HomeMy WebLinkAboutA016 - IRS Form 8038-G419370-23 GO Bonds
Form 8038-G I Information Return for Tax -Exempt Governmental Obligations
(Rev. November 2000) 110� Under Internal Revenue Code section 149(e) OMB No. 1545-0720
Department of the Treasury 10, See separate Instructions.
Internal Revenue Service Caution: If the issue price is under $100,000, use Form 8038-GC.
1:MM> Reportinq Authority If Amended Return. check here 10- F1
1
Issuer's name
2 Issuer's employeridentification number
City of Ames
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 2001-2
5
City, town, or post office, state, and ZIP code
6 Date of issue
Ames, Iowa 50010
5-1-01
7
Name of issue
8 CUSIP number
General Obligation Fire Station and Refunding Bonds, Series 2001E
9
Name and title of officer or legal representative whom the IRS may call for more information
10 TelephormrTberofofficeorlegatelibsertaive
Dorsey & Whitney LLP, Des Moines, IA Bond Counsel
515 ) 283-1000
I '_ ___ raaue _____UGK appiwaDie DOxIlesi ana enter the issue price) See instructions and attach Schedule
1 0 Education . . . . . . . . . . . . . . . . . . . . . . . . . . .
12 0 Health and hospital . . . . . . . . . . . . . . . . . . . . . .
13 El Transportation . . . . . . . . . . . . . . . . . . . . . . . .
14 El Public safety. . . .
15 EJ Environment (including sewage bonds) . . . . . . . . . . . . . . . . . .
16 El Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17 F1 Utilities . . . . . . . . . .
18 2 Other. Describe 0-, fire station and refunding
Do- EJ
19 If obligations are TANS or RANs, check box If obligations are BANS, check box 1p� El
20 If obligations are in the form of a lease or installment sale, check box . . . . . . Ili-0
11
12
13
14
15
16
17
18
5,186,229
FEE/
MEM
Uescirwition of Oblioatinn-,_ (ni-nnipto fr)r thp Pritiro icci in fnr %Athir h Chic fnrm is hninn filati
(a) Final maturity date
(b) Issue price
(c) Stated redemption
price at maturity
(d) Weighted
I
average maturity
(e) Yield
21 06/01113
$ 5,186,229
$ 5,1 55.000
3.64 years
3.2149 %
US— 01 Ptuceeds of Esond issue (including underwriters' discount)
22 Proceeds used for accrued interest . . . . . . . . . . . .
22
2,226
. . . . . .
23 Issue price of entire issue (enter amount from line 21, column (b)) . . . . . . . .
.
23
5,186,229
24 Proceeds used for bond issuance costs (including underwriters' discount) . 24
6,067
25 Proceeds used for credit enhancement . . . . . . * * * * * 25ce
26 Proceeds allocated to reasonably required reserve or replacement fund . 26
27 Proceeds used to currently refund prior issues . . . . . . . . 27 3,846,600
28 Proceeds used to advance refund prior issues . . . . . . . 28
.
29 Total (add lines 24 through 28) . . . . . . . . . . . . . . . . . . . .
30 Nonrefunding proceeds of the issue (subtract line 29 from line 23 and enter amount here)
. .
. .
29
3,914,667
1 301
1,271,562
• Descriptionof Refunded— rids (Complete this part on!y. for refunding
bonds.)
31 Enter the remaining weighted average maturity of the bonds to be currently refunded
.0, 2.85 years
32 Enter the remaining weighted average maturity of the bonds to be advance refunded .
33 Enter the last date on which the refunded bonds will be called . . . . . . . . .
34 Enter the date(s) the refunded bonds were issued 1110.
. . 0, years
. . No. 01/01/02
02/25/93
• Miscellaneous
35 Enter the amount of the state volume cap allocated to the issue under section 141 (b)(5) . . . 35 1
36a Enter the arTuut of gross proceeds invested or to be invested in a guararteed investrrent contract (see instwions) 36a
b Enter the final maturity date of the guaranteed investment contract 0-- W//1
37 Pooled financings: a Proceeds of this issue that are to be used to make loans to other governmental units 37a
b If this issue is a loan made from the proceeds of another tax-exempt issue, check box lip- 0 and enter the name of the
issuer Do- and the date of the issue *
38 If the issuer has designated the issue under section 265(b)(3)(B)(i)(111) (small issuer exception), check box . . . 10, ❑
39 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box . . . . . . . . . . . . o,, El
40 If the issuer has identified a hedge, check box . . . . . . . . . . . . . . .. . ... . . . . . ► 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, they are true, correct, and complete.
Sign
Here
F Signature of issuer's authorized re
12/06/01
Date
Diane R. Voss, City Clerk
Type or print name and title
For Paperwork Reduction Act Notice, see page 2 of the Instructions. Cat. No. 63773S Form 8038-G (Rev. 11-2000)
0