HAR-122 ASCAP/BMI/SESAC Live Event Reporting Form

This form is to be completed by the ACC/ICC registrar, or chapter representative within 10 days following the event. Complete fields relevant to your event only. If you have questions on completing this form, direct them to financeoffice@harmonyinc.org

For ACC and ICC: report complimentary and paid AEPs separately and report them only once for the event. The numbers and revenue include AEP’s of all types and price points. Be sure to include in your revenue all monies you will receive from corporate for subsidized Youth AEP's. Subtract any included dinner revenue from sales. You must report the following information:

Number of complimentary AEPs
Number of Paid AEPs
Total revenue (excluding dinners)

Single Event tickets: report complimentary and paid tickets (at-the-door or pre-sold, such as for a show) separately and by day. Subtract any included dinner revenue (i.e. Moonglow ticket dinner cost) from sales. You must report the following information:

Number of complimentary tickets issued per day
Number of paid tickets issued per day
Total attendance-based revenue per day (excluding dinners)
Donations in lieu of ticket sales should be included in the total revenue

Host Organization*

Area #, Chapter Name, ICC Team

Your Name*

First NameLast Name

Your Email address*

example@example.com

Name of Venue*

Venue Seating Capacity*

Venue Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What kinds of tickets or passes were sold for this event? Select all that apply*

Multi-session All Events PassSingle Event tickets

Date(s) of Event*

Number of Days during which you presented a live musical performance to an audience*

Include shows, quartet contest, chorus contest, showcase, moonglow, etc.

Did you have more than one ticketed performance running simultaneously?*

YesNo

Does your AEP include a dinner*

YesNo

Number of Complimentary AEPs issued*

Number of Paid AEPs *

Revenue (excluding dinners)*

Include any donations received in lieu of ticket sales

Single Event Tickets*

	# of Complimentary Ticket	# of Paid Tickets	Total Revenue $
Day 1
Day 2
Day 3
Day 4

If your event was co-sponsored by another ASCAP Licensee, please provide their name and License number below.

Name & ASCAP License # of co-sponsor

If proceeds of your event, minus reasonable expenses, go entirely to a bona fide charitable organization not associated with your group, please provide details below.

Charitable organization name, contact information, and charitable registration number if available