COASTAL JAZZ AND BLUES SOCIETY
435 West Hastings Street, Second Floor, Vancouver, BC V6B
Telephone (604) 682-0706
FA-1

b82--o"=/-O'f

CONTRACT
This contract for the personal services or mu~clans on the engagement described below is made
this /J.
day or tJQ'7?1/f;&
19 'l.V
between the Coastal Jazz and Blues Society
(herein called "CJBS") and the undersigned musician or musicians.

ti

tl-£w

Name or Band or Group

Name and Address or Place or Engagement

Lf?

l;-: Hou s ·rD Al

K& T TIN Cr 61 qv rf X
<;T. ,, ;v', 'I- c . 1 oo 12--

Date(~). Start/Finishing time or Engagement DL. T.

~cl

- ead.

Type or Engagement

i_/o&f(S'ffar' ·

O~CH€.S D'?8

cAed<

JAov!J!.

3

° , 3 1 , A)e, V. I - 9- 11l});t1/6tt T.

'fz~ ev7

..P,K

5c}ecJvk

d

f pv ~.c,,., l"f'
7

Number or Musicians -1i..

f/l()w,</.AS€

,; 900 · cu Cl>A/ -

Compensation Agreed Upon

Purchaser WIii Make Payments as Follows'""'CA""'-......,.,Su.H..___ _ _ _ _ _ _ _ _ _ _ _ _ _ __

c11;JA1J1/ltVS .
List ~r Performers COAT

6&4tfftt1

t!oo

or(._D

e:~ 1 (if(U-C- SI t1 f'5 O rJ

fAvL-

f'Lttv?l€.7' 1

~£<>

/{otJ

5 ,jM

wo .~TH.

CLAvoE KArJ6--&'Z

I!!/?. 7&uvJfi>!Lt:ttT!orJ 7ldccoaol>A;TlDtV 7/I-NZ,1L-Vt
.,JTJ'

1

1/IJ.[vte//AICE

CtfoVtv-cl>.

£xT£/<.#AL.. AFFAttl--5

Notes V1rfh., f'711TtfT/lS
Revenue Canadai It Is the agent/artist's responsibility to contact Wayne Yuset (604) 666-0~04 regarding
tax waivers. Revenue Canada may require tax deductions to be withheld rrom this ree.
Fore! gn Performers: Please forward a complete personnel listing with the rolJowing detalls for immigration
- birth date, birthplace, current address, Social Security number and passport number.
Travel arrangements agreed to by CJBS are final and the cost of any changes not agreed to during the
negotiation or this contract shall be borne by the performer(s). CJBS Is to be Informed promptly of travel
Itinerary (le. rt!ght'arrlval/departure). The perrormer(s) will be responsible for any Immigration/
customs charges (Ir any) upon entering Canada. The leader should carry on his person a complete
equipment manifest listing, and a signed copy or this contract for presentation to JmmJgratJon/customs
omc'iats, ·
CJBS will be informed promptly or equipment and technical requirements necessary for the engagement.
CJBS wlll be provided promotional materials (le. bios, press reviews, glossy photos, LPs, tapes) for
advertising purposes upon signing or this contract.
In witnen whereof. the putie1 hereto hue hereunto set their naae1 and 1eab on the
day and year £int ·abon written:

COASTAL AZZ AND BLUES SOCIETY
Purchaser

Name of Signatory Musician

'£/V fJ I CJ(6<!-1N6-

CJBS Signatory

AS A6oV£.

~·

Signature or Signatory Musician

I J5'"D A hJte.6-;E

VMc.oJv'uZ
Addren or Musician/Representation ti/; If 3 r '1

Address
Phone:

/Jf Al5ov'£ -

Phone:

tJA-l-lC,

6O Lf • l ~ 'f · 'l-t L '/-

.,- 1 Vi:ia Info. (cont'd)

Sam worth, Ronald David
' :in:i ,:!;;! n Passport ,qMB86J l y3
: U ! \ n;J Iu m Dr iv e
\ dJL ,, ,_i\ er

R.C.

