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ASCAP
ASCAP WRITERS APPLICATION

                                                  PUBLISHERS

                            APPLICATION

 

Complete this Application only if you cannot apply online.

Find out if you are eligible to apply on online by going to “Join ASCAP,” at www.ascap.com/about/howjoin.asp.

It’s faster, more efficient, and facilitates ASCAP’s ability to communicate with you. Only if you are not eligible to

apply online should you proceed with using a paper application.

To proceed with the Paper Application, please fill out the attached four (4) forms:

m ASCAP Publisher Application

m ASCAP Membership Agreement

m ASCAP Application Processing Fee Form

m W-9 Form—Request for Taxpayer Identification Number and Certificate

(Required by the Internal Revenue Service)

Sign all four (4) forms. Keep a copy for your files.

The signature on the Agreement must match the signature on your Application. If you are under 18, a

parent’s or guardian’s signature is required on both the Agreement and Application.

Complete the application processing fee payment section:

There is a non-refundable processing fee of $75 due upon submission of your application. ASCAP will not process

your application without payment. You may pay by credit card, check or money order. Do not send cash.

Send all four (4) completed and signed forms together to:

Membership Application Enclosed, ASCAP, One Lincoln Plaza, New York, NY 10023

IN ACCORDANCE WITH PARAGRAPH 11 OF THE ASCAP MEMBERSHIP AGREEMENT, if you have

granted the right to license your works for performances in foreign countries to any other entity, please

provide us with a list showing each such country, the entity with which you have such an agreement, the

date the agreement expires, and any other pertinent information concerning that agreement.

TAX FORM: The IRS requires that ASCAP has accurate tax information on file for all members who are U.S.

citizens or resident aliens. ASCAP CANNOT PROCESS YOUR APPLICATION IF THE W-9 FORM IS NOT

COMPLETED AND SIGNED. If you use your Social Security Number for your publishing entity, your name and

Social Security Number (SS#) must match the name and number as they appear on your Social Security card.

If you have obtained a separate Tax ID# for your publishing entity, use this number on Form W-9.

If you are not a U.S. citizen or resident alien, you will need to fill out a W-8BEN Form. The W-8BEN Form can

be downloaded from the Internal Revenue Service’s website at: www.irs.gov. You can also request the

form by calling ASCAP’s Member Management Administration office in New York at (212) 621-6240.

ARTICLES OF ASSOCIATION, RULES AND REGULATIONS AND AFJ2: The Application asks you to

acknowledge that you have read ASCAP's Articles of Association, Compendium of Rules and Regulations, and

the Second Amended Final Judgment entered in U.S. v. ASCAP ("AFJ2"). All of these documents are available

on our website at: www.ascap.com/reference/. ASCAP will also provide printed copies of these documents

upon request at no charge.

NOTIFICATION OF ACCEPTANCE. If you are elected to membership, you will receive notice of acceptance

along with your personalized ASCAP Member Card indicating your Member Code Number. A fully executed

copy of your agreement will be kept on record at ASCAP.

If there is a problem with your application, ASCAP’s Member Management Administration will contact you.

THANK YOU FOR APPLYING!

H-P-ENG-2009-10 ASCAP, One Lincoln Plaza, New York, NY 10023 (212) 621-6000 WWW.ASCAP.COM

13

ASCAP PUBLISHER APPLICATION Instructions

45

1. COMPANY NAME: In order to collect your publishing royalty income, you must establish a publishing company with a unique name, and your

ASCAP publishing company CANNOT be affiliated with any other performing rights licensing organization. Please list four choices for this name in

order of preference, not to exceed 50 characters, including spaces. The first publishing company name in your order of preference which is “cleared”

for your use will be your ASCAP publishing company name. Names are checked according to pronunciation and various spellings. PLEASE NOTE: If

your publishing company will be a subsidiary of your corporation or LLC, you must include the corporation or LLC as part of the publishing company

name, e.g. ABC Corp. d/b/a XYZ Music Publishing Company. PLEASE ALLOW 2-3 WEEKS FOR THE CLEARANCE PROCESS.

