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Farm 8038-G Information Return for Tax -Exempt Governmental Obligations <br />► Under Internal Revenue Code Section 149 e <br />(Rev. September 2011) <br />0- Soo separate instructions. OMB No. 1545-0720 <br />Department of the Treasury Caution: If the issue doe Is under $100,000, use Form 8038 -GC. <br />Interna! Revenue Service R ' <br />Rnnnr+inn Au+l-n.ifw m - n <br />I Issuer's name <br />2 Issuer's employer identification number (FIN) <br />City of Santa Ana <br />96.6000785 <br />3a Name of person (other then Issuer) with whom the IRS may communicate about this return (see instructions) <br />36 Telephone number of other person shown an 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 />18 <br />151 1 <br />a CRY, town, or post office, state, and ZIP code <br />7 Date of Issue <br />Santa Ana, CA 92702 <br />June 75, 2017 <br />8 Name of Issue <br />9 CUSIP number <br />$1,462,000.00 Lease of 911 System Upgrades and Information <br />None <br />too Name and title of officer a other employee of the Issuer whom the IRS may cell for more information (see <br />too Telephone number of officer or other <br />instructions) <br />employee shown on 10a <br />Francisco Gutierrez, Executive Director of Finance <br />714.647.5422 <br />III tea I■ I VPe Or Issue [enter the issue Orice). See the instructions and attach schedula. <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />16 <br />19 <br />20 <br />Education. . . . . . . . _.._.-. <br />Health and hospital . . . . . . <br />Transportation . . . . . . . . . . . . . . . . . . . . . . <br />Public safety . . . . . . . . . . . . . . . . . . . . . . . <br />Environment (including sewage bonds) . . . . . . . . . . . . . . <br />Housing . . . . . . . . . . . . . . . . . . . . . . . . <br />Utilities . . . . . . . . . . . . . . . . . . . . . . . . <br />Other. Describe ► <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 . . . . <br />. . . . <br />. . . . . . <br />. . . . <br />. . . . . . <br />. . . . . . <br />. . . . ► ❑ <br />. . . . 111 <br />. . . . ► ❑ <br />ti <br />12 <br />13 <br />14 1,462,000 DD <br />15 <br />16 <br />17 <br />18 <br />00 <br />Description of Obligations. Complete for the entire issue for which <br />this form Is being filed. <br />24 <br />Proceeds used for bond issuance costs (including underwriters' discount) . ,24 5,000 <br />(a) Final maturity date (b) Issue price <br />(o) Stated redemption <br />price at maturity <br />(d) Weighted <br />average maturity <br />(e) Yield <br />21 <br />05113/2025 1,462,000.00 <br />NIA - Lease/IPA <br />1 4.10 years <br />3.100 % <br />' ,XLL <br />rI Uses Or MYOCee05 OT Bona Issue (including underwrlters' discount) <br />22 <br />Proceeds used for accrued interest . . . . . . . . . . . . . . . <br />_ <br />22 <br />23 <br />Issue price of entire issue (enter amount from line 21, column (b)) . . . . . <br />00 <br />23 <br />1,462,000 <br />24 <br />Proceeds used for bond issuance costs (including underwriters' discount) . ,24 5,000 <br />00 <br />25 <br />Proceeds used for credit enhancement . . . . . . . . . . . . 25 <br />26 <br />Proceeds allocated to reasonably required reserve or replacement fund . 26 <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 />29 <br />51000 <br />00 <br />30 <br />Nonrefunding proceeds of the issue (subtract line 29 from line 23 and enter amount here) <br />00 <br />30 <br />1,457,000 <br />31 Enter the remaining weighted average maturity of the bonds to be currently refunded . . . ► veers <br />32 Enter the remaining weighted average maturity of the bonds to be advance refunded . . . . ► veers <br />33 Enter the last date on which the refunded bonds will be called (MM/DD/YYYY) . . . . . . ► <br />34 Enter the date(s) the refunded bonds were Issued ► (MM/DunWY) <br />For Paperwork Reduction Act Notice, see separate instructions. cat. No. 63773s Form 8038-G (Rev, 9-2811) <br />