~',u r : . ', ..: ncuuve r, Fl C
;ct ,\' ·.:::

l 6. l CJ6 l

~rd, Graham Hamilton
t.~m~H.itan Passport .ttE]87 4110

Plimlcy, Paul Horace
' i : sl1 PJS',po rt tt KO 189 6 0
" ~0 7
~:"l)4 Balsam Street

··•\)2 L' r,ion Street
·
\ Jncouve r , B.C.
\ l) A 2 WJ
Varrcou ve r , B.C.
i id 1 ua r y ,:; o. 1<J 5 1

' .l !1 CC)U\f'I", H C

: ,

born

,, \l .,f,,:1
m \ an cou ver. 5.C.
1

\ 'i .:.ircli l C•. J 953

l-taogcr, Claude Joseph Gaston
<:rn:.icl1 :rn Passport 11 !\H\86264~
- -~
1

-

·. .1r1•-~ 1
·,, 1:.1

I

I

-,

•.

.

•

nwn )treet

.

)u ,·e r. 8.C.

J 2\~~ _)

\,, >rn \!o nLreal, Quel1e c
;·,.::-b1·u ;in· l J 941

Cooke. David Carlyle
( ;rn::Litc1n Passport .ttMB8624~ l
t ! 50- .-\ Forge WalL
\ c1 ncou v er, B.C.
L'<,rn \V innipeg, 1Y'lani1oh a
·10 . 1953

...!()\

~;;mpson, Gregg Cairns
'.,:t 11 z:,J11n Passport::: Mf\8630 l 8

. ., ,..
.
..: -'- .:,::.. 1ii:il larton H1gl1 wJV
)

-)

· . .- ,:·t :'1 \ J. :1eouveR. fl C ·
n·ri '· 1: u\\.·J . Ontario
:1:·c, >, J(H7

ASSURE THAT IMPRESSIONS ON
ALL COPIES ARE CLEAR

PLEASE DO NOT STAPLE THIS FORM

APPROVED 0MB 3116-0008 EXP. 10/31/92
*Estimated Burden Hours: 15 mins. (See page 4),

United States Information Agency

C

EXCHANGE VISITOR FACILITATIVE STAFF GC/V
CERTIFICATE OF ELIGIBILITY FOR EXCHANGE VISITOR (J-1) STATUS
0( 1Male
1. _

_,,C"-'---L:.-"--"-c-,:--:-,-:-::-:,-:--:-:-:-:-:-:c:-;-;-;-;~=,;-;-;cc=A,~V-----.e!"'D"------c=:-=-:-:-:--:c-::---'C
~ ==--~L
,,,.,,E,.________ r ) Female
(FAMILY NAML" OF EXCIIAN(;E VISITO/i/

!FIRST NAME/

!MIDDLE NAME/

born ~ ~ ~ in --'-''--1.:.,N
~=I
N =P~E=G
~ -----''-----/ Mo.J

/Da.v)

(Yr.)

CA

(Cin·/

1

2769

THE PURPOSE OF THIS FORM IS TO:
Begin a new program ( ) Accompanied by
__ immediate family members
2 ( ) Extend an on-going program.
3 ( ) Transfer to a different program
4 ( ) Replace a lost form.
5 ( ) Permit visitor's immediate family
( _ members) to enter U.S. separately.
1 (

A
(CoullfryJ

a legal permanent resident of _ _ _ __

- --==~=' - - - - - - - - - - - - ~~CA
-~-'. whose position in that country is ~c=c<..>===.e<c..0c.=' - - - rcounrryJ

fCod,,)

- - - - - - - - - - - - - - - - - ~-4~ 5 U.S. address ~=N~I~TT
~ I=N
~ G~ F~A
~CT
=~O_R~Y~ - - - - - - - 41 E. HOUSTON ST.,
NEW YORK, NY

rPos. Code)

10012
2. will be sponsored by _ _

_,T==--"-"'-==I=-CAN
===--'F
=-=E=D~'-==T=I=O
= N'--O
==
F----'-1--IU
"-.=...=S.. lc...
cc C.c..I=--c::;;_;:,_
AN ________________

-~
. , 5285'.?, which is still valid and is officially described as follqws:
A progra
e ~
ederat·on of Musicians o
g o h O
ec..
States foreign musicians and vocalists on a reciproca basis for an
approximate three month period for the purpose of consultation and
demonstrating specialized skills, including performing for a U.S.
udienc, in the general interest of promoting international cultural
e chang.
_ _ _ _ _ _ _ _ to participate in Exchange Visitor Program No . ~

3 . This form covers the period from

~~ ~
1 Mo.)

