Tourism Growth Reimbursement Request

Step 1 of 3

Name of Event or Project*
Name of Organization*
Address*
Street Address Address Line 2 City State ZIP Code
Amount to Receive*

No more than 50% of E1 or more than amount awarded.
Event Date(s)*
Contact Name*
Title*
Phone*
Email*
Total Event Expenses*
Total Event Revenues*
Total Event Attendance*
% Attendance from outside County*
Check Recipient Name*
Check Recipient Address*
Street Address Address Line 2 City State ZIP Code

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Revenue
This section is to provide information about what funding was secured for the event, and revenues. Use additional pages, and attach ledgers if necessary.
(R1) Event income from sales*

Any income from ticket, advertising or exhibitor spots, etc.
Income from sponsorships and donations
Any income from organizations or individuals in the form of sponsorships or donations--not including this CVB request.
Add additional fields by clicking on the + button on right
Name of sponsor or donor Amount of donation
(R2) Total sponsorship and donations*
(R3) Total Income before CVB Grant*

Add R1 to R2
(R4) Amount Requested from CVB*
(R5) Total Revenue*

Add R3 to R4
Expenses
This section is to provide information about how funds were spent. It should list only funds related to this particular addition or enhancement. Do not include marketing expenses if Co Op Advertising Grant was received. Matching funds may be comprised of up to 50% in-kind donations (at least 50% of the matching funds must be cash). Use additional pages, if necessary.
Add additional fields by clicking on the + button on right
Item Description Cost In-Kind (Yes or No)

In item description include where receipt is from and what it was used for i.e. John Smith, Speaker Fee
Upload Expense Receipts
Drop files here or

Max. file size: 50 MB.
(E1) Total Expenses*

Reminder: This grant is for 50% matching funds. To receive the full amount of requested funds from the CVB, the Total Expense above must equal twice the amount requested.
Net Revenue
(B1) Total Projected Revenue (R5)*
(B2) Total Projected Expenses (E1)*
Net Revenue*

Subtract B1 from B2
Signature*

An electronic signature above signifies this document is complete, and all information within is accurate.
Title*
Date*
MM slash DD slash YYYY
Comments
This field is for validation purposes and should be left unchanged.

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Return Completed Reimbursement Request information to: Hancock County Convention & Visitors Bureau, Attn: Tourism Growth, 123 East Main Cross, Findlay, Ohio 45840, Fax: 419-422-9508 or Email: info@visitfindlay.com

Note: Completed request must be submitted no later than 60 days after the end of the event.

A complete request consists of: Completed request form, Copies of proof of expenditures, Original artwork or photographs of VisitFindlay logo featured in promotional materials. Questions? Contact the CVB at 419.422.3315, or email info@visitfindlay.com.

Tourism Growth Reimbursement Request

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Tourism Growth Reimbursement Request

Step 1 of 3

Revenue

Income from sponsorships and donations

Expenses

Net Revenue

Name of sponsor or donor	Amount of donation

Item Description	Cost	In-Kind (Yes or No)