(1)

(2)

(3)

(4)

2. CORRESPONDENCE ADDRESS:

C/O (if applicable)

Street Address Apt. #

City State Zip Country

Phone Number ( ) Fax Number ( )

E-mail*

* ASCAP will use your e-mail address for ASCAP correspondence only. We will not share or sell your e-mail address. You may opt out of receiving ASCAP e-mail

correspondence or change your email address at any time, but only after you have completed the application process and have been accepted as a member.

Please note: Publisher contact information for performed works will be listed in the ACE database on the ASCAP web site.

ROYALTY ADDRESS: (only if you would like your royalties and performance statements sent to a different address than above)

C/O (if applicable)

Street Address Apt. #

City State Zip Country

Phone Number ( ) Fax Number ( )

3. THIS COMPANY WAS FORMED AS A: (check one)

Individual Ownership/Sole Proprietorship (fill out A below)

Partnership or Joint Venture (fill out B and #4, below)

Corporation or Limited Liability Company (LLC) (fill out C and #4, below)

A. INDIVIDUAL OWNERSHIP/SOLE PROPRIETORSHIP:

OWNER’S NAME (FULL LEGAL NAME)

SOCIAL SECURITY # OR TAX IDENTIFICATION #

Please note: If you are providing a Social Security Number, it should be associated with your legal name.

Do you wish to have royalty checks made payable in the company’s name, or in your name? (check one)

Company name My name doing business as (d/b/a) Company name

B. PARTNERSHIP OR JOINT VENTURE:

TAX IDENTIFICATION # YEAR ESTABLISHED

Social Security numbers CANNOT be used as Tax ID numbers.

List All Partners or Co-Venturers (first name, last name)* Social Security # (for each partner or co-venturer listed)

(attach additional pages if needed)

__________________________________________________ ________________________________________

__________________________________________________ ________________________________________

__________________________________________________ ________________________________________

H-P-ENG-2009-10 ASCAP, One Lincoln Plaza, New York, NY 10023 (212) 621-6000 WWW.ASCAP.COM

ASCAP PUBLISHER APPLICATION

C. CORPORATION OR LLC:

TAX IDENTIFICATION # STATE OF INCORPORATION DATE OF CHARTER

IMPORTANT NOTE: You CANNOT apply as a corporation if you have not registered as one with your state. Social Security numbers CANNOT be used as Tax ID numbers.

LIST ALL OFFICERS OR MEMBERS (first name, last name) AND TITLES* (attach additional pages if needed)

LIST ALL STOCKHOLDERS (corporations only) OR ALL OWNERS (LLC’s only)* (attach additional pages as needed)

4. PUBLISHER REPRESENTATIVE:

Each publisher member, unless an individual ownership/sole proprietorship, must file the name of a person who will be the publisher’s representative,

for all purposes, to ASCAP (see Articles of Association, Article III, Section 10). This person must be an officer, partner, co-venturer or owner. Please

list this designated representative’s name and capacity below.

INDIVIDUAL’S NAME (FIRST NAME, LAST NAME)

CAPACITY, i.e. officer (specify office held), partner, co-venturer or owner

SIGNATURE OF DESIGNATED REPRESENTATIVE

5. If any of the individuals or entities listed in 3A, 3B or 3C are or have been members or affiliates of

ASCAP BMI SESAC or a foreign performing right licensing organization

please provide the following information: (if more than three individuals, attach additional pages if needed.)

INDIVIDUAL’S NAME (FIRST NAME, LAST NAME)

INDIVIDUAL’S NAME (FIRST NAME, LAST NAME)

INDIVIDUAL’S NAME (FIRST NAME, LAST NAME)

If a publisher, please indicate:

NAME OF COMPANY SOCIAL SECURITY or TAX ID #

SUBSTANTIATING WORK INFORMATION

To qualify for membership in ASCAP, you must be engaged in the music publishing business, and have assumed the financial risk involved

in the normal publication of musical works or own compositions regularly performed by ASCAP’s licensees (e.g., be the publisher of at least

one musical work or song that has been commercially recorded, performed publicly in any venue licensable by ASCAP, performed in any

audio visual or electronic medium, or available for sale or rental as sheet music, a score or folio).