!Dar)

to ~

(Yr.}

(Mo.)

~ 90 , Students are permitted to travel abroad & maintain status (e.g. obtain a new visa)
(D(lr}

(Yr . /

under duration of the program as indicated by the dates on this from.
If this form is for family travel or replaces a lost form, the expiration date on the exchange visitor's 1-94 is - - - - - - - - - - - - - - - - - - - - 4. The category of this visitor is 1 ( ) Student. 2 ( ) Trainee. 3 ( ) Teacher, 4 ( ) Professor, Research Scholar or Speciarst 5 ( ) International Visitor. 6 ( ) Medical
Trainee. 7 ( ) Alien employee of the USIA. The Specific field of study, research, training or professional activity is_~~~--verbally described as follows:
(Subj/Field Code)

2

p
5. During the period covered by this form , it 1s estimated that the following financial support (in U.S. $) will be provided to this exchange visitor by:
a.

(

$ _ _ _ _ _ _ _ __

) The Program Sponsor in item 2 above

This Program Sponsor has

D

00

has not
(check one) received funding for international exchange from one or more U.S. Government
Agency(ies) to support this exchange visitor. If any U.S. Government Agency(ies) provided funding, indicate the Agency(MisT by code..:_~ __, _ .

I/,::;:\,:

Financial support from organizations other than the sponsor will be provided by one or more of th'> 'o!lowin\J: -

-

'

"- ~-

bl .

I U.S Government Agency(ies) : _ _ _ _ _ _ _ _ _ (Agency Code) ,

$ _ _ _ _ _ _ _ ; b2 _ _ _ _ _ (Agency Code),

cl .

) International Organization(s): _ _ _ _ _ _ _ _ _ (Int Org . Code ),

$ _ _ _ _ _ _ _ ; c2 . _ _ _ _ _ (Int Org . Code) , $ _ _ _ _ _ __

d.

) The Exchange Visitor's Government

$

) The binational Commission of the visitor's Country

$

) All other organizations providing support

$

e.

f.

(

$ _ _ _ _ _ __

(If necessary, use above spaces
for funding by multiple U.S.
Agencies or Intl. Organizations)

$

g.

TO THE P BSID

6. I.N.S. USE
(Nwm· of 0/lici(I/ Preparing Form)

150

!Title)

N.Y. 10036

AO

/90
8.

STATEMENT OF RESP
SIBLE OFFICER FOR RELEASING
SPONSOR (FOR TRANSFER OF PROGRAM)

Date _ _ _ _ , Transfer of this exchange visitor from program No. _ _ _ _ _ sponsored by _ _ _ _ _ _ _ _ _ _ _ _ to the program specified in item (2) is necessary or
highly desirable and is in conformity with the objectives of the Mutual Educational and Cultural
Exchange Act of 1961.

1Sig11ar11re o_{ Officer)

Copy 3 - To be retained by Exchange Visitor
for Exit and Re-entry

/Date)

PAGE3

?

~flL

ASSURE THAT IMPRESSIONS ON
ALL COPIES ARE CLEAR

PLEASE DO NOT STAPLE THIS FORM

APPROVED 0MB 3116-0008 EXP . 10/31/92
* Estimated Burden Hours: 15 mins. (See page 4),

United States Information Agency
EXCHANGE VISITOR FACILITATIVE STAFF GC/V
CERTIFICATE OF ELIGIBILITY FOR EXCHANGE VISITOR (J-1) STATUS

DAVID

COOKE

1.

({·AMII. Y Ni\ML UI·· LXCIIA N <;L VIS/FU/I/

b o r n ~ ~ ~ in
/Mo.)

