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CM-2018-1829 - 8/27/2018
GOVERNOR GREG ABBOTT ECONOMIC DEVELOPMENT & TOURISM Events Trust Fund Disbursement Request Events Trust Fund, Major Events Reimbursement Program or Motor Sports Racing Trust Fund The Applicant shall complete this form to request a disbursement for an approved Events Trust Fund application, along with supporting documentation. This request and all supporting documentation must be submitted no later than 180 days after the conclusion of the event. Disbursement will only be made to the Applicant. For a request submitted by a Local Organizing Committee, documentation shall be submitted showing the prior approval of the disbursement request by each endorsing entity. TAC Rule § 184.41(a)(6). Please submit all documents to evenLsfRngEqov. texas. gov. To accommodate large files, secure file transfers are available upon request. Regarding the Events Trust Fund Disbursement Request in the amount of $17,103.90, for the 2018 College Table -E���adl�e, Tennis National Championships (name of the event) 1, y (name of authorized official), approve of each cost submitted for disbursement from the trust fund. I certify that each cost is necessary to fulfill obligations under the Event Support Contract. I certify that the funds will not be used for the purpose of soliciting the relocation of a professional sports franchise already located in this state; and that no costs sought for disbursement from the trust fund are also being disbursed by another entity. I also certify that I have the authority to make this certification statement on behalf of the applying entity, and I take responsibility for the disbursement being requested. Please provide the following information: Entity Disbursement is being made to: City of Round Rock Federal Tax ID Number: 746017485 Texas Tax ID Number: 17460174851 JJft4 20 U f 1 f2q POST OFFICE BOX 12428 AUSTIN, TExAs 78711 * 512-936-0100 * Gov.TEXA5.GOV General explanation of costs that the disbursement request represents: {tights Fee Note: Disclosure of Information under the Public information Act. All disbursement documentation submitted to the Office of the Governor (OOG) is subject to disclosure under the Texas Public Information Act, Chapter 552 of the Texas Government Code ("the Act"), whether created or produced by the applicant or by any third -party. If it is necessary to include proprietary or otherwise confidential information in the documents submitted, that particular information should be clearly identified as such. Merely making a blanket claim that all documents are protected from disclosure because they may contain some proprietary or confidential information is not acceptable, and will not render the information confidential. Any information which is not clearly identified as proprietary or confidential will be released in accordance with the Act. Does the disbursement request documentation contain any items marked as confidential and/or proprietary? Yes ❑ No Primary Contact for Disbursement Request: Debra Doss Primary Contact Phone Number: 512-218-5435 Primary Contact Email: ddoss@roundrocktexas.gov Signatory must be someone the applying entity has determined is eligible to bind the applying entity. 1 A YL lilt�Q Signature ss1. 6M V,44XM,ter Title and Named rganizatio Printed Name V ,-2 -7l Date POST OFFICE Box 12428 AUSTIN, TEXAS 78711 * 512-936-0100 * Gov.TEXA5.GOV § � � §� § E co c : ` b ■ � t; � cc � §��} C'.CL� IS ■ ..■ I � \ � C }_ A . k q cu E� " U. Eo E ■:�� k Ij k k:. )22 CO e c� m 4 ƒ 2 a ek en % e 10 I.. : q .. m o o■ §% .0 e21 /k ; C' . o 2u�3� § uWA C § 2 R § uz dCL , �Ij��§� R ID •;�§ u > - _ - x \ \ § c , [ © ■ . t } c. en $ f u J ■ ,$ p z .- § k I., a,i National Collegiate Table Tennis Association 154 Mill Run Ln Saint Peters, MO 63376-7106 (314) 800-5377 treasurer@nctta.org hltp://www.nctte.org Bill To The City of Round Rock Attn: Nancy Yawn 231 E. Main St. Round Rock, TX 78664 4-1 �UtaAL • {�yIAUIE Via. �xi. Cr� Invoice Date Invoice # 1011 7 1718-002 Due Date j t 3118118 Activit Quantl!X Rate Amount 2018 TMS National Collegiate Table Tennis Championships 1 10000.00 10000.00 Host City Sponsorship (US$) 151 Half U.S. Bank Harvester 1 Harvester Square Saint Charles, MO 63303 1!