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• <br /> REPORT OF PROPOSED DEBT ISSUANCE For Office Use Only <br /> California Debt Advisory Commission <br /> 915 Capitol Mall, Room 400, Sacramento, CA 95814 CDAC NO.: ______ <br /> D.O. Box 942809, Sacramento, CA 94209-0001 <br /> el.: (916) 653-3269 FAX: (916) 654-7440 <br /> (Facsimile transmissions must be followed by hard copies.) <br /> Completion and timely submittal of this form to the California Debt Advisory Commission (CDAC) <br /> at the above address will assure your compliance with existing California State law and will assist in <br /> the maintenance of a complete data base. Thank you for your cooperation.' <br /> NAME OF ISSUER: COUNTYWIDE PUBLIC FINANCING AUTHORITY <br /> (If pool bond, list participants) <br /> ISSUE NAME: 1996 Revenue Bonds <br /> Contact person at issuing jurisdiction: <br /> Name: Mr. Roderick R.Coloma <br /> Title: Treasurer <br /> Address: 20 Civic Center Plaza M-17, Santa Ana , CA 92701 <br /> Phone: (714) 647-5200 AGENCY LOCATED IN Orange COUNTY <br /> PROPOSED SALE DATE: 5/8/96 <br /> TYPE OF SALE: ❑Competitive E Negotiated PROPOSED PRINCIPAL TO BE SOLD: $40,000.000 <br /> S THE INTEREST ON THE DEBT EXEMPT FROM TAXATION? <br /> Under State Law: ❑NO(taxable) E YES(tax-exempt) <br /> Under Federal Law: ❑NO(taxable) E YES (tax-exempt) If the issue is federally tax-exempt, is interest a specific preference item for <br /> the purpose of alternative minimum tax? <br /> ❑Yes,preference item ❑No, not a preference item <br /> IS ANY PORTION OF THE DEBT FOR REFUNDING? 2 <br /> E No ❑ Yes,proposed amount for refunding $ <br /> TYPE OF DEBT INSTRUMENT <br /> NOTE BOND <br /> ❑ Bond anticipation (BAN) ❑ Conduit revenue (Private obligor) (CRB) <br /> ❑ Grant anticipation (GAN) ❑ General obligation (GOB) <br /> ❑ Other note(Please specify below.)(OTHN) ❑ Limited tax obligation (LTOB) <br /> ❑ Revenue anticipation (RAN) ❑ Other bond(please specify below)(OTHB) <br /> ❑ Tax allocation(TALN) E Public lease revenue(PLRB) <br /> ❑ Tax and revenue anticipation(TRAN) ❑ Revenue(Pool)(RB) <br /> ❑ Tax anticipation (TAN) ❑ Revenue(public enterprise)(PERB) <br /> ❑ Sales tax revenue(STAB) <br /> ❑ Commercial paper(CP) ❑ Special assessment (SAB) <br /> ❑ Certificates of participation/leases (COP/L) 0 Tax allocation(TAB) <br /> E Other(Please specify below.)(OTH) <br /> Please specify if"Other note/Other Bond/Other" was checked: Lease Revenues <br /> Section 8855(g)of the California Government Code requires the issuer of any proposed new public debt issue to give written notice of the proposed sale to <br /> the CDAC no later than 30 days prior to the sale. <br /> 2 Section 53583(c)(2)(B)of the California Government Code requires that any local agency selling refunding bonds at private sale of on a negotiated basis <br /> shall send a written statement,within two weeks after the bonds are sold,to the CDAC explaining the reasons why the local agency determined to sell the <br /> bonds at private sale or on a negotiated basis instead of at public sale. <br /> 1/95 <br />