HomeMy WebLinkAboutA018 - IRS Form 8038-G419370-32 Bonds
Information Return for Tax -Exempt Governmental Obligations
Form8038-G Il Under internal Revenue Code section 149(e) 011 No. 1545-0720
(Rev. November 2000) 10, See separate Instructions.
Caution: If the issue price is under $100,000, use Form 8038-GC.
iority If A—anWM RPWil check here 10I E]
2 issuer's employer Identincau0n number
1 Issuer's name 421 6004218
City of Ames, Iowa Room/suite 4 Report number
3 Number and street (or P.O. box if mail is not delivered to street address) Report
' 2004-1
515 Clark Avenue a
716 Date ofissue
s City, town, or post office, state, and ZIP code 10119104
1
Ames, Iowa 50010 8 CUSIP number
7 Name of issue 030807
General Obligation Corporate Purpose Bonds, Series 2004
9 Name and title of officer or legal representative whom the IRS may call for more information 10 Telephone number Of 1111M Or" re"Senial
Dorsey & Whitney LLP, Des Moines, Iowa Bond Counsel I ( 515 ) 283-1000
See instructions and attach schedule
e of Issue (check applic-1-1- �`jxv �aecsan�denter enter _o uaGn bl-IVu
11 0 Education . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
12 0 Health and hospital . . . . . . . . . . . . . . . . . . . . . . . . 13
13 0 Transportation . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
14 0 Public safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . 05
15 0 Environment (including sewage bonds) . . . . . . . . . . . . . . . . . . . 16
16 0 Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
17 0 Utilities . . . . . . . . . . . . . . . . ;I reatio'
storm sewer; bridge; fire equipment; II n 18
6,090,193
18 ®Other. Describer street; 0
19 if obligations are TANS or RANs, check box 00- 11 If obligations are BANS, check box El
❑
20 If obligations are in the form of a lease or installment sale, check box . . . . . .
• Description of Obligations. Complete for the entire issue for which this farm
rn is bein filed•(c) Stated redemption (d) weighted (a) Yield
(a) Final maturity date (b) issue price Price at maturity average maturity
p
09 6.030.000 5.30 ears 2.919978
21 06/01114 $ 6,090,193
17*1NEW—Uses of Proceeds of Bond issue includin underwriaters, discount) 22 2021
22 Proceeds used for accrued interest . . . . . . . . . . . . . . . . . . . . . 23 6090,193
23 Issue price of entire issue (enter amount from line 21, column (b)) . . . . . . . . . 56,816
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 . . . . . . . . . 1 28 1 29 56,816
. . . . . . . .
29 Total (add lines 24 through 28) . . . . . - . . line 29 from line 23 and entell"!:11111-1111,11 "i amount - here 30 6,033,377
30 Norii efundin roceeds of the issue subtract
1.71 Lq_ tion of Refunded Bonds (liCiorne . letthis a Illy for refund
tt�t� years
31 Enter the remaining weighted average maturity of the bonds to be currently refunded . . . 10, yppq;
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 110*
MINIMS _RA*t---IInngw%t ioz
35 Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) . . . 36a
36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract (see instructions) WE
b Enter the final maturity date of the guaranteed investment contract 1101. 37a
37 Pooled financings: a Proceeds of this issue that are to be used to make loans to other governmental units —
b If this issue is a loan made from the proceeds of another tax-exempt issue, check box 10. 0 and enter the name of the
issuer Ill and the date of the issue Ill 00.0
38 If the issuer has designated the issue under section 265(b)(3)(B)(1)(111) (small issuer exception), check box . . . 11110, 0
39 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box . . . . . . . . . . . . IIII Ej
40 If the issuer has identified a hedge, check box . . . . . . . . .
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 Diane R.Voss, City Clerk
Here 10/19/04
Date Type or print name and title
,ai dhnfi7pd rpn %pritative
Cat. No. 63773S Form 8038-G (Rev. 11-2000)
F
For Paperwork Reduction Act Notice, see page 2 of the Instructions.
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