Tab 27 IRS Form 8038-GFom 809M,.8—u
(Rev. May 1999) '
Department of the Treasury
Internal Revenue Service
Information Return for Tax -Exempt Governmental obligations
■ Under Internal Revenue Code section 149(e)
■ See separate Instructions.
Caution: Use Form 8038-GC if the issue price is under $100,000.
OMB No. 1545-0720
I1, RM M Reoortina Authority If Amended Return. check here ► n
I issuer's name
2 Issuer's employer Identification number
KALISPELL CITY OF MONTANA
81-6001281
3 Number and street (or P.O. box if mail is not delivered to street address)
Room/suite
4 Report number
312 FIRST AVENUE EAST
G 2001-
5 City, town, or post office, state, and ZIP code
6 Date of issue
KALISPELL MT 59903
JUNE-129 2001
7 Name of issue
8 CUSIP number
SPECIAL IMPROVEMENT DISTRICT NO.343 BONDS
48342Q AV0
9 Name and title of officer or legal representative whom the IRS may call for more information
10 Telephone number of officer or legal representative
AMY ROBERTSON FINANCE DIRECTOR
406 758-7701
.. P Type of Issue (check applicable box(es) and enter the issue price) See instructions and attach schedule
11 ❑ Education..................................................................
12 ❑ Health and hospital ................. ........................ ............
13 ❑ Transportation ........ ............. ■........................................
14 El Public safety................................................................
15 El Environment (including sewage bonds) ............................................
16 El Housing...................................................................
17 Ej Utilities....................................................................
18 Other. describe ■ street and utility improvements
'.v..s':.ti';:
19 If obligations
a ions are
e TANs or RANs check box If obligations r B N
are BANs, check box ......
'.`.-=:a>':;�:w:e,::-::<.✓�r�•r.-x�:�a�:�r.:2:.:�.,.;.�<�.
20 If obligations are in the form of a lease or installment sale check box ... ... .....
❑2
11
12
13
14
15
16
17
18
1,5813500
�?;+. ...�rx�.,''.�'wy... "•":/.^';:v ...:r
� _ - =�
�. :. ,Mr� .:�
".------------------
f' r Description of obligations. (Complete for the entire issue for which this form is being filed.)
(a) Final maturity date
(b) Issue price
(c) Stated redemption
price at maturity
(d) Weighted
average maturity
(e) Yield
21
711121
is 1 581 500
$ 1 581 500
1 10.645 years
5.05196 %
-P .s
Uses of Proceeds of Bond Issue (including underwriters' discount)
22 Proceeds used for accrued interest ..................................................
23 Issue price of entire issue (enter amount from line 21, column (b)} ..........................
24 Proceeds used for bond issuance costs (including underwriters' discount) 24 51 778.57
25 Proceeds used for credit enhancement ........................... 25
26 Proceeds allocated to reasonably required reserve or replacement fund .. 25
27 Proceeds used to currently refund prior issues ..................... 27 0
28 Proceeds used to advance refund prior issues ..................... 28 j` Jj
29 Total (add lines 24 through 28) ....................................................
30 Nonrefunding proceeds of the issue (s ct a 29 from line 23 and enter amount here) ........
22
2312.49
23
1,581,500.
u
::. xF,:
g.:..
k= =
V,....
51 778.57
29
30
1,529,721.43
-
Description of Ref n omplete this part only for refunding bonds.}
31 Enter the remaining w ' i;Aaturh the bonds to be currently refunded ........... ■ years
32 Enter the remaini M_weig average rn he bonds to be advance refunded ........... ■ years
33 Enter the last date n Ich the ref nd be called ............................ ■
34 Enter the date(s)th r nde d were J8 ed ■
35 Enter the amount of th stye t- ocated to the issue under section 14'1(b)(5) ......... 35 0
36a Enter the amount of gross pro s i or to be invested in a