this application form, the International Sales Promotion Pilot Initiative (French-language Feature Films)
         guidelines, the CFFF guidelines and applicable Telefilm Canada business policies;
        Declares that the project complies and will continue to comply with the International Sales Promotion Pilot Initiative (French-
         language Feature Films) guidelines, the CFFF guidelines and applicable Telefilm Canada business policies;
        Has made and shall make full disclosure to Telefilm Canada of any dispute, and actual or potential litigation in connection with
         the project;
        Declares that all persons specified as being Canadian in the application and all accompanying documentation, are Canadians,
         in accordance with the Investment Canada Act, the Immigration and Refugee Protection Act or the Citizenship Act;
        Declares that the applicant owns the rights to exploit and benefit from the exploitation of the film in the designated territories
         within the marketing plan;
        Authorizes Telefilm Canada to reproduce and distribute internally to its employees and subcontractors, all material submitted
         at any time in connection with the project, using any medium or support including its internal servers.

The undersigned hereby solemnly declares and warrants that the information and documents submitted for this application
are accurate, true and complete, and makes this solemn declaration knowing that it is of the same force and effect as if made
under oath.

Signature of Applicant:

                                      I am duly authorized


                                      (Please print )
Title:


                                                                     Date:
                                                                                    Y                    M                     D




                                                                                                                                   TFC0210

								
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