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Form 8038 -G (Rev. 9 -2011) <br />35 <br />Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) . . . . 35 <br />NIA <br />36a <br />Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract <br />(GIC) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . 36a <br />b <br />Enter the final maturity date of the GIC ► <br />c <br />Enter the name of the GIC provider Ill <br />37 <br />Pooled financings: Enter the amount of the proceeds of this issue that are to be used to make loans <br />to other governmental units . . . . . . . . . . . . . . . . . . . . . . . . 37 <br />38a <br />If this issue is a loan made from the proceeds of another tax - exempt issue, check box ► ❑ and enter the following information: <br />b <br />Enter the date of the master pool obligation ► <br />c <br />Enter the EIN of the issuer of the master pool obligation ► <br />d <br />Enter the name of the issuer of the master pool obligation ► <br />39 <br />If the issuer has designated the issue under section 265(b)(3)(B)(i)(III) (small issuer exception), check box . . . <br />. ► ❑ <br />40 <br />If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box . . . . . . . . . . . . <br />. ► ❑ <br />41a <br />If the issuer has identified a hedge, check here ► ❑ and enter the following information: <br />b <br />Name of hedge provider► <br />c <br />Type of hedge ► <br />d <br />Term of hedge ► <br />42 <br />If the issuer has superintegrated the hedge, check box . . . . . . . . . . . . . . . . . . . . <br />. ► ❑ <br />43 <br />If the issuer has established written procedures to ensure that all nonqualified bonds of this issue are remediated <br />according to the requirements under the Code and Regulations (see instructions), check box . . . . . . . <br />. ► ❑ <br />44 <br />If the issuer has established written procedures to monitor the requirements of section 148, check box . <br />► ❑✓ <br />45a <br />If some portion of the proceeds was used to reimburse expenditures, check here ► ❑ and enter the amount <br />of reimbursement . . . . . . . . . ► <br />b <br />Enter the date the official intent was adopted ► <br />Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge <br />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 <br />and process this return, to the person that eve aut orized above. <br />Consent / �(..�,b t.., y a , c ey, -,� /, / Francisco Gutierrez, Exec. Dir. of Finance <br />signature of'issuer s authonzed represen alive Date Type or print name and title <br />Paid Print /rype preparer's name Preparers signature I uate Check ❑ If r I w <br />Preparer self- employed <br />Use Only Firm's name ► Firm's FIN ► <br />Form if JO-U (Rev. 9 -2011) <br />