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Home My WebLink AboutA030 - Form 8038-G dated September 17, 2020 Ames/419370-65 Form 8038-G Information Return for Tax-Exempt Governmental Bonds ►Under Internal Revenue Code section 149(e) (Rev.September 2018) ►See separate instructions. OMB No.1545-0720 Department of the Treasury Caution:/f the issue price is under$100,000,use Form 8038-GC. Internal Revenue Service ►Go to www.irs.gov/F803BG for instructions and the latest information. Reporting Authority If Amended Return,check here ► ❑ 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 5 Report number(For IRS Use Only) PO Box 811 3 6 City,town,or post office,state,and ZIP code 7 Date of issue Ames,Iowa 50010-0811 September 17,2020 8 Name of issue 9 CUSIP number General Obligation Corporate Purpose and Refunding Bonds,Series 2020A 030807 2T7 10a Name and title of officer or other employee of the issuer whom the IRS may call for more information(see 10b Telephone number of officer or other instructions) employee shown on 10a Diane R.Voss,Cit Clerk 515-239-5105 Type of Issue(enter the issue price). See the instructions and attach schedule. 11 Education . . . . . . . . . 11 12 Health and hospital . . . . . . . . . . . . . QG CQ 12 13 Transportation . . . . . . . . . . O "' . . . . . . . . 13 14 Public safety . . . . . . . 0[ �. 15 Environment(including sewage bonds) ,. . . . . . . . . . . . . . . . 15 16 Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 17 Utilities . . . .constructing improvements to streets,sanitary sewers and bridges,installation of traffic 17 18 Other. Describe► control devices,acquisition of equipment for fire department and current refunding 18 19,976,038 40 19a If bonds are TANS or RANs,check only box 19a . . . . . . . . . . . . . . . ► ❑ b If bonds are BANS,check only box 19b . . . . . . . . . . . . . . . . . . ► ❑ � 20 If bonds are in the form of a lease or installment sale,check box . . . . . . . . . ► ❑ Description of Bonds. Complete for the entire issue for which this form is being filed. (a)Final maturity date (b)Issue price (c)Stated redemption (d)Weighted (e)Yield price at maturity average maturity 21 06/01/2032 $ 19,976,038.40 $ 17,865,000 5.1022 years 0.7345 % 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 19,976,038 40 24 Proceeds used for bond issuance costs(including underwriters'discount) 24 114,853 34 25 Proceeds used for credit enhancement . . . . . . . . . . . . 25 26 Proceeds allocated to reasonably required reserve or replacement fund . 26 27 Proceeds used to refund prior tax-exempt bonds.Complete Part V . . . 27 9,175,000 28 Proceeds used to refund prior taxable bonds. Complete Part V . . . . 28 29 Total(add lines 24 through 28) . . . . . . . . . . . . . . . . . . . . . . . 29 9,289,853 34 30 Nonrefunding proceeds of the issue(subtract line 29 from line 23 and enter amount here) 30 10,686,1851 06 WriATA 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 . . . ►1.2132, 1.7274;4.3011 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) . . ► 09/24/2020 34 Enter the date(s)the refunded bonds were issued►(MM/DD/YYYY) 09/30/2010; 11/15/2011; 10/01/2012 For Paperwork Reduction Act Notice,see separate instructions. Cat.No.63773S Form 8038-G(Rev.9-2018) C � � ► tO i t Form 8038-G(Rev.9-2018) Page 2 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► 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 EIN of the issuer of the master pool bond Ol- d Enter the name of the issuer of the master pool bond► 39 If the issuer has designated the issue under section 265(b)(3)(B)(i)(III)(small issuer exception),check box . . . . ► ❑ 40 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box . . . . . . . . . . . . . ► ❑ 41 a If the issuer has identified a hedge, check here► ❑ and enter the following information: b Name of hedge provider► 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 remediated 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 here► ❑✓ and enter the amount of reimbursement . . . . . . . . . . . . . . ► $10,107.12 b Enter the date the official intent was adopted► MM/DD/YYY 02/25/2020 Under penalties of perjury,I declare that I have examined this return and accompanying schedules and statements,and to the best of my knowledge Signature and belief,they are true,correct,and complete.I further declare that I consent to the IRS's disclosure of the issuer's return information,as necessary to and Process this t rrn,,to the pe hat I h/vie anutho/rized above. / Consent '_ AU I 1 �a7 Ci ^ '�I,a Diane R.Voss,City Clerk Signature of issuer's authorized representative Date 'Type or print name and title Paid Print/Type preparer's name n `D�te Check ❑ if PTIN Preparer Robert E.Josten V("�� self-employed P01075995 Use Only Firm's ame ► Dorse &Whitney,LL Firm's EIN ► 41-0223337 Firm's address ► 801 Grand Ave.,Suite 4100, es Moines Iowa 50309-8002 Phone no. 515-283-1000 Form 8038-G(Rev.9-2018)