Name of Organisatons: Project Name / Description: ACTUALS PROJECT INCOME TOTAL Earned Income Admissions/Box Office1 "1,2,3 Performing Arts applicants must complete the worksheet below to calculate earned income for these budget lines" $- $- Fees/Sales2 $- $- Merchandise/Bar3 $- $- Bank Interest $- $- Other Earned Income please specify $- $- Total Earned Income $- $- Private Support Your Funds The total amount of your cash contributions to the project $- $- Sponsorship Cash $- $- Non-cash $- $- In-kind Wages and Fees Should balance with any in-kind Wages and Fees in Expenses $- Philanthropic Grants $- $- Other please specify $- $- Total Private Support $- $- Government Funding Arts Tasmania The amount of the grant you are requesting from Arts Tasmania $- $- Other TAS State Funding source: $- $- Local Government council: $- $- Australia Council for the Arts board: $- $- Other please specify: $- $- Total Government Funding $- $- Total Income $- $- EARNED INCOME For performing arts applications only Admissions/Box Office1 Number of Performances * not including sell offs or in-school performances Total Ticket Sales Ticket Price Total Sales Adults $- $- Concession $- $- Other $- $- Number Price Per Perf. Total Sales *Sell-off Performance Fees $- $- Total Income from Performances: $- 1 Fees/Sales2 (eg. workshops) Number of Workshops Total Workshop Sales Ticket Price Total Sales Adult Participants $- $- Concession Participants $- $- Total Income from Workshops $- 2 Merchandise/Bar3 No. of Events Avg. Sales per Event Total Sales Programmes $- $- Food $- $- Bar $- $- Other $- $- Total Income from Merchandise/Bar $- 3 Be sure to transfer these figures back to Project Income Total $- Occupancy Calculations Total ticket sales for the season 0 "Do not include in-school performances, sell-off performances or workshop attendances in occupancy calculations." Total number of performances 0 Average Attendance #DIV/0! Venue seating capacity per performance Occupancy #DIV/0! PROJECT EXPENSES Please provide amounts relating to the total expense as well as specifying the portion that is relevant to your Arts Tas grant. TOTAL Arts Tas Component Wages and Fees Position / Role Name In-kind (ü) Hours Rate/hr Total Fee Total Fee $- $- $- $- $- $- $- $- $- $- $- $- $- $- $- Total on-costs (Where super or allowances are payable on a wage(s) $- $- $- " Total Salaries, Wages and Fees " $- $- $- Travel/Touring Costs $- Accommodation $- $- $- Airfares $- $- $- Living Allowances $- $- $- Petrol / Mileage Allowance $- $- $- Other please specify $- $- Other please specify $- $- $- Total Travel/Touring Costs $- $- Production Costs Materials Please see notes below $- $- $- Course Fees $- $- $- Royalties and Licence Fees $- $- $- Venue Hire and On-costs $- $- $- Freight $- $- $- Printing "Costs related to the production, not the promotion, of your work" $- $- $- Structural and Copy Editing "Costs related to the production, not the promotion, of your work" $- $- $- Other please specify $- $- Other please specify $- $- $- Total Production Costs $- $- Publicity and Promotion Costs $- Advertising $- $- $- Distribution Costs $- $- $- Promotional Materials $- $- $- Other please specify $- $- Other please specify $- $- $- Total Publicity and Promotion Costs $- $- Administration Expenses $- Accounting and Audit Fees $- $- $- Phone/Fax/Consumables $- $- Bank Fees $- $- $- Insurance $- $- $- Legal Fees $- $- $- Other please specify $- $- Other please specify $- $- $- Total Administration Expenses $- $- Total Expenditure $- $- Surplus/Deficit $- $- * *The balance of Arts Tasmania Income and Expenditure should be $0 NOTES ú "This form is designed for use for all art forms, so use the lines that are applicable to your project only" ú "In-kind contributions are those that do not involve cash. Together with the cash amounts, they form the full cost of your project, so please include them when formulating your budget. In-kind or non-cash income must have matching amounts in the expenditure. You can not profit from in-kind income." ú "Materials: If a significent amount of your budget is made up of costs for materials, please attached a a detailed breakdown of the specific materials and associated costs" ú Ensure that the amount requested from Arts Tasmania is fully expended ú "If you are registered for GST, show GST-exclusive amounts. " ú "If you are not registered for the GST, show GST-inclusive amounts" ú "*'Sell-off Performances' refers to the sale of a performance for a set fee, e.g. to a school or community group."