CM-2019-0265 - 8/30/2019GOVERNOR 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 aA documents to eventsfund@aov. texas.aov.
To accommodate large files, secure file transfers are available upon request
Regarding the Events Trust Fund Disbursement Request in the amount of $12,000, for the USA Ultimate College
Championships {name of the event} I, Laurie Hadley {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
POST OFFICE Box 12428 AUSTIN, TEXAS 78711 * 512-93&4D100 * CoV.TExAs.cov
General explanation of costs that the disbursement request represents: Rights 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: 512-218-5436
Primary Contact Email: ddoss@roundrocktexas.gov
Signatory must be someone the applying entity has determined is eligible to bind the applying entity.
Signature
Ad,4 A�,W A
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Title ai4d N'an34 of Organi ation
Printed Name
Date
POST OFFICE Box 12428 AUSTIN, TEXAS 78711 * 512-936-0100 * Gov.TExas.Gov
City of Round Rock
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Ti X "'. Roac Agenda Item Summary
Te .__.
Agenda Number:
Title: Consider authorizing an Events Trust Fund Disbursement Request in
association with the USA Ultimate College Championships at the Round
Rock Multipurpose Complex.
Type: City Manager Item
Governing Body: City Manager Approval
Agenda Date: 8/30/2019
Dept Director: Susan Morgan, CFO
Cost:
Indexes:
Attachments: USA Ultimate - Disbursement Worksheet
Department: Finance Department
Text of Legislative File CM -2019-0285
Consider authorizing an Events Trust Fund Disbursement Request in association with the USA
Ultimate College Championships at the Round Rock Multipurpose Complex.
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 December 2018 on CM -2018-1994.
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 USA Ultimate
College Championships, held at the Round Rock Multipurpose Complex from
05124119-05127119. The disbursement amount being requested is $12,000.00.
Cityof Round Rock Page f Printed an 9/29/2019