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Home My WebLink AboutA012 - Letter from Dorsey & Whitney dated May 30, 2003 - Form 8038-GMINNEAPOLIS SEArILL NEW YORK WASHINGTON, D.C. DENVER, LONDON SOUTIIEPLN CALIFORNIA UPS MOINES SAN FRANCISCO ANCHORAGE Diane Voss City Clerk City Hall 515 Clark Avenue Ames, 1A 50010-0811 DORSEY & WHITNEY LLP AxTORNEYS AT LAW 801 GRAND, SUITE 3900 DES MOINES, IOWA 50309 TELEPHONE: (515) 283-1000 FAX: (515) 283-1060 www.dorseylaw.corn CRISTINA KUHN (515) 699-3273 kuhn.cristina(it.4orseylaw.corn May 30, 2003 Re: Hospital Revenue Refunding Bonds (Mary Greeley Medical Center) Dear Diane: 'TOKYO PALO ALTO FAR GO SALT LAKE CITY GBX.Xf FALLS HONG KON6 MISSOULA TOP -ONTO SHANGHAI VANCOUVER Per our telephone discussion on Friday, May 30, 2003, please find enclosed two copies of the IRS 8038-G forrn for signature by the Mayor. Please do not date the form, as we will date the form when it is filed with the IRS after closing. The City will receive a copy of the 8038-G form as part of the final transcript. We have provided the enclosed envelope for return to LIS. Please return the signed 8038-G forms to us by Friday, June 6, 2003. Thank you very much for your cooperation and assistance. Sincerely, 1P,411(") Cristina Kuhn CK/Isd Enclosures Form 8038-G I Information Return for Tax -Exempt Governmental Obligations (Rev. November 2000) 00- Under Internal Revenue Code section 149(e) CM6 No. 1545-0720 Department of the Treasury lio- See separate Instructions. Internal Revenue Service Caution: If the issue price is under $100,000, use Form 8038-GC, Reportinq Authoritv If Amended Return. check here ► F, 1 Issuer's name 2 Issuer's employer identification number City of Ames, Iowa 3 Number and street (or P.O. box if mail is not delivered to street address) Room/suite 4 Report number 515 Clark Avenue, P.O. Box 811 5 City, town, or post office, state, and ZIP code 6 Date of issue Ames, Iowa 50010-0811 7 Name of issue 8 CUSIP number Hospital Revenue Refunding Bonds (Mary Greeley Medical Center) 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 David L. Claypool 515 ) 283-1000 gjauLw iype of issue tcneCK appitcable poxes) ancl enter the issue price) See instructions and attach schedule 11 0 Education . . . . . . . . . . . . . . . . . . . . . . . 11 12 . . . El Health and hospital . . . . . . . . . . . . . . . . . . . . . 12 13 El Transportation . . . . . . . . . . . . . . . . . . . . . 13 14 . . . . 0 Public safety . . . . . . . . . . . . . . . . . . . . . . 14 15 . . . . EJ Environment (including sewage bonds) . . . . . . . . . . . . is 16 El Housing . . . . . . . . . . . . . . . . . . . . . . . . 16 17 . . . . . ❑ Utilities . . . . . . . . . . 17 18 ❑ Other. Describe lo- 18 19 If obligations are TANS or RANs, check box IIN- ❑ If obligations are BANs, check box ON- n 20 If obligations are in the form of a least, or installment -alp_ check hnx 110. F-1 1:P-1talls uescription of Ubhoations. CnmnIrtP fnr the Pntirp fnr which this fnrm is hPinn filpri (a) Final maturity date (b) Issue price (C) Stated redemption price at maturity (d) Weighted average maturity (e) Yield 21 $ $ years % &jQM2LjI uses of t-rqcereqs OT bona issue lincludina- underwriters' discount)— 22 Proceeds used for accrued interest . . . . . . . . . . . . . . . . . — . 22 23 23 Issue price of entire issue (enter amount from line 21, column (b)) . . . . . . . . . . . 24 Proceeds used for bond issuance costs (including underwriters' discount) 24 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 30 Nonrefunding proceeds of the issue (subtract line 29 from line 23 and enter amount here) , 30 Description of Refunded Bonds (Complete this part only for refundipA 31 Enter the remaining weighted average maturity of the bonds to be currently refunded 1,, years 32 Enter the remaining weighted average maturity of the bonds to be advance refunded 111. years 33 34 Enter the last date on which the refunded bonds will be called . . . . . . . . . Enter the date(s) the refunded bonds were issued ► . . No., scellaneous 35 Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) . * 35 36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract (see instructions; 36a b Enter the final maturity date of the guaranteed investment contract 10- 37 Pooled financings: a Proceeds of this issue that are to be used to make loans to other governmental units E37a b If this issue is a loan made from the proceeds of another tax-exempt issue, check box 0- El and enter the name of the issuer 00- — and the date of the issue * 38 If the issuer has designated the issue under section 265(b)(3)(13)(i)(111) (small issuer exception), check box 00'. El 39 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box . . . . . . . . . . . 0o, El 40 If the issuer has identified a hedge, check box . . . . . . . . . . . . . . . . . . . . . 0, Q Under penalties of pen,.rtdeclare that I have ex iined this return and accompanying schedules arid statements, and to the best of my knowledge they r� and belief, they ar, e orrect, and comp Sign Here r �� Signature of issuer's authorized representative Date Ted Tedesco, Mayor 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)