6. I AM APPLYING FOR MEMBERSHIP, BASED ON THE FOLLOWING MUSICAL WORK OR SONG PUBLISHED BY

MY (OUR) COMPANY:

Title of ONE musical work or song*:

Songwriter(s)/Composer(s)

* Entering the title of your work is solely for the purpose of substantiating your qualifications for ASCAP membership. A title registration with ASCAP for this work must be

submitted upon your membership election.

7. Please complete AT LEAST ONE of the following requirements (7A, 7B, 7C, 7D) that you as a publisher meet to

qualify for membership in ASCAP and provide the information requested based on the musical work or song listed

in number 6 above:

A. Public performance in any venue licensable by ASCAP (club, live concert, symphonic concert or recital venue, college

or university, etc.)

Performer:

Name of Venue:

Date of Performance*: Location (city, state):

* The Date of Performance must be in the past. If you don’t have this qualification, you may be able to apply using another method of substantiation.

OR B. Performance in any audio visual or electronic medium (film, television, radio, Internet, cable, pay-per-view etc.)

Medium:

Title or name of film, television program, website, radio station:

Date of Performance*:

* The Date of Performance must be in the past. If you don’t have this qualification, you may be able to apply using another method of substantiation.

H-P-ENG-2009-10 ASCAP, One Lincoln Plaza, New York, NY 10023 (212) 621-6000 WWW.ASCAP.COM

Page 2

OR C. A commercial recording

Recording Artist:

Date of Release*: Record Label (Includes independent or self releases):

* The Date of Release must be in the past. If you don’t have this qualification, you may be able to apply using another method of substantiation.

OR D. Published sheet music, score or folio available for sale or rental

Title of published sheet music, score or folio:

8. Please list the type of musical genre you primarily work in (check only one):

Popular, or

Symphonic/Concert Music (works for orchestra, chamber ensemble, chorus, wind ensemble, concert band,

solo instrumental, electro-acoustic forces, etc.).

9. WARRANTIES AND REPRESENTATIONS

A. Applicant warrants that the work listed in Item #6 above is a domestic or foreign copyrighted musical composition owned by Applicant

as of this date. If a foreign copyright, performing rights for the United States and Canada are owned by Applicant.

B. Applicant also hereby represents that there are no existing assignments or licenses, direct or indirect, of non-dramatic performing rights

in or to the musical work listed in Item #6 above accept for the assignments or licenses of which Applicant has attached true copies.

C. Applicant has read the ASCAP Articles of Association, Compendium of Rules and Regulations, and Second Amended Final Judgement

entered in U.S. vs ASCAP (“AFJ2”), and agrees to be bound by them, as now in effect, and as they may be amended, and Applicant

agrees to execute agreements in such form and for such periods as the Board of Directors shall have required and shall hereafter require

for all members.

D. Applicant represents that Applicant meets the eligibility requirements for publisher membership, as set forth herein. Applicant

understands that ASCAP reserves the right to request substantiation of eligibility at any time.

E. Applicant warrants and represents that all of the information furnished in this application is true. Applicant acknowledges that any

agreement entered into between ASCAP and the company will be in reliance upon the representations contained in this application, and

that this membership will be subject to termination if any information contained in this application is not complete and accurate, or if the

names of each owner, stockholder and officer are not provided as requested.

Optional: Publisher Digital Home Recording (“DART”) Royalties Election

Under the Audio Home Recording Act of 1992, royalties are paid by manufacturers and importers of digital audio recording equipment and recording

media (e.g., blank tapes or discs). The royalties are shared by writers, publishers, recording artists and record companies. ASCAP can act on behalf

of those members who specifically designate ASCAP to represent them in digital audio royalty matters under the Act. SEE DART FACT SHEET ON

BACK FOR MORE INFORMATION BEFORE MAKING YOUR DECISION. IF YOU ARE UNDECIDED, YOU MAY LEAVE THIS SECTION BLANK.