� REgFIVED National ollegiate Table rennis Association treasurer@nctta.org SEP 2 0 2011 BY: Tota! $10,000.00 (314) 800-5377 Pay Ten Thousand Dollars and 00 cents ****** To The NATIONAL COLLEGIATE TABLE TENNIS ASSOCIATION Order Of 154 MILL RUN LANE SAINT PETERS, MO 63376-7106 City of Round Rock, Round Rock, TX 78664 Page 1 of 1 Check Check Date Number 03/1612018 10039174 $10,000.00 FILE COPY NON-NEGOTIABLE Check Number: 10039174 Invoice Date Invoice Number Descokn City of Round Rock 03/01/2018 NVendor umber 221 E. Main Street Numbe Round Rock, TX 78664 61130 ��`�*•..:-*yl� $10,000.00 Phn (512) 218-5404 DOC ID# 63206 Pay Ten Thousand Dollars and 00 cents ****** To The NATIONAL COLLEGIATE TABLE TENNIS ASSOCIATION Order Of 154 MILL RUN LANE SAINT PETERS, MO 63376-7106 City of Round Rock, Round Rock, TX 78664 Page 1 of 1 Check Check Date Number 03/1612018 10039174 $10,000.00 FILE COPY NON-NEGOTIABLE Check Number: 10039174 Invoice Date Invoice Number Descokn Invoice Amount 03/01/2018 1718-002 HOST PARTNER AGREEMENT - CM -20 $10,000.00 DOC ID# 63206 Vendor No. Vendor Name Check No. Check Dale Check Amount 61130 NATIONAL COLLEGIATE TABLE TENNIS ASSOCIATION 10039174 03116!2018 $10,000.00 National Collegiate Table Tennis Association 154 Mill Run Ln Saint Peters, MO 63376-7106 (314) 800-5377 treasurer@nctta.org http://www.nctta.org [—Bill To The City of Round Rock Attn: Nancy Yawn 231 E. Main St. Round Rock, TX 78664 Irsya��o•�nl • 1 _ p/aerIs PM WW Activi Quanti Rate Invoice Date Invoice # 1.9h'Y+7- 1718-003 ! Due Date 4M-DMe p/aerIs PM WW Activi Quanti Rate Amount 2018 TMS National Collegiate Table Tennis Championships 1 10000.00 10000.00 Host City Sponsorship (US$) 2nd Half U.S. Bank Harvester 1 Harvester Square Saint Charles, MO 63303 RECEIVTED Natiogf qonhnRable T annis Association treasurer@nclta.arg BY; Total 1 $10,000.00 (314)809-5377 ,o'duno Ro— Invoice Number Description City of Round Rock 03/01/2018 NVendor umber 221 E. Main Street 61130 HOST PARTNER AGREEMENT - CM -20 Round Rock, TX 78664 iv yl� Phn (512) 218.5400 jot Vendor No. Vendor Nama Pay Ten Thousand Dollars and OD cents *""*** To The NATIONAL COLLEGIATE TABLE TENNIS ASSOCIATION Order OF 154 MILL RUN LANE SAINT PETERS, MO 63376-7106 City of Round Rock, Round Rock, TX 78664 Page 1 or 1 Check Check Date Number 04/1312018 10039651 $10,000.00 FILE COPY NON-NEGOTIABLE Check Number: 10039651 Invoice Date Invoice Number Description Invoice Amount 03/01/2018 1718-003 HOST PARTNER AGREEMENT - CM -20 $10,000.00 DOC ID# 63207 Vendor No. Vendor Nama Check No. Check Date Check Amount 61130 NATIONAL COLLEGIATE TABLE TENNIS ASSOCIATION 10039651 04113/2018 $10,000.00 City of Round Rock RQUNQROCK Agenda Item Summary TEXAS Agenda Number: Title: Consider authorizing an Events Trust Fund Disbursement Request in association with the 2018 College Table Tennis National Championships at the Round Rock Sports Center. Type: City Manager Item Governing Body: City Manager Approval Agenda Date: 8/24/2018 Dept Director: Susan Morgan, CFO Cost: Indexes: Attachments: 2018 College Table Tennis National Champs (00407984xA08F8) Department: Finance Department Text of Legislative File CM -2098-1829 Consider authorizing an Events Trust Fund Disbursement Request in association with the 2018 College Table Tennis National Championships at the Round Rock Sports Center. The Events Trust Fund Program is a program for local governments and local organizing committees to apply for State funds to help pay for qualified expenses associated with an event, to which both the State and City must contribute. The Events Trust Fund application associated with this event was approved in November 2017 on CM -2017-1542. The disbursement amount being requested is $17,103.90. The disbursement request is the final step in the Events Trust Fund program from the Governor's Office. The City is seeking disbursement from the State for the 2018 College Table Tennis National Championships. City of Round Rock Page 1 Printed on 8!23/2018