(Da_l')

!FIRST NAME/

(('mmtryJ

'

(Co1111try)

CANADA

CA

I

THE PURPOSE OF THIS FORM IS TO:

J Fnna!t·

~CANADA
(Cit\'/

CANADA

a citizen of

I

!MIDDL E NAME/

WINNIPEG

!Yr./

l{,1 Male

CARLYLE

CA, a legal permanent resident of
(Code/

1. whose position in that country is

C 1927 69

1

(Xi Begin a new program ( ) Accompanied by

_· _immediate family members
2 ( ) Extend an on-going program.
3 ( ) Transfer to a ditterent program
4 ( ) Replace a lost form.
5 ( ) Permit visitor's immediate family
·(_members) to enter U.S. separately.

MUSICIAN

rCmlt'J

tCoumn·/

41~

I

U.S. address

tPnJ. c;,t1e1

KNITTING FACTORY
47 E. HOUSTON ST.,
NEW YORK, NY
10012

THE AMERICAN FEDERATION OF MUSICIANS
to participate in Exchange Visitor Program No. ~
- ~ .,5 2 8 S'.I;_ vvhich is still valid and is officially deshbed as follows:
of
American
Federation
of
Musicians to bring t o t e United
program
A
on a reciprocal basis for an
vocalists
and
musicians
.
foreign
States
purpose of consultation and
for
the
period
month
three
approximate
performing for a U.S.
including
skills,
specialized·
demonstrating
international cultural
promoting
of
interest
audience, in the general
exchange.

2. will be sponsored by

JJ) ~ t...2._Q, to 1111 102 I ~ Students are permitted \o travel abroad & maintain status (e.g. obtain a new visa)

3. This for':' covers the pertod from

l ,\fo.J

tO,n·J

!Yr./

f.\/11 . J

()",·_,

({)11\"}

un_d er duration of the program as indicated by the dates on this from.
If this form is for family travel or replaces a lost form, the expiration date on the exchange visitor's 1-94 is
) Trainee, 3 ( ) Teacher, 4 ( ) Professor, Resear_
ch Scholar or S(f~j~ 5 X ) International Visitor, 6 ( ) Medical
) Alien employee of the USIA. The Specific field of study, research, training or professional.activity is
verbally described as follows:
(Subj/Field Code)

4 The category of this visitor is 1 ( · ) Student, 2 (

Trainee, 7 (

PERFORMING MUSICIAN
5. During the _period covered by this form . 1t 1s est imated that the following f1na nc1al support l,n U.S. $) will be provided to this exchange visitor by:
a.

(

) The Program Sponsor 1n item 2 above

□

$

!Kl

This Program Sponsor has
has not
(check one) received funding tor international exchange from one or more U.S. Government
Agency(ies) to support this exchange vi_sitor. If any U.S. Government Agency(ies) provided funding, indicate the Agency(ies) by code ______ .
Financial support from organ,zat1ons other than the sponsor will be provided by one or more of the following:
b1. I

) U.S Government Agency(ies) :

(Agency Code).

$

: b2 .

(Agency Code).

$

cl . (

) International Organ1zation(s) :

(Int Org . Code).

$

; c2 .

(Int Org Code).

$

d.
. e.

I ) The Exchange V1s1tor's Government

$

I ) The binational Commission of the visitor's Country

$

f.

I )·All other Ngan1zations providing support

$

g.

I ) Personal funds

-

$

7 STEVE

6. I.NS . USE

(If necessary, use above spaces
for funding by multiple U.S.
Agencies or Intl. Organizations)

SPRAGUE EXEC ASS'T TO THE PRESIDENT
/Title/

( Nam<' of Ollll·illl Pn•1111ri11g Form I

1501__...J3ROADWA~~W YORK, N.Y. 10036

~- ,.........~ ;&--__

~•,./if7-/J.

~~,,-1

t.'f,:m'!)l,"f or Rt'J/1IIIHihl1· oofcr nr A}a11t11l' ~

PRELIMINARY ENDORSEMENT OF CONSULAR OR IMMIGRATION OFFICER
REGARDING SECTION 212 (e) OF THE I.N.S.

8.

.

