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Form 8038-G <br />Page 2 <br />35 <br />Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) . . . . 35 <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► <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 0- <br />0 <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)(13)(1)(111) (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 0, <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 penury, 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 thatlh ve authoriz above. <br />Consent ` <br />`-YCSe'e��Y�a 1_ a e7,_o9ol7/ Francisco Gutierrez,Exe.DirectorofFinance <br />Signature of Issuer's authorized representative Date Type or print name and title <br />Print/Type preparer's name Preparer's signature Date PTIN <br />�alfl Check ❑ if <br />Preparer self-employed <br />Use Only Firm's name Or RmnsEIN ► <br />Firm's address ► Phone no. <br />Form 8038-G (Rey: 9-2011) <br />