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Tab 26 IRS Form 8038-GDoRSEY & WHITNEY PROFESSIONAL LIMITED LIABILITY PARTNERSHIP MINNEAPOLIS 127 EAST FRONT STREET NEW YOI�i ROCHESTEI3 , MST SUITE 310 WAS HINGTON, D . C . MISSOULA, MONTANT A 59802 BILLINGS (406) 721--6025 ORAANGE COUNTY, CA FAX (4.06) 543 - 0863 GREAT FALLS FAROO DES MOINES LONDON MAE NAN ELLINGSON DENVEI? BRUSSELS November 29, 1995 CERTIFIED MAIL RETURN RECEIPT REQUESTED Internal Revenue Service Philadelphia, PA 19255 Re: $209,000 Special Improvement District No. 342 Bonds City of Kalispell, Montana Dear Sir/Madam: Enclosed are two 8038--G's, Information Return for Tax --Exempt Governmental obligations, filed pursuant to Section 149 (e) of the Internal Revenue Code with respect to the issuance of the Issuer's bonds. Please file one copy of the enclosed Form 8038--G and acknowledge receipt by signing and dating the enclosed duplicate thereof and returning to the undersigned. Very truly yours, Mae Nan Ellingson MNEJmc Enclosures w-� i1 .`.:, j ...w.�,y��.. _ f rv� Am Aft 8Us8 Form ®` (Rev. May 1995) Department of the Treasury Internal Revenue Service Information Return for Tax -Exempt Governmental obligations ® tinder Internal Revenue code section 149(e) OMB No. 1545-0720 o See separate Instructions. (Note: Use Form 8038-GC if the issue price is Under $100,000.) s .11 Reoortina Authoritv If Amended Return, check here o 1 Issuer's name 2 Issuer's employer identification number City of Kalispell, Montana 81:6001281 3 Number and street (or P.O. box if mail is not delivered to street address) Roorn/suite 4 Report number 312 1st Avenue East G19 95-2 5 City, town, or post office, state, and ZIP code 5 Date of issue Kalispell, Montana 59901 11/16/95 7 Name of issue 8 CUSIP number Special Improvement District No. 342 Bonds 1 483410 9Q1 JjOW __y e of issue {check applicable box(es) and enter the issue rice 9 ❑ Education (attach schedule --see instructions) . 9 10 ❑ Health and hospital (attach schedule -see instructions) . 10 11 ❑ Transportation . . . . . . . . . . . . . . . 11 12 ❑ Public safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 13 ❑ Environment (including sewage bonds) . 73 14 ❑ Housing . . . . . . . . . . . . . . . . . . . . . . . 14 15 ❑ Utilities . 15 "extbnsi8n of a watet main, Storrirwat4r dfai.n�Cge �5ipirig grid c�[Gch'hasins, 209,000 16 El Other. Describe (see instructions) � curbs, gutters and street lighting improvements 16 17 If obligations are tax or other revenue anticipation bonds, check box ■ ❑ 18 If obli ations are in the form of a lease or installment sale, check box Po- w - Description of obligations a Maturity date b Interest rate i cerest Issue price d Stated redemption price at maturity e weighted average maturity M Yield Net interest cost 07/01/11 6. 250/0 20,000 20, OOC ME\\ 19 Final maturity, 209,000 209, OOC 9.73591 ear's 5.9841711/o ---% 20 Entire issue Uses of Proceeds of Bond Issue(including underwriters' discount 21 -�� Proceeds used for accrued interest . . . . . . . 21 507 22 209,000 22 Issue price of entire issue (enter amount from line 20, column (c)} _ _ 23 Proceeds used for bond issuance costs (including underwriters' discount) 23 9,770 24 Proceeds used for credit enhancement . . . . . . . . . . . 24 0 25 Proceeds allocated to reasonably required reserve or replacement fund 25 2 0 , 9 0 0 28 27 Proceeds used to currently refund prior issues 26 Proceeds used to advance refund prior issues . . . . .� 0 0 23 Total (add lines 23 through 27) . . . . , . . . . . , S . . . . . . . . . . . 28 30,670 29 L 178,330 29 Nonrefundin proceeds of the issue(subtract line 28 from line 22 and enter amount here). y Descri tion of Refunded Bonds LComplete this partonly for refunding -bonds.) 30 Enter the remaining weighted average maturity of the bonds to be currently refunded . o ears 31 Enter the remaining weighted average maturity of the bonds to be advance refunded . o ears 32 Enter the last date on which the refunded bonds will be called . Poo- 33 Enter the dates the refunded bonds were issued 10- [M Miscellaneous 34 Enter the amount of the state volume cap allocated to the issue under section 141 (b)(5) 34 o 35 Enter the amount of the bonds designated by the issuer under section 265(b)(3)(13)(i)(III) (small issuer exception) 35 209,000 35a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract (see instructions) 36a 0 b Enter the final maturity date of the guaranteed investment contract ■ \7R � �EEN_\ 37 Pooled financings: a Proceeds of this issue that are to be used to make loans to other governmental units 37a C b If this issue is a loan made from the proceeds of another tax-exempt issue, check box ■ ❑ .and enter the name of the issuer o and the date of the issue o 3S If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box . . . o ❑ 39 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. Please Sign Mere n All & 19 Signature issuer's authorized representative Date/ For Paperwork Reduction Act Notice, see page 1 of the Instructions. G) Printed on recycled paper Douglas D. Rauthe, Mayor Type or print name and title Cat. No. 63773S Form 8M--G (Rev. 5-95) "U.S. Gaoernrr*nt Printing otfm: Il -- 387-095W109