10/1~/90
/Dare/

S ~ = T OF RESPONSIBLE OFFICER FOR RELEASING
SPO OR (FOR TRANSFER OF PROGRAM)

L (Name)
(Tille)

have determined Iha! this alien in lhe above program
1. (
2. (

) is nol subjecl lo the two year residence requirement .
) is subject based on : - A ( ) government linanc1ng and/or
B . ( ) lhe Exchange vis11or skills list and/or
C. I ) PL 94 484 as amended
The United States tnlormalion Agenc y reserves !he right to make the linat determinalion
(Signature of Officer)

(Date)

spon, Transfer of this exchange visitor from program No.
Date
to the program specified in item (2) is necessary or
sored by
highly desirable and is in conformity with the objectives of the Mutual Educational and Cultural
E.xchange Act of 1961 .

1Si).:n11r11n· of Of{icaJ

/Dare)

IAP-66 (10-89)

Copy 1 - For Im migration and Naturalization Service

PAGE 1

ASSURE THAT IMPRESSIONS ON
ALL COPIES ARE CLEAR

PLEASE DO NOT STAPLE THIS FORM

APPROVED 0MB 3i16-0008 EXP . 10/31/92
*Est imated Burden Hours: t5 mins. (See page 4) .

United States Information Agency
EXCHANGE VISITOR FACILITATIVE STAFF GC/V
CERTIFICATE OF ELIGIBILITY FOR EXCHANGE VISITOR (J-1) STATUS

-

GREGG

SIMPSON

1.

(FAM/I. Y NAM/·.' UF l:XCll.-\ ,\'<;f: V/Sl'/1//IJ

!FIRST NAME/

.

/Mo.J

(Dar!

/Cirri

!Yr.J

r(·mm tryl

'

(Co11111ry)

CANADA

CA

I

CA, a legal permanent resident of
(Code)

1. w hose posi tion in that country is

THE PURPOSE OF THI S FORM IS TO:

J Female

CANADA

CANADA

a citizen of

I

!MIDDLE NAME/

OTTAWA

b o r n ~ ~ ~ in

I XMa le

CAIRNS

C 1927 67

1 ( ) Begin a new program ( ) Accompanied by
__ immediate family members
2 ( ) Extend an on-going program.
3 ( ) Transfer to a different program
4 ( ) Replace a lost form.
5 ( ) Permit visitor's immediate fami ly
( _ members) to enter U.S. separately.

MUSICIAN

rCmfrJ

(Cmmtn'J

415,

I

U.S. address

t PnJ. CmlrJ

KNITTING FACTORY
47 E. HOUSTON ST.,
NEW YORK, NY
10012

THE AMERICAN FEDERATION OE MIISICIANS
~-LL -52 8 5'I\ which is stil l valid and is officially described as fo llows:
A program of American Federation of Musicians to bring to the United
States foreign musicians and vocalists on a reciprocal basis for an
approximate three month period for the purpose of consultation and
demonstrating· specialized skills, including performing for a U.S.
audience, in the general interest of promoting international cultural
exchange.

2. will be sponsored bX

to partic ipate in Exchange Visitor Program No.

c...!.9 ,nm·)
28,
I

3 . Th is form covers the period from

~ . J IO

11. Q__?_, ~ Students are permitted io travel abroad & maintain status (e.g. obtain a new visa)

{}'r. J

1,\fo . J

1,\(0.)

(/)in-/

n·,._,

under duration of the program as indicated by _the dates on this from.
If this forrri is for fa m ily travel or replaces a lost form , the expiration date on the exchange visitor's 1-94 is

4( )

4. The category of this visitor is 1 ( ) Student, 2 ( ) Trainee, 3 ( ) Teacher,
Professor, Research Scholar or
Trainee, 7 ( ) Alien employee of the USIA. The Specific field of study, research, training or professional activity is

1)''5'.3li~, sX ) International Visitor, 6 ( ) Medical
verbal ly described as fo llows:
(Subj/Field Code)

PERFORMING MUSICIAN
5. During the period covered by tH 1s form. it Is estimated that the fol low ing f1nanc1a l support lrn U S $) will be provided to this exchange visitor by:
a.

