ALLEGATO C
02'(//,3(5,/75$6)(5,0(172'(,'$7,
0(',$17(6833257,&$57$&(,
SXQWL²
5LHSLORJRJLRUQDOLHURRPHQVLOHSHUHYHQWR
5LHSLORJRPHQVLOHDEERQDPHQWL
3URVSHWWRSHUODIRUQLWXUDGHLGDWLDOOD6,$(
48$'52&3529(17,&216(*8,7,,12&&$6,21('(//
(9(172
,PSRUWRORUGR
7LSRSURYHQWR
,PSRQLELOH,PSRVWD
,QWUDWWHQLPHQWL
,PSRVWD,QWUDWWHQLPHQWL
,PSRQLELOH,9$
,9$ORUGD
727$/(
*OLLPSRUWLVRQRHVSUHVVLLQ/LW?ʍ
HOHQFRLQVHULWRQHOO
DOOHJDWR$DOODWDEHOOD
7,72/$5(6,67(0$',%,*/,(77(5,$ ),50$BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
25*$1,==$725(
$OOHJDWR&UHWUR
“RIEPILOGO ABBONAMENTI
1 mod. C.2 fronte
! Riepilogo giornaliero del ……………… ! Riepilogo mensile del ………………
QUADRO A – Dati anagrafici
Or ga nizz a to re _ ___ __ ___ ___ ___ ___ ___ ___ ___ ___ Co dic e fisca le
T i to lare s iste ma d i emissione ___ ___ ___ ___ ___ ___ Co dic e fisca le
Trasmesso in data … / … / …
!!!!!!!!!!!!!!!!
!!!!!!!!!!!!!!!!
(da non comunicare se l’organizzatore e’ anche titolare del sistema di emissione)
Codice sistema di emissione
!!!!!!!!
Gli importi sono espressi in . €
QUADRO B - Abbonamenti
Tipo titolo (2)
Codice
abbonamento
Intrattenimenti
Spettacolo
Fisso
Libero
Numero
venduti
Importo lordo
Incassato
Abbonamenti
annullati
Numero
eventi
TOTALE
SIAE
SIAE DI
_______________________
Timbro e firma
(1) tab. 4 all. A provv. 23/7/2003
L’ORGANIZZATORE__
Titolare del sistema di emissione
(2) tab. 3 all. Provv. 23/7/2003”;
_____________________
$OOHJDWRFUHWUR
48$'52&5,(3,/2*20(16,/(3529(17,121&2//(*$7,$6,1*2/,(9(17,
*HQHUHPDQLIHVWD]LRQHSUHYDOHQWH7DEHOODDOOHJDWR$
7LSRSURYHQWR
,PSRUWRORUGR
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
,PSRQLELOH,PSRVWD
,QWUDWWHQLPHQWL
,PSRVWD,QWUDWWHQLPHQWL
,PSRQLELOH,9$
,9$ORUGD
727$/(
*OLLPSRUWLVRQRHVSUHVVLLQ/LW?ʍ
HOHQFRLQVHULWRQHOO
DOOHJDWR$DOODWDEHOOD
7,72/$5(6,67(0$',%,*/,(77(5,$ ),50$BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
25*$1,==$725(
Allegato C.3 - Fronte
3URVSHWWRSHUODIRUQLWXUDGHLGDWLDOOD6,$(GDSDUWHGHLVRJJHWWLFKHDLVHQVLGHOO©DUWGHO'35QHOSHULRGR
WUDQVLWRULRXWLOL]]DQRULFHYXWHILVFDOLRVFRQWULQLILVFDOLDWDJOLRILVVRLQDWWHVDGHOO©LQWURGX]LRQHGHJOLVSHFLILFLPLVXUDWRULILVFDOL
6,$( SURY 6HGHGL
/RFDOH &RPXQH /RFDOLWj
VLWRLQYLD Q
SHULRGRDWWLYLWjGDO DO JHQHUHGLPDQLIHVWD]LRQH
PRGDOLWjGLDPPLVVLRQHGHLSDUWHFLSDQWL
,OVRWWRVFULWWRQDWRD
SURY LO GRPLFLOLDWRLQYLD Q &RPXQH SURYLQQRPHSURSULRSHUFRQWRGL
GRPLFLOLDWRLQYLD Q &RPXQHSURY &RG)LVFDOH /HJDOH5DSSUHVHQWDQWH QDWRD LO UHVLGHQWHLQYLD Q &RPXQHSURY /LW
ʍ
*OLLPSRUWLVRQRLQGLFDWLLQ
EDUUDUHODFDVHOODFKHLQWHUHVVD
2S]LRQHSHUOD/HJJH
',&+,$5$',$9(5&216(*8,72
6,
12
3529(17,/25',
'$&255,63(77,9,'(*/,,17(59(187, 
'$38%%/,&,7$© 
'$6321625,==$=,21(

'$&(66,21(',5,77,5$',27(/(9,6,9,

'$$/75,3529(17,62**(77,$',03267$,175$77(1,0(17,

121,0321,%,/,('(6(17,,9$
$/75,3529(17,121
&21,9$$/
62**(77,$',03267$
&21,9$$/
,175$77(1,0(17,
&21,9$$/
&21,9$$/ 727$/(
),50$'(/',&+,$5$17('$7$
,/7,72/$5('(//$6,$(', ,/0$1'$7$5,2
7,0%52
6,$(
),50$GDWDGLSUHVHQWD]LRQHDOOD6,$(
&RJQRPHHQRPHGHOO©RUJDQL]]DWRUHGLFKLDUDQWH
'HSHQQDUHODYRFHFKHQRQLQWHUHVVDHGLQGLFDUHVHO©RUJDQL]]DWRUHQRQqXQDSHUVRQDILVLFDGHQRPLQD]LRQHRUDJLRQHVRFLDOH
&RPSLODUHVRORVHO©RUJDQL]]DWRUHQRQqSHUVRQDILVLFD
5HWUR&
'(77$*/,2'(,3529(17,/25',',&+,$5$7,
'DWD
/RFDOHR
/RFDOLWj
*HQHUH
PDQLI
7DE
,PSRVWD
,QWUDWW
6,12
&RUULVSHWWLYL
GHJOLLQWHUYHQXWL
3XEEOLFLWj
6SRQVRUL]]D]LRQH
&HVVLRQH'LULWWL
UDGLRWHOHYLVLYL
$OWULSURYHQWL
VRJJHWWLDG
,PSRVWD
,QWUDWWHQLPHQWL
$OWULSURYHQWLQRQVRJJHWWLDG,PSRVWD,QWUDWWHQLPHQWL
1RQLPSRQLELOL
HGHVHQWL,9$
&RQ,9$DO &RQ,9$DO
&RQ,9$DO
&RQ,9$DO
3HUJLRUQDWHLQFXLVLVYROJRQRDWWLYLWjSHUOHTXDOLVRQRSUHYLVWHGLIIHUHQWLGLVFLSOLQHILVFDOLGRYUDQQRHVVHUHUHJLVWUDWLVHSDUDWDPHQWHLGDWLGLFLDVFXQDDWWLYLWj
*OLLPSRUWLVRQRGLFKLDUDWLLQ
/LW
(XUR
/
25*$1,==$725(BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB