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Form 8 �9��_�a Information Return for Tax-Exempt Governmental Obligations <br />Septeemer 2nN) ► Under Internal Revenue Code section 149(e) nWH e)o 1545.(,21) <br />Department 01 the Leasury ► See separate instructions. <br />Internal Revenue Service Caution: If fhe issue price is under $100,000, use Form 9038 -GC. <br />Reporting Authority If Amended Return, check here ► ❑ <br />1 Issuer's name <br />2 Issuers employer vonrl'cs!ion cumber (EIPq <br />City of Santa Ana <br />as Name of Person (other than issuer) with whom the IRS may commueicme about this ra turn (see instmc non9) <br />ab Telephone newer of other person ;hnwn on 3, <br />4 Number and streel (or P.O. hex if mail is not delivered to street address) <br />Poom /suite <br />5 Report number tFor IFS Use Onmi <br />20 Civic Center Plaza <br />13 <br />6 City, town, or post office, state, and ZIP cane <br />7 earn of issue <br />Santa Ana CA 92701 <br />5 115115 <br />_ _ <br />B Name of issue <br />B CUSIP number <br />Equipment Lease- Pur_chas_e Agreement 23717 <br />10a Name and title of officer or other employee of the issuer whom the IRS may off for moro information (see <br />tab T,aephonc number of officer or other <br />Instructions) <br />employee shown an 10a <br />tja" .1 Type of Issue (enter the issue price). See the instructions and attach schedule. <br />ti <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />Education. 7 . . . . . . . . . <br />Health and hospital . . . . . . . . . . . . . . . . . . . . . <br />Transportation . . . . . . . . . . . . . . . . . . . . . <br />Public safety . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />Environment (including sewage bonds) . . . . . . . . . . . . . . . . . . . <br />Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />Other. Describe ► _ <br />12 <br />i <br />f3 <br />14 <br />—106,379 25 <br />15 <br />16 <br />_ <br />tt- <br />_.__�_ <br />19 <br />20 <br />If obligations are TANS or RANs, check only box 19a . . . _ . . . . . . . . ► ❑ <br />If obligations are BANS, check only box 19b . . . . . . . . . . . . . . . ► ❑ <br />If obligations are in the form of a lease or installment sale, check box . . . . . . > Cl <br />" <br />' <br />Description of Obligations, Complete for the entire issue for which this form is being filed. <br />to) FPal maturity date <br />21 5f15125 <br />(b) II price (a) Stated redemption {d) N /etghted <br />rice at matunt avers e matwit <br />4,106,879.25 $ p 4,106,87^ 10y years1 <br />(e) Yield <br />3,12 ah <br />Uses of Proceeds of Bond issue (including underwriters' discount) <br />ry <br />—. <br />22 <br />23 <br />24 <br />25 <br />26 <br />27 <br />28 <br />29 <br />30 <br />Proceeds used for accrued interest . . . . . . . . . . . . . . .�. _ <br />Issue price of entire issue (enter amount from line 21, column (b)) . . . . <br />Proceeds used for bond issuance costs (including underwriters' discount) . 24 <br />Proceeds used for credit enhancement . . . . . . . . . . , 25 <br />Proceeds allocated to reasonably required reserve or replacement fund 26 <br />Proceeds used to currently refund prior issues . . . . . . . 27 <br />Proceeds used to advance refund prior issues . . . . . . . . 28 <br />Total (add lines 24 through 29) . . . . . . . . . . . . . . . . <br />Nonrefunding proceeds of the issue (subtract line 29 from line 23 and enter amount here) <br />22 <br />23 <br />4,106,379.25 <br />- <br />29 <br />_ <br />30 <br />Description of Refunded Bonds. Complete this Part onlfar refunu ding bonds. <br />31 Enter the remaining weighted average maturity of the bonds to be currently refunded . P. ars <br />32 Enter the remaining weighted average maturity of the bonds to be advance refunded . . . ► years <br />33 Enter the last date on which the refunded bonds will be called (DAM /DD/YYYY) . . . . . . <br />34 Enter the date(s) the refunded bonds were issued Y (NnmveonvYy) <br />For Paperwork Reduction Act Notice, see separate instructions. Cal. No 63777,S Form 8038- G;Ray. 9 -2011) <br />