(

) The Program Sponsor In item 2 above

This Program Sponsor has

$

U

□

has not
(check one) received funding for intern ational exchange from one or more U.S. Government
Agency(ies) to support this exchange visitor. If any U.S. Governm ent Agency(ies) provided funding, indicate the Agency(ies) by code _ _ _ ____
Financiai' support from organIza11ons other than the sponsor will be provided by one or more of the foliow1r\g :
b1. (

) US. Government Agency(ies):

(Agency Codel.

$

; b2 .

(Agency Code),

$

cl

(

) international Organ1za11on(s) :

(Int Org . Codel.

$

; c2 .

(Int Org. Code),

$

d.

(

) The Exchange Visitor's Government

$

e.

(

) The brnational Commission of the visitor's Country

$

f.

(

) All other crgan izations providing support

g.

(

) Personal funds

$
..J

6. INS. U~E

(If necessary, use above spaces
for funding by m ultiple U.S.
Agencies or Intl. Organizations)

$

f.TEVE SPRAGUE EXEC ASS'T TO THE PRESIDENT
{ Nam(' of {Jfli(·ial _l'rt'JJttri111,: Fom1J

(Ti1 /e)

lSD-l tstt(jADWAL NEW YORK, N.Y. 10036
~

~fu
~
I
PRELIMINARY ENDORSEMENT OF CONSULAR OR IMMIGRATION OFFICER
REGARDING SECTION 212 (e) OF THE I.N.S.

-

(Si,:.ni1.!.},JJ" ,~-Rt'.\"/JOll~hlt' <"-<hw fir A~J° R. n. J

10/19/90
(Dale)

8. 'M-,(TEMENT OF RESPONSIBLE OFFICER FOR RELEASING
SPONSOR (FOR TRANSFER OF PROGRAM)

I. (Name)
~

{Title)

Date
sored by

have delermined lhal this alien in the above program
1. (
2. (

) is nol subject lo the two year residence requ_iremenl
) is subject based on : - A. ( ) government financing and/or
B. I ) the Exchange visitor skills lisl and/or
C. ( ) PL 94 484 as amended
The United States lnforma!1on Agency reserves the right to make 1he final de1ermination
(Signature of Officer)

(Oate)

spon, Transfer of this exchange visitor from program No.
to the program specified in item (2) is necessary or

highly desirable and is in conformity with the objectives of the Mutual Educational and Cultural
Exchange Act of 1961.

f S1,:m1111n• o( 0/lll"cr I

/Dale)

IAP-66 (10-89 )

Copy 1 - For Imm igration and Naturalizati on Service

PAGE 1

ASSURE THAT IMPRESSIONS ON
ALL COPIES ARE CLEAR

PLEASE DO NOT STAPLE THIS FORM

-

APPROVED 0MB 31_16-0008-EXP. 10/31/92
*Estimated Burden Hours: 15 mins. (See page 4).

United States Information Agency

EXCHANGE VISITOR FACILITATIVE STAFF GC/V
CERTIFICATE OF ELIGIBILITY FOR EXCHANGE VISITOR (J-1) STATUS

SAMWORTH

1.

RONALD

//AMII. Y N AML OF l :XCIIA N <;F V/SIFO/i/

(FIRST NAME /

(Dar)

( Yr.J

(Cirri

(( ·owlfryl

CA , a legal permanent resident of

I

(Code)

(Co11111ry)

CANADA

CA

I

r. whose position in that country is

THE PURPOSE OF THIS FORM IS TO :

J Ff'mule

CANADA

CANADA

a citizen of

(

(MIDDL E N AME!

b o r n ~ ~ ~ in VANCOUVER
(Mo .J

iX 1Male

DAVID

C 192766

(»

Begin a new program ( ) Accompanied by
__ immediale family members
2 ( ) ExteQd an on-going program.
3 ( ) Transfer to a ditterent program
4 ( ) Replace a lost form.
) Permil visilor's immediate family
( _ members) to enter U.S. separately.
1

5(

MUSICIAN

tCmfrJ

(Co1111tryJ

-

41~

I

U.S. address

I Po:r;, Code J

-

KNITTING FACTORY
47 E. HOUSTON ST.,
NEW YORK, NY
10012
-

THE AMERICAN FEDERATION OF MUSICIANS
t...R.i -~-, 5 2 8 S'l' which is st ill valid and is officially described as follows:
A program of American Federation of Mus_icians to bring to the United
States foreign musicians and vocalists on a reciprocal basis for an
approximate three month period for the purpose of consultation and
demonstrating specialized skills, i ncluding performing for a U.S.
audience, in the general interest of promoting international cultural
exchange.

