HomeMy WebLinkAboutA026 - Signed Form 8038-G dated November 8, 2023 Ames 1419370.73
Form8038-G Information Return for Tax-Exempt Governmental Bonds
►Under Internal Revenue Code section 149(e)
(Rev.October 2021) ►See separate Instructions. OMB No.1545-0047
Department of the Treasury Caution:if the issue price is under$100,000,use Form 8038-GC.
Internal Revenue Service ►Go to WWW.in.gov/F80380 for Instructions and the latest information.
ll�ffportinq Authority Check box if Amended Return► ❑
1 Issuer's name 2 Issuefs 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 mall Is not delivered to street address) Room/suite 5 Report number(For IRS Use Only)
PO Box811 13 l
6 City,town,or post office,state,and ZIP code 7 Dale of Issue
Ames,Iowa 50010-0811 November 9,2023
a Name of issue 9 CUSIP number
General Obligation Corporate Purpose Bonds Series 2023D 030807 4F5
10a Name and title of officer or other employee of the issuer whom the IRS may call for more Information 10b Telephone number of officer or other
employee shown on too
Renee Hall,City Clerk (515)239-5105
Type of Issue(Enter the issue price.)Seethe instructions and attach schedule.
11 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
18 Other.Describe►street,alley,drainage,sanitary sewer,water,sidewalk;park facilities;aquatic center 18 12,791,308.95
19a If bands are TANS or RANs,check only box 19a . . . . . . . . . . . . . . . ► ❑ 4" zz, f
It If bands are BANS,check only box 19b . . . . . . . . . . . . . . . . . . ► ❑ T,.,, �. - .-rr .�
20 If bonds are in the form of a lease or installment sale,check box ► ❑ k�': - *:-� 4�'
Description of Bonds.Corn fete for the entire issue for which this form is being filed.
(c)Stated redemption (d)Weighletl
(a)Final maturry tlate (b)Issue price price a[maturity average maludry (e)Yield
21 06101/2035 1$ 12,791,308.95 $ 12, 10,0001 6.5121 years 3.8230
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 12,791,308.95
24 Proceeds used for bond issuance costs(including underwriters'discount) 24 127,795
25 Proceeds used for credit enhancement . . . . .
26 Proceeds allocated to reasonably required reserve or replacement fund 26
27 Proceeds used to refund prior tax-exempt bonds.Complete Part V . . . 27
28 Proceeds used to refund prior taxable bonds.Complete Part V 28 "
29 Total(add lines 24 through 28) . . . . . . . . . . . . . . . . . . . . . 29 127,795
30 Nonrefunding proceeds of the issue(subtract line 29 from line 23 and enter amount here) 30 12,663,513.95
F9MWADescription 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 8038.G(Rev.10-2021) Page 2
FUnWH 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 ::fir.A,
(GIC).See Instructions . . . . . . . . . . . . . . . . . . . . . . 36a
b Enter the final maturity date of the GIC►(MM/DDNYY))
c Enter the name of the GIG provider► '' '��.
37 Pooled financings: Enter the amount of the proceeds of this Issue that are to be used to make loans =3+
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/DDNYYY)
c Enter the EIN of the Issuer of the master pool bond►
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 ; a
40 If the issuer has elected to pay a penalty in lieu of arbitrage rebate,check box . . . . . . . . . . . .
41a If the issuer has Identified a hedge, check here► ❑ and enter the following information:
b Name of hedge provider Ill
c Type of hedge►
d Term of hedge►
42 If the Issuer has superintegrated the hedge,check box . . . . . . . . . . . . . . . . . . . . . ►
El
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 . . . . . ► El
45a If some portion of the proceeds was used to reimburse expenditures,check here► 0 and enter the amount
of reimbursement . . . . . . . . . . . . . . ► $247,789
b Enter the date the official Intent was adopted►(MM/DDNYYY) 03/2812023
Under penalties of pertury,I declare that I have examined this return and accompanyingg schedules and statements,and to the best of my knowledge
Signature and belie e re true,correct, tl complete.I further declare that I consent to the IRS's disclosure of the issuer's return information,as necessary to
9 pmcess i r t rn,to the pars hat I have authorized above. p and 1A1` 0 'O1 3
Consent '_, ' Renee Hall City Clerk
Signature bt issuer;authorized representative Date Type or print name and title
Paid Print/Type preparer's name Pre signature Hate Check ❑ if PIN
John P.Danos �'. — self-employed P01083460
Prepare
r Firm'sname ►Dorse SWhitne LL Flm'sEIN► 41.0223337
Use Only Firm'eaddress►801 Grand Avenue,Su a 4100,Des Moines Iowa 50309 I Phone no. 515-283-1000
Form 8038-G(Rev.10-2021)
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