YES, Applicant grants the American Society of Composers, Authors and Publishers (“ASCAP”) the exclusive right to collect and distribute digital

audio royalty payments as provided in Public Law No. 102-563 (the Audio Home Recording Act of 1992), as such law may be amended and

payments for home recording of Applicant’s copyrighted musical works outside of the United States, with respect to all of the musical works

described in the ASCAP Membership Agreement.

NO, Applicant does not wish ASCAP to represent me regarding home recording rights.

Undecided

PLEASE SIGN YOUR LEGAL NAME HERE:

Sign Here Date

Signature of parent or guardian if applicant is under 18 Date

REMINDER: YOU MUST MAIL THE FOLLOWING FOUR (4) FORMS TOGETHER TO:

Membership Application Enclosed, ASCAP, One Lincoln Plaza, New York, NY 10023

m ASCAP Publisher Application (this form)

m ASCAP Membership Agreement

m W-9 Form or other applicable tax form. (See instructions.)

m Application Processing Fee Form. (See instructions.)

ALL FOUR (4) FORMS MUST BE COMPLETED AND SIGNED OR YOUR APPLICATION WILL BE RETURNED TO YOU.

For ASCAP office use only: Card type/check #_____________________________ Transaction Code:__________________________________ Date:__________________________

H-P-ENG-2009-10 ASCAP, One Lincoln Plaza, New York, NY 10023 (212) 621-6000 WWW.ASCAP.COM

Page 3

APPLICATION PROCESSING FEE: There is a non-refundable processing fee of $75 due upon submission of your

application. ASCAP cannot process your application without payment of this fee. You may pay by credit card, check

or money order. Do not send cash.

If paying by check or money order, please make payable to ASCAP and staple or clip it here:

If paying by credit card, please complete the following information:

CARDHOLDER INFORMATION:

Cardholder Name:

Billing Address: Apt. #:

City: State: Zip: Country:

Card Type: Visa[ ] Mastercard[ ]

Card Number:

Card ID Number (This is the last 3-digit number on the back of your credit card. See illustration below):

Expiration Date: Month______ Year______

H-P-ENG-2009-10 ASCAP, One Lincoln Plaza, New York, NY 10023 (212) 621-6000 WWW.ASCAP.COM

ASCAP PUBLISHER APPLICATION

Page 4

ASCAP

DART (Digital Audio Recording Technology) Fact Sheet

The Audio Home Recording Act of 1992 created new royalty funds to be shared by writers, publishers, recording artists

and record companies. Royalties are paid by manufacturers and importers of digital audio recording equipment and

recording media (e.g., blank tapes or discs).

The royalties are then divided into two funds. One-third of the total paid is allocated to the Musical Works Fund. (The

other two-thirds is allocated to the Sound Recordings Fund, to be shared by recording artists and record companies.)

The Musical Works Fund is then subdivided 50-50 into a Writers Subfund and a Publishers Subfund. Royalties are

allocated to claimants within each subfund based on broadcast performances or phonorecord sales.

Royalties are allocated among the interested parties in each subfund as they agree or, in the absence of agreement, as

a Copyright Arbitration Royalty Panel and the Copyright Office decide.

ASCAP will act on behalf of those members who specifically designate ASCAP to represent them in digital audio

royalty matters under the Act. ASCAP’s services on behalf of those members include negotiations with other individual

and joint claimants to Musical Works Fund royalties to reach voluntary agreement for the fair and equitable distribution

of royalty payments. In the absence of such voluntary agreements, ASCAP will represent those members in distribution

proceedings before the Copyright Arbitration Royalty Panel, and seek the maximum award of royalties to which those

members are entitled. ASCAP will then distribute to those members the digital audio royalty payments collected.

ASCAP has a long and very successful track record in representing our members before the Copyright Arbitration

Royalty Panel and its predecessor entity, the Copyright Royalty Tribunal, in the collection and distribution of royalties

paid by users pursuant to the cable, satellite home carrier, jukebox and noncommercial broadcast compulsory licenses.

ASCAP is positioned, by virtue of our experience and the records we maintain in the ordinary course of business, to

provide these valuable additional services with respect to digital audio royalty payments to our membership.