2. w ill be sponsored by

to participate in Exchange Visitor Program No.

~ ~ ..2_Q, t0 ,11, ,02

3. Th is form covers the period from

tMo.J

rYr./

tDm·J

tMo . i

I

~

1Dm·1

tl°r . J

Students are permitted to travel abroad & maintain status (e.g. obtain a new visa)

under duration of the program as indicated by the dates on this from .
lost form, the expiration date on the exchange visitor's 1-94 is

If this iorin is for family travel or replaces

a

4 . The category of this visitor is 1 ( ) Student, 2 ( ) Trainee, 3 ( ) Teacher, 4 ( ) Professor. Re sea_rch Scholar or
Trarnee , 7 ( ) Alien employee of the USIA. The Specrfrc freld of study, research, trarnrng or professronal actrvrty rs

sffg~~ K )
5

International V_isitor. 6 ( . ) Medical
verbally descrrbed as follows:

(SubVField Code)

PERFORMING MUSICIAN

5. During the period cove red by this form, it is estimated that the following f1nanc1al support 1,n US_$1 w ill be provided to this exchange visitor by:
a

I

I I The Program Sponsor in item 2 above

□

$

Kl

has not
(check one) received funding for international exchange from one or more U.S. Government
Agency(ies) to support this exchange visitor. If any U.S. Government Agency(ies) provided funding, indicate the Agency(ies) by code----- - - ·

This Program Sponsor has

Fi nancial support from org anizations other than the sponsor will be provided by one or more of the following:
bl . I

I U.S. Government Agency(ies):

(Agency Code) ,

$

: b2 .

(Agency Code),

$

cl . (

) Internat ional Organirntion(s):

(Int Org . Code).

$

: c2 .

li nt Org. Code).

$

d.

I I The Exchange Visitor's Governmerit

$

e

I I The b1nationa l Commission o f the visit or's Country

$

f.

I I All other organizations providing support

$

g.

I I Personal funds

$

(If necessary, use above spaces
for funding by multiple U.S.
Agencies or In tl Organizations)

STEVE SPRAGUE EXEC ASS'T TO THE PRESIDENT

6. INS. USE

7.

rNt1nu• of 0(/icial l ,rt'/mri11g FormJ

(Title)

lS0~ADWAY~W YORK, N.Y. 10036

/rA/,?QJ~
I~.~ ~ - r,f Rt'.\"fUlll'Iihft•
PIIEI.AIHNARY ENDORSEMENT OF CONSULAR OR IMMIGRATION OFFICER
IIEGAROING SECTION 212 (e) OF THE 1.N.S.

10/19/90

)f/t(wt,r Alta,w11 R.()")

./Dare)

8. Sl~ENT OF ~ONSIBLE OFFICER FOR RELEASING
SPONSOR (FOR TRANSFER OF PROGRAM)

I. (Name !

(Hie)

, Transfer of this exchange visitor from program No.

Date

1. (
2. (

) is not subjecl to the two year residence requirement
) is subject based on: - A. ( ) governmen1 finan cing and/or
B. ( ) lhe Exchange VISI IOf skills list and/or
C . ( ) PL 94 484 as amended
The United States Information Agency 1eserves !he right to make the final determination.
(Signature al OH1cer)

(Dale)

span-

to the program specified in item (2) is necessary or

sored by

have determined that this alien in the above program

highly desirable and is in conformity with the objectives of the Mutual Educational and Cultural
Exchange Act of 1961 .

,Si,:t11lf/lrl'

or ()f/it"t'rl

(Da re)

IAP-66 (10-89) ·

Copy 1 - For Immigration and Natura li zation Service

PAGE 1