Okaloosa County BOCC — October 23, 2014 — VI.j. Special Events Policy — reading text

Printed Name of Applicant 8 BCC Adopted xx-xx-2014  Emerald Coast Local Event Funding Expense Reimbursement Request (Deadline: September 30) FESTIVAL, EVENT, MEETING OR CONVENTION (“EVENT”) INFORMATION: Event Name: LY Event Dates: From: To: Amount of Funding Awarded: $ N To receive Local Event Funding reimbursement, please submit the following: O 1. Invoice from your organization to Okaloosa County for payment of expenses, as approved in the Funding Application. 2. Proof of Performance (e.g. tear sheets, online screen shots, schedules and signed station affidavits, website N analytics reports) showing Emerald Coast logo and/or link, as approved in the Funding Application. 3. Proof of Payment (e.g. paid vendor invoice, front and back of cleared check, detailed credit card receipt), as applicable on the approved Funding Application. IO AUTHORIZED EXPENSES REQUESTED FOR REIMBURSEMENT: Expense – Only as approved in the Funding Application SS Actual Amount U C IS D C TD TOTAL $ R MARKETING & PROMOTIONAL ACTIVITIES: FO Provide a summary of the type (e.g. print, tv, radio, online) and location (e.g. out-of-county, regional, national) o f media exposure associated with this event. 9 BCC Adopted xx-xx-2014 VISITOR INFORMATION: Local (non-lodging) Attendees Out-of-Town (lodging) Visitors Total Attendees & Visitors LY LODGING OCCUPANCY: Rooms per Night Number of Total Room Lodging Facility N (A) Nights (B) Nights (A x B) 0 O 0 0 N 0 IO 0 0 SS 0 0 0 U 0 C Total Event Room Nights 0 IS Please explain if actual room nights differ from the total estimated room nights on the Funding Application by more than 10%. D C TD For Jade and Emerald funding levels only: Attach verification of all lodging nights reported (e.g. lodging partner reports or ticket sales data). R FO I certify that the above information is true and accurate to the best of my knowledge. Signature of Applicant Date Printed Name of Applicant 10 BCC Adopted xx-xx-2014