ASCAP is able to render these services at minimal cost, primarily by using data we process in our routine survey of

radio feature performances. We also rely on retail sales data electronically gathered by a computerized information management

network. We will also include in the amount to be distributed all interest earned while sums are in the process

of distribution, in keeping with ASCAP’s normal practice.

Claims to each year’s royalties must be filed in January or February of the next year. Thus, for example, claims to this

year’s royalties must be filed between January 1 and February 28 of next year.

You need not have ASCAP represent you in digital audio royalty distribution proceedings—you may appear individually,

or have another entity represent you. HOWEVER, IF YOU WANT ASCAP TO REPRESENT YOU, YOU MUST CHECK

“YES” ON THE ASCAP PUBLISHER APPLICATION FORM. IF YOU CHECK “YES,” YOU MAY TERMINATE THIS RIGHT

GRANTED TO ASCAP AS OF JANUARY 1 OF ANY YEAR GIVING NOTICE BY CERTIFIED MAIL TO ASCAP TO BE

RECEIVED NO LATER THAN SEPTEMBER 30 OF THE PRECEDING YEAR.

IF YOU DO NOT DESIGNATE ASCAP TO REPRESENT YOU IN THIS MATTER AND YOU DO NOT FILE A TIMELY

CLAIM ON YOUR OWN BEHALF OR MAKE ARRANGEMENTS TO BE REPRESENTED BY SOME OTHER

ORGANIZATION, THERE IS NO POSSIBILITY THAT YOU WILL RECEIVE ANY PAYMENT OF DIGITAL AUDIO WRITER

OR PUBLISHER ROYALTIES. DO NOT MISS THE OPPORTUNITY FOR ADDITIONAL ROYALTIES BECAUSE YOU

FAILED TO TAKE ACTION WHEN IT MATTERED.

If you have any questions, please contact our Member Services Department at 1-800-952-7227.

H-P-ENG-2009-10 ASCAP, One Lincoln Plaza, New York, NY 10023 (212) 621-6000 WWW.ASCAP.COM

Agreement made between the Undersigned (for brevity called “Owner”)

and the AMERICAN SOCIETY OF COMPOSERS, AUTHORS AND

PUBLISHERS (for brevity called “Society”), in consideration of the

premises and of the mutual covenants hereinafter contained, as follows:

1. The Owner grants to the Society for the term hereof, the right to

license non-dramatic public performances (as hereinafter defined),

of each musical work:

Of which the Owner is a copyright proprietor; or

Which the Owner, alone, or jointly, or in collaboration with others,

wrote, composed, published, acquired or owned; or

In which the Owner now has any right, title, interest or control

whatsoever, in whole or in part; or

Which hereafter, during the term hereof, may be written, composed,

acquired, owned, published or copyrighted by the Owner, alone,

jointly or in collaboration with others; or

In which the Owner may hereafter, during the term hereof, have any

right, title, interest or control, whatsoever, in whole or in part.

The right to license the public performance of every such musical work

shall be deemed granted to the Society by this instrument for the term

hereof, immediately upon the work being written, composed, acquired,

owned, published or copyrighted.

The rights hereby granted shall include:

(a) All the rights and remedies for enforcing the copyright or copyrights

of such musical works, whether such copyrights are in the

name of the Owner and/or others, as well as the right to sue under

such copyrights in the name of the Society and/or in the name of the

Owner and/or others, to the end that the Society may effectively

protect and be assured of all the rights hereby granted.

(b) The non-exclusive right of public performance of the separate

numbers, songs, fragments or arrangements, melodies or selections

forming part or parts of musical plays and dramatico-musical

compositions, the Owner reserving and excepting from this grant

the right of performance of musical plays and dramatico-musical

compositions in their entirety, or any part of such plays or dramaticomusical

compositions on the legitimate stage.

(c) The non-exclusive right of public performance by means of radio

broadcasting, telephony, “wired wireless,” all forms of synchronism

with motion pictures, and/or any method of transmitting sound other

than television broadcasting.

