HomeMy WebLinkAboutA013 - IRS Form 8038-GForm8038—G Information Return for Tax -Exempt Governmental Obligations
1p► Under Internal Revenue Code section 149(e) OMB No. 1545-0720
(Rev. November 2000) 41.9370-24 Bonds Ili. See separate Instructions.
Department of the Treasury
Internal Revenue Service Caution: ff the issue price is under $100, 000, use Form 8038-GC.
I P;Irt I I Rpnortina Authoritv if Amended Return, check here lo. F]
1 Issuer's name
2 Issuer's employer identification number
Ames, City of Iowa
42-6004218
3 Number and street (or P.O. box if mail is not delivered to street address)
Room/suite
4 Report number
515 Clark Avenue
3 2001-1
5 C4, town, or post office, state, and ZIP code
6 Date of issue
Ames, Iowa 50010
8-1-01
7 Name of issue
8 CUSIP number
General Obligation Corporate Purpose Bonds
1030807_.
9 Name and title of officer or legal representative whom the IRS may call for more information
10 Telephone number of officer or legal representative
Dorsey & Whitne_y__LLP, Des Moines, IA Bond Counsel
1515-283-1000
I Part fl I TVDe of Issue (check applicable box(es) and enter the issue price) bee instructions ana aaacn scneaule
11 E] Education ...... ...... ......... ...... .......... 11
12 ❑ Health and hospital .... .............. ........ - - ............... - 12
13 Transportation ....... ......... ............ 13
14 [J Public safety. , . . . . ....... ......... ............. ...... .......... - 14
15 E] Environment (including sewage bonds) . .............. ........ ........... 15
16 E] Housing ....... .................. .......... .............
17 [:] Utilities . . . . . ...... ...... ...... * , * , * * * * * ..... : , * * ...... * ... * .... * ....... - 17
18 E] Other. Describe),. street and storm sewer improvements .18 10,091, 336
19 If obligations are TANS or RANs, check box F. R If obligations are BANS, check box 0-0
20 If obligations are in the form of a lease or installment sale, check box .......... ...... 10. 1:1
I llni�rf in I nace-rinfinn of r)hlinnifinnQ ti".nmnlintip fr)r the Pntirp. isfilla fnr whir.h this form is being filed.)
(a) Final maturity date
(b) Issue price
(c) Stated redemption
I price at maturity
(d) Weighted
average maturity
(e) Yield
21
6-1-2013
$ 10, 091, 336
1$ 10,080,000
6. 54 years
4.2913%
Part IV 1 Uses of Proceeds of Bond Issue (including underwriters' discount)
22 Proceeds used for accrued interest. . ......... ........... ................ ...... 22
23 Issue price of entire issue (enter amount from line 21, column (b)) ... .......... ..... 23 101091L.336
24 Proceeds used for bond issuance costs (including underwriters' discount) 24 123, 183
25 Proceeds used for credit enhancement ....... .............. 25
26 Proceeds allocated to reasonably required reserve or replacement fund .. 26
27 Proceeds used to currently refund prior issues .......... .... 27
28 Proceeds used to advance refund prior issues ..... 28
29 Total (add lines 24 through 28) ....... ............. ..... . * ... * ... * ....... 29 123f 183 00
30 Nonrefunding proceeds of the issue (subtract line 29 from line 23 and enter amount here) ..... 9 6 8 15 3 0 0
1 Part V I Description of Refunded Bonds (Complete this part only for refunding bonds.)
31 Enter the remaining weighted average maturity of the bonds to be currently refunded ........... No- years
32 Enter the remaining weighted average maturity of the bonds to be advance refunded ... ..... . . 10- years
33 Enter the last date on which the refunded bonds will be called ................. ......
►
34 Enter the date(s) the refunded bonds were issued lo�
Part
i a Miscellaneous
35 Enter the amount of the state volume cap allocated to the issue under section 141 (b)(5) ........ 35
36a ErtEr the arnourt of gross procexis invested or to be irwested in a gia-zinteed in/estrrelt ccrtract (See instructions) _36a
b Enter the final maturity date of the guaranteed investment contract ►
37 Pooled financings: a Proceeds of the issue tint are to be used to in -eke IcEm to other g>A3Tlment.1 Units 37a
lo If this issue is a loan made from the proceeds of another tax-exempt issue, check box 10- n and enter the name of the
issuer lo. and the date of the issue oo-_
38 If the issuer has designated the issue under section 265(b)(3)(B)(i)(Ill) (small issuer exception), check box ... .... .... ► nX
39 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box ...... ............ .............. 0-.0
40 If the issuer has identified a hedge, check box ..... ..................... .......... •
... 1r El
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief,
Sign they are true, correct, and complete. 1 Diane R. Voss
Here 4ha�i) E - -A 8-1-01 'City Clerk
t/1&dd—
K,gnature of issuer's authorized representative Date Type or print name and title
For Paperwork Reduction Act Notice, see page 2 of the Instructions. ISA Form 8038-G (Rev. 11-2000)
STF FED6403F