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55A - RESO SCE STREET LIGHTS
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04/03/2018
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55A - RESO SCE STREET LIGHTS
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Last modified
3/29/2018 7:42:40 PM
Creation date
3/29/2018 7:21:43 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
55A
Date
4/3/2018
Destruction Year
2023
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Forth 8038-G (Rev. 8-2011) <br />Page 2 <br />Miscellaneous <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 10 <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 to ❑ 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 b, <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)(8)()(111) (small issuer exception), check box . . . . 10 <br />21 <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 111i <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 nonqualifed 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 />Signature <br />and <br />Consent <br />Paid <br />Preparer <br />Use Only <br />Under penalties of periury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge <br />and belief, they are two, correct, and complete. I further declare that I consent to the IRS's disclosure of the Issuer's return Information, as necessary to <br />process this return, to the person that I have authorized above. <br />Signature of issuer's authorized representative Date <br />it/Type preparers name I Preoarer's slanature <br />55A-176 <br />Francisco Gutierrez,Exe.Director of Finance <br />Tvoe or print name and title <br />Check U if <br />Form CUJU-U (Rev. 9-2011) <br />
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