(d) The non-exclusive right of public performance by television

broadcasting; provided, however, that:

(i) This grant does not extend to or include the right to license

the public performance by television broadcasting or otherwise of

any rendition or performance of (a) any opera, operetta, musical

comedy, play or like production, as such, in whole or in part, or (b)

any composition from any opera, operetta, musical comedy, play

or like production (whether or not such opera, operetta, musical

comedy, play or like production was presented on the stage or in

motion picture form) in a manner which recreates the performance

of such composition with substantially such distinctive scenery or

costume as was used in the presentation of such opera, operetta,

musical comedy, play or like production (whether or not such opera,

operetta, musical comedy, play or like production was presented on

the stage or in motion picture form): provided, however, that the

rights hereby granted shall be deemed to include a grant of the right

to license non-dramatic performances of compositions by television

broadcasting of a motion picture containing such composition if the

rights in such motion picture other than those granted hereby have

been obtained from the parties in interest.

(ii) Nothing herein contained shall be deemed to grant the right

to license the public performance by television broadcasting of

dramatic performances. Any performance of a separate musical

composition which is not a dramatic performance, as defined herein,

shall be deemed to be a non-dramatic performance. For the purposes

of this agreement, a dramatic performance shall mean a performance

of a musical composition on a television program in which there is a

definite plot depicted by action and where the performance of the

musical composition is woven into and carries forward the plot and

its accompanying action. The use of dialogue to establish a mere

program format or the use of any non-dramatic device merely to

introduce a performance of a composition shall not be deemed to

make such performances dramatic.

(iii) The definition of the terms “dramatic” and “non-dramatic”

performances contained herein are purely for the purposes of this

agreement and for the term thereof and shall not be binding upon or

prejudicial to any position taken by either of us subsequent to the

term hereof or for any purpose other than this agreement.

(e) The Owner may at any time and from time to time, in good faith,

restrict the radio or television broadcasting of compositions from

musical comedies, operas, operettas and motion pictures, or any

other composition being excessively broadcast, only for the purpose

of preventing harmful effect upon such musical comedies, operas,

operettas, motion pictures or compositions, in respect of other

interest under the copyrights thereof; provided, however, that the

right to grant limited licenses will be given, upon application, as to

restricted compositions, if and when the Owner is unable to show

reasonable hazards to his or its major interests likely to result from

such radio or television broadcasting; and provided further that such

right to restrict any such composition shall not be exercised for the

purpose of permitting the fixing or regulating of fees for the recording

or transcribing of such composition, and provided further that in no

case shall any charges, “free plugs,” or other consideration be

required in respect of any permission granted to perform a restricted

composition; and provided further that in no event shall any

composition, after the initial radio or television broadcast thereof, be

restricted for the purpose of confining further radio or television

broadcasts thereof to a particular artist, station, network or program.

The Owner may also at anytime and from time to time, in good faith,

restrict the radio or television broadcasting of any composition, as to

which any suit has been brought or threatened on a claim that such

composition infringes a composition not contained in the repertory of

Society or on a claim by a non-member of Society that Society does

not have the right to license the public performance of such

composition by radio or television broadcasting.

2. The term of this Agreement shall be for a period commencing on the

date hereof and continuing indefinitely thereafter unless terminated by

either party in accordance with the Articles of Association.

3. The Society agrees, during the term hereof, in good faith to use its

best endeavors to promote and carry out the objects for which it was

organized, and to hold and apply all royalties, profits, benefits and

advantages arising from the exploitation of the rights assigned to it by

its several members, including the Owner, to the uses and purposes as

ASCAP MEMBERSHIP AGREEMENT

provided in its Articles of Association (which are hereby incorporated by

reference), as now in force or as hereafter amended.

4. The Owner hereby irrevocably, during the term hereof, authorizes,

empowers and vests in the Society the right to enforce and protect such

rights of public performance under any and all copyrights, whether

standing in the name of the Owner and/or others, in any and all works

copyrighted by the Owner, and/or by others; to prevent the infringement

thereof, to litigate, collect and receipt for damages arising from infringement,

and in its sole judgment to join the Owner and/or others in whose

names the copyright may stand, as parties plaintiff or defendants in suits

or proceedings; to bring suit in the name of the Owner and/or in the

name of the Society, or others in whose name the copyright may stand,

or otherwise, and to release, compromise, or refer to arbitration any

actions, in the same manner and to the same extent and to all intents

and purposes as the Owner might or could do, had this instrument not

been made.

