MOTION PICTURE PRODUCTION TAX CREDIT - Rhode Island …
MOTION PICTURE PRODUCTION TAX CREDIT
INFORMATION REQUEST FORM
For current calendar or taxable year beginning _____________ and ending _____________
Send the following information directly to:
Rhode Island Film & TV Office
One Capitol Hill, 3rd Floor
Providence, Rhode Island 02908
401-222-3456
Motion Picture Production Company Name: _________________________________________________________
Federal Employer Identification No. (FEIN): ________________________________________________________
Name of production: ____________________________________________________________________________
Production company representative: ________________________________________________________________
Telephone: _______________________________ E-mail address: _______________________________________
1. Total (anticipated/final) Rhode Island motion picture production budget: $__________________________
2. Total (anticipated/final) Rhode Island tax credit received: $______________________________________
3. Number of (anticipated/final) Rhode Island jobs created: ________________________________________
4. Total (anticipated/final) Rhode Island wages paid: $____________________________________________
5. (Anticipated/final) Rhode Island wages or salaries of $1,000,000 or more paid to any one individual included in the total Rhode Island wages paid:
$___________________________________________ and # of individuals: ________________________
6. Other (anticipated/final) wages paid: $________________ and # of individuals: ____________________
7. Number of (anticipated/final) full-time jobs created within Rhode Island: __________________________
8. Full-time (anticipated/final) job wage rate or salary paid: $______________________________________
9. (Anticipated/final) type of health benefits provided to full-time employees: _________________________
_____________________________________________________________________________________
10. Number of (anticipated/final) part-time jobs created within Rhode Island: __________________________
11. Part-time (anticipated/final) job wage rate or salary paid: $______________________________________
12. (Anticipated/final) type of health benefits provided to part-time employees: _________________________
______________________________________________________________________________________
13. (Anticipated/final) film production geographic locations within Rhode Island (city/town): ______________
______________________________________________________________________________________
______________________________________________________________________________________
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