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2. ORGANIZATION INFORMATION
4. Organization Name*
6. Contact Person Name*
8. Email Address*
9. Contact Phone Number*
11. Mailing Address
12. City
13. Zip Code
15. Name of Funded Initiative (if different from org name)
17. PROGRAM REPORT
19. Total Attendance*
20. Estimated Tourist Attendance (non-residents)*
22. Method(s) Used to Track Tourists*

    1. Zip Code Collection
    2. Online Ticket Sales

    1. Onsite Surveys
    2. Other
23. Please explain
25. INITIATIVE OVERVIEW
27. Brief summary of how the event/program was executed (including timeline, highlights, and overall outcome).*
29. How did this initiative promote tourism in Fountain Inn*
31. Considerations: Was this initiative successful enough to repeat? What would you change/improve?*
33. FINANCIAL REPORT
35. Total Amount Awarded by City*
36. Total Amount Spent*
38. Tell us how the H-Tax funds were used! If any categories do not apply to you, type 0
40. Printing/Publications Total Expense *
41. Details of Printing/Publications
43. Advertising/Marketing/Promotions Total Expense *
44. Details of Advertising/Marketing/Promotions
46. Entertainment/Speaker/Artist/Instructor Total Expense*
47. Details of Entertainment/Speakers/Artists/Instructors
49. Municipal Services / Security Total Expense*
50. Details of Municipal Services / Security
52. Tourism Related Facilites/Services Total Expense *
53. Details of Tourism Related Facilites/Services
55. Other
56. Please Specify
58. Total*
60. CERTIFICATION
62. I certify that all information provided is true and accurate, and that all expenditures submitted for reimbursement comply with SC law and the guidelines set forth by the City of Fountain Inn’s Hospitality Tax Program.
64. Full Name of Person Completing this Report*
65. Date*
    Date
67. Title within the Organization *
69. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
71. Electronic Signature*
Leave This Blank:


73. 1. Receive an email copy of this form.
74. Email address

    This field is not part of the form submission.

75. Submit Submit and Print

* indicates a required field