5. The Owner hereby makes, constitutes and appoints the Society, or its

successor, the Owner’s true and lawful attorney, irrevocably during the

term hereof, and in the name of the Society or its successor, or in the

name of the Owner, or otherwise, to do all acts, take all proceedings,

execute, acknowledge and deliver any and all instruments, papers,

documents, process and pleadings that may be necessary, proper or

expedient to restrain infringements and recover damages in respect to or

for the infringement or other violation of the rights of public performance

in such works, and to discontinue, compromise or refer to arbitration any

such proceedings or actions, or to make any other disposition of the

differences in relation to the premises.

6. The Owner agrees from time to time, to execute, acknowledge and

deliver to the Society, such assurances, powers of attorney or other

authorizations or instruments as the Society may deem necessary or

expedient to enable it to exercise, enjoy and enforce, in its own name or

otherwise, all rights and remedies aforesaid.

7. It is mutually agreed that during the term hereof the Board of Directors

of the Society shall be composed of an equal number of writers and

publishers respectively, and that the royalties distributed by the Board of

Directors shall be divided into two (2) equal sums, and one (1) each of

such sums credited respectively to and for division amongst (a) the

writer members, and (b) the publisher members, in accordance with the

system of apportionment and distribution of royalties as determined by

the Board of Directors in accordance with the Articles of Association as

they may be amended from time to time.

8. The Owner agrees that the apportionment and distribution of royalties

by the Society as determined from time to time by the Board of Directors

of the Society, in case of appeal by him, shall be final, conclusive and

binding upon him. The Society shall have the right to transfer the right of

review of any apportionment and distribution of royalties from the Board

of Directors to any other agency or instrumentality that in its discretion

and good judgment it deems best adapted to assuring to the Society’s

membership a just, fair, equitable and accurate apportionment and

distribution of royalties. The Society shall have the right to adopt from

time to time such systems, means, methods and formulae for the

establishment of a member’s apportionment and distribution of royalties

as will assure a fair, just and equitable distribution of royalties among

the membership.

9. “Public Performance” Defined. The term “public performance” shall

be construed to mean vocal, instrumental and/or mechanical renditions

and representations in any manner or by any method whatsoever,

including transmissions by radio and television broadcasting stations,

transmission by telephony and/or “wired wireless”; and/or reproductions

of performances and renditions by means of devices for reproducing

sound recorded in synchronism or timed relation with the taking of

motion pictures.

10. “Musical Works” Defined. The phrase “musical works” shall be

construed to mean musical compositions and dramatico-musical

compositions, the words and music thereof, and the respective

arrangements thereof, and the selections therefrom.

11. The powers, rights, authorities and privileges by this instrument

vested in the Society, are deemed to include the World, provided,

however, that such grant of rights for foreign countries shall be subject

to any agreements now in effect, a list of which is attached hereto.

12. The grant made herein by the Owner is modified by and subject to

the provisions of (a) the Second Amended Final Judgment in United

States vs ASCAP, Civ. Action No. 41-1395 (S.D.N.Y. June 11, 2001), as

the same may be amended from time to time, and (b) the provisions of

the Articles of Association and resolutions of the Board of Directors.

SIGNED, SEALED AND DELIVERED, on this of , .

day month year

Owner*

Society

SIGN YOUR LEGAL NAME HERE

PRINT OR TYPE YOUR FULL LEGAL NAME HERE (MUST MATCH NAME ON APPLICATION)

* SIGNATURE OF PARENT OR GUARDIAN, IF APPLICANT IS UNDER 18

PRINT OR TYPE NAME OF PARENT OR GUARDIAN

AMERICAN SOCIETY OF COMPOSERS, AUTHORS AND PUBLISHERS

BY

PRESIDENT AND CHAIRMAN OF THE BOARD

{

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ASCAP l One Lincoln Plaza, New York, NY 10023 l (212) 621-6000