CAPACOA_CLMA_CAFE_Aug 2024.xlsx

	A	B	C	D	F	G	H	I	J	K	L	M	N	O	P	Q	R	U	V	X	Y
1												Music License Reporting Form
2	Alberta											Music License Reporting Form
3	British Columbia											For CAPACOA, CLMA, CAFE members
4	Manitoba	Use this form to calculate amounts owing for RE:SOUND licenses; you may require extra licensing from SOCAN. Please contact us for more details.
5	New Brunswick
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7	Newfoundland and Labrador	Notes to assist you in completing this form:
8	Nova Scotia	• This form is used to calculate the amounts owing for use of recorded music to accompany live events only by CAPACOA/CAFE/CLMA members. • Please complete all fields of this form where applicable, and make sure to sign the bottom before submitting it. • If you are unsure about any of the information requested in this form, please contact our Licensing Department for assistance.
9	Ontario
10	Prince Edward Island
11	Quebec
12	Saskatchewan		Account Number:													Reporting Year:
13	Northwest Territories		Business Name:													Legal Name:
14	Nunavut		Contact Name:													Title:
15	Yukon		Street Address (if multiple locations please attach list):
16			City:							Province:							Postal Code:
17			Phone:							Fax:							Email:
18			Mailing Address (if different from above):
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20		Recorded Music Accompanying Live Entertainment (5.A)
21		List the total number of performances for both integral and incidental use of music, and total admissions. Enter zeroes (0) if no events.
22		Admissions Integral Use in a Performance (at least 10% of performance)				# of Events		Admissions Incidental Use in a Performance (less than 10% or 10mins total)				# of Events		Fee				Tax			2023
23						# of Events						# of Events		Fee				Tax			2024
24														Please complete all fields					$ -		2025
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26		Receptions (5.B)
27		List the number of events held in each room capacity, separated for events without dancing and events with dancing.
28		Number of events without dance									Number of events with dance
29		Capacity						A			Capacity					B			tax
30		1-100		0	x $29.89		=	$ -			1-100			x $59.80	=				$ -
31		101-300		0	x $42.98		=	$ -			101-300			x $86.05	=				$ -
32		301-500		0	x $89.70		=	$ -			301-500			x $179.39	=				$ -
33		Over 500		0	x $127.08		=	$ -			Over 500			x $254.16	=				$ -
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35		Festivals, Exhibitions and Fairs (5.D)
36		Enter the number of days and total attendance, using separate lines per event. Enter zeroes (0) if no events.																		Yes
37		# of Days		Total Attendance			Avg. Attendance		Fee Per Day		Subtotal		tax
38									Select Year				0
39	TRUE								Select Year				0
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41		Concerts (5.J)
42		List the total number of performances. Enter zeroes (0) if no events.
43		# of Concerts with Recorded Music			Subtotal					Tax		Capacity
44		# of Concerts with Recorded Music			Subtotal							Capacity
45					Select Year					$ -
46															By signing you agree that you have the authority to bind the licensee, and that all information provided herein is correct and complete. After you have read, completed, and signed this form, please send it along with your payment to:
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48		License Fee Subtotal							$ -
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50		Tax (QST #1226601046TQ0001 and							$ -
51		GST/HST #720627314 RT0001)
52		Total (CAD)							$ -
53															Entandem
54															41 Valleybrook Drive, Toronto,
55		Signature of Authorised Officer							Date						ON M3B 2S6
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