HomeMy WebLinkAboutA062 - Form 8038-G dated June 30, 2023 Ames 1 41 937 0-7 0
Fenn 8®38-G Information Return for Tax-Exempt Governmental Bonds
Ili-Under Internal Revenue Code section 149(e)
(Rev.October 2021) ►See separate Instructions. OMB No.1546-0047
Department of the Treasury Caution:If the Issue price is under$100,000,use Form 8038-GC.
Internal Revenue Service ►Go to www.Irs.gov/F80380 for instructions and the latest Information,
Reporting Authority Check box If Amended Return► ❑
•1 Issuer's name 2 Issuer's employer identification number(EIN)
City of Ames,Iowa 42.6004218
3a Name of person(other than Issuer)with whom the IRs may communicate about this return(see Instructions) 3b Telephone number of other person shown on 3a
4 Number and street(or P.O.box if mail is not delivered to street address) Room/suite 6 Report number(For IRS Use Only)
PO Box 811 13 I ,'xJ i`t
6 City,town,or post office,stale,and ZIP code 7 Date of Issue
Ames,Iowa 50010.0811 June 28,2023
0 Name of Issue 9 CUSIP number
Water Revenue Bond Series 2023 NONE
10a Name and title of officer or other employea of the Issuer whom the IRS may call for more information 10b Telephone number of officer or other
employee shown on 10a
Renee Hall, City Clerk (515)239.5105
Type of Issue (Enter the issue price.)See the instructions and attach schedule.
it Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Health and hospital . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Transportation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14 Public safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15 Environment(Including sewage bonds) . . . . . . . . . . . . . . . . . . . 15
16 Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 12,161,000
18 Other. Describe► i8
19a If bonds are TANS or RANs,check only box 19a . . . . . . . . . . . . . ► ❑ 3
b If bonds are BANS,check only box 19b ► ❑ r1 ' ) a z
20 If bonds are in the form of a lease or Installment sale,check box . ► ❑ t`B r°
Description of Bonds. Complete for the entire issue for which this form Is being filed,
(0)Stated mdernptlon Id)weighted a Yield
(a)Final maturity data (b)Issue price price at maturity average maturity ( )
21 06/01/2043 $ 12,161,000 Is 12,161,0001 11.309 years 1.7500 IT.
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 12,161,000
24 Proceeds used for bond Issuance costs(Including underwriters'discount) 24 60,805 ".
26 Proceeds used for credit enhancement . . . . . . , . . . . . 25 _7
, s
26 Proceeds allocated to reasonably required reserve or replacement fund 26
27 Proceeds used to refund prior tax-exempt bonds.Complete Part V . . . 27 Er
28 Proceeds used to refund prior taxable bonds.Complete Part V
29 Total(add lines 24 through 28) . . . . . . . . . . . . . . . . . . . . . . . 29 60,805
30 Nonrefunding proceeds of the Issue subtract line 29 from line 23 and enter amount here) 30 12,100,195
Description of Refunded Bonds.Complete this part only for refunding bonds.
31 Enter the remaining weighted average maturity of the tax-exempt bonds to be refunded . . . ► years
32 Enter the remaining weighted average maturity of the taxable bonds to be refunded . . , . ► years
33 Enter the last date on which the refunded tax-exempt bonds will be called(MM/DD/YYYY) ►
34 Enter the date(s)the refunded bonds were Issued►(MM/DD/YYYY)
For Paperwork Reduction Act Notice,see separate Instructions. Cat,No,63773S Form 8038-G(Rev.10-2021)
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Form 8028-G(Rev,10,2021) Page 2
FUMIM Miscellaneous
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
(GIC), See Instructions . . . . . . . . . . . . . . . . . . . . . . . . . 36a
b Enter the final maturity date of the GIC►(MM/DD/YYYY)
c Enter the name of the GIC provider► ` as
37 Pooled financings: Enter the amount of the proceeds of this Issue that are to be used to make loans ,
to other governmental units . . . . . . . . . . . . . . . . . . . . . . . . 37
38a If this Issue Is a loan made from the proceeds of another tax-exempt Issue,check box► ❑✓ and enter the following Information:
b Enter the date of the master pool bond►(MM/DD/YYYY)
c Enter the BIN of the Issuer of the master pool bond►
d Enter the name of the Issuer of the master pool bond► See attached Schedule I
39 If the Issuer has designated the Issue under section 265(b)(3)(B)(I)(Ili)(small issuer exception),check box ► ❑
40 If the Issuer has elected to pay a penalty In Ilea of arbitrage rebate, check box . . . . . . . . . . . . . ► ❑
41a If the Issuer has Identified a hedge, check here► ❑ and enter the following Information:
le Name of hedge provider II
c Type of hedge►
d Term of hedge►
42 If the Issuer has superintegrated the hedge, check box . . . . . . . . . . . . . . . . . . . . ► ❑
43 If the Issuer has established written procedures to ensure that all nonqualified bonds of this Issue are remedlated
according to the requirements under the Code and Regulations(see Instructions),check box . , . . . . . . ►
44 If the issuer has established written procedures to monitor the requirements of section 148,check box . . . . . ► ❑✓
45a If some portion of the proceeds was used to reimburse expenditures,check hero► ❑✓ and enter the amount
of reimbursement . . . . . ► $781.475.36
le Enter the date the official Intent was adopted►(MM/DD/YYYY) 11108/2022
Under penaltle f perJury, tleclare 1 I have examined thls return and accompanyingg schedules and statements,and to the best of my knowledge
Signature and belief h re true,corrapt, d omplete, further declare that I consent to the IN
disclosure of the Issuer's return Information,as nowssary to
g process 1 an,to the perso lh t I have a odzed above.
and
Consent D a1 ',Renee Hall City Clerk
/ Slgn ure Issuer's au rl a representative Dal Type or print name and 11He
Print/rype preps is name Prepar taro D to Check [] if PTIN
Paid John P. Dance y Q_a soif-employed P01083460 Prep-Firm'.name Dorsey&Whitne LLIP Firm's ElN0- 41-0223337
use Only plrm,s address r•801 Grand Avenue,Suite 4100 Des Moines,Iowa 50309 Phone no. 515.283.1000
Form 8038-0(Rev.10-2021)