CCP 03-27-2012 - Laserfiche WebLink

Home Browse Search

Form 8038-G(Rev,9-2011) Page 2 Part VI Miscellaneous 35 Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) . . . . 135 36a Enter the amount of gross proceeds invested or to be Invested in a guaranteed investment contract (GIC)(see Instructions) 36a b Enter the final maturity date of the GIC► - c Enter the name of the GIC provider► 37 Pooled financings: Enter the amount of the proceeds of this Issue that are to be used to make loans to other governmental units 37 38a If this issue Is a loan made from the proceeds of another tax-exempt issue,check box► ❑and enter the following information: b Enter the date of the master pool obligation► C Enter the EIN of the issuer of the master pool obligation► d Enter the name of the issuer of the master pool obligation► 39 If the Issuer has designated the issue under section 265(b)(3)(B)(i)(III)(small issuer exception),check box . . . , ► ❑ 40 If the issuer has elected to pay a penalty in lieu of arbitrage rebate,check box ► ❑ 41a If the issuer has identified a hedge,check here► ❑ and enter the following information: b Name of hedge provider► _ c Type of hedge► d Term of hedge► 42 If the Issuer has superintegrated the hedge,check box ► ❑ 43 If the issuer has established written procedures to ensure that all nonqualified bonds of this issue are remediated according to the requirements under the Code and Regulations(see instructions),check box ► ❑ 44 If the Issuer has established written procedures to monitor the requirements of section 146,check box ► ❑ 45a If some portion of the proceeds was used to reimburse expenditures,check here► ❑ and enter the amount of reimbursement ► _ b Enter the date the official Intent was adopted► Under penalties of perjury,I declare that I have examined this return and accompanying schedules and statements,and to the best of my knowledge Signature and belief,they are true,correct,and complete.I further declare that I consent to the IRS's disclosure of the issuer's return information,as necessary to and process this return,to the person that I have authorized above. Consent Signature of issuer's authorized representative Date Type or print name and title Paid Print/Type preparer's name Preparer's signature Date PINCheck ❑ if Preparer self-employed Use Only Firm's name ► _ Firm's EIN ► Firm's address ► Phone no. Form 80313-G(Rev.9-2011)