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Form $ ®S8 -G Information Return for Tax- Exempt Governmental Obligations <br />(Rev. September 2011) ►Under Internal Revenue Code section 149(e) OMB No. 1545 -0720 <br />► See separate instructions. <br />Department of the Treasury Caution: If the Issue price is under $100,000, use Form 8038 -GC. <br />Internal Revenue Service <br />■T-M Reoortina Authoritv If Amended Return. check here ► n <br />1 Issuer's name <br />2 Issuer's employer identification number (Ell <br />City of Santa Ana - <br />95- 6000785 <br />3a Name of person (other than issuer) with whom the IRS may communicate about This r e. ,,Yi (see instructions). r <br />,3b, Telephone number of other person shown on 3a <br />4 Number and street (or P.O. box if mail is not delivered to street address) <br />Room /suite <br />5 Report number (For IRS Use Only) <br />20 Civic Center Plaza <br />3 ,;�.;�`�_. <br />6 City, town, or post office, state, and ZIP code <br />7 Date of issue <br />Santa Ana, CA 92702 <br />June 5, 2015 <br />5 Name of issue <br />9 CUSIP number <br />Equipment Lease - Purchase Agreement <br />N/A <br />10a Name and title of officer or other employee of the issuer whom the IRS may call for more information (see <br />106 Telephone number of officer or other <br />instructions) <br />employee shown on 10a <br />Francisco Gutierrez, Exec. Director of Finance <br />714.6475422 <br />(Phil/ TvDe of Issue (enter the issue price). See the instructions and attach schedule. <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />Education . . . . . . . . . . . . . . . . . . . . . . . . <br />Health and hospital . . . . . . . . . . . . . . . . . . . . <br />Transportation . . . . . . . . . . . . . . . . . . . <br />Public safety . . . . . . . . . . . . . . . . . . . . . . . <br />Environment (including sewage-bonds) . . . . . . . . . . . . . . <br />Housing . . . . . . . . . . . . . . . . . . . . . . . . <br />Utilities . . . . . . . . . . . . . . . . . . . . . . . . <br />Other. Describe ► <br />. . . . . . <br />. . . . . . <br />. . . . . . <br />. . . . . . <br />. . . . . . <br />. . . . . . <br />. . . . . . <br />11 <br />12 <br />954,954 <br />00 <br />13 <br />24 <br />14 <br />954,954 <br />00 <br />15 <br />Proceeds used for credit enhancement . . . . . . . . . . . . 2526 <br />16 <br />. 17 <br />Proceeds allocated to reasonably required reserve or replacement fund . 26 <br />18 <br />27 <br />19 <br />20 <br />If obligations are TANS or RANs, check only box 1�9a . . . . . . . . . <br />If obligations are BANS, check only box 19b . . . . . . . . . . . . <br />if obligations are in the form of a lease or installment sale, check box . . . . <br />. . . . ► ❑ <br />. . . . ► ❑ <br />. . . . ► ❑ <br />d <br />28 <br />Proceeds used to advance refund prior issues _. ._ -28 <br />Description of Obligations. Complete for the entire issue for which <br />this form is being filed. <br />29 <br />Total (add lines 24 through 28) . . . . . . . . . . . . . . . . . . . . . . <br />_(a) Final maturity date <br />(b) Issue price <br />(c) Stated redemption <br />price at maturity <br />(d) Weighted <br />average maturity <br />Nonrefunding proceeds of the issue (subtract line 29 from line 23 and enter amount here) <br />(e) Yield <br />21 <br />05/1312025 <br />1 $ 954,954.00 <br />NIA: Lease/IPAJ <br />10 years <br />1 <br />3.0000 <br />of Idond Issue <br />22 <br />Proceeds used for accrued interest . . . . . . . . . . . . . . . . . . . . <br />. <br />22 <br />954,954 <br />00 <br />23 Iss:e.pdce of entire issue (enter amount from line 21, column (b)) . . . . . <br />24 <br />Prsaaeds used for bond issuance costs (including underwriters' discount) . 24 5,000 <br />0025 <br />Proceeds used for credit enhancement . . . . . . . . . . . . 2526 <br />Proceeds allocated to reasonably required reserve or replacement fund . 26 <br />[23 <br />27 <br />Proceeds used to currently refund prior issues . . . . . . . . . 27 <br />28 <br />Proceeds used to advance refund prior issues _. ._ -28 <br />29 <br />Total (add lines 24 through 28) . . . . . . . . . . . . . . . . . . . . . . <br />. <br />5,000 <br />00 <br />30 <br />Nonrefunding proceeds of the issue (subtract line 29 from line 23 and enter amount here) <br />30 <br />949,954 <br />00 <br />Description of Refunded Bonds. Complete this part only for refunding bonds. <br />31 <br />Enter the remaining weighted average maturity of the bonds to be currently refunded . . . . <br />► N/A years <br />32 <br />Enter the remaining weighted average maturity of the bonds to be advance refunded _. . . . <br />P. years <br />33 <br />Enter the last date on which the refunded bonds will be - called (MM /DD/YYYY) . . . . . . <br />► <br />34 <br />Enter the dates) the refunded bonds were issued ► (MM/DDfyyy') <br />For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 637733 <br />Form 8038 -G (Rev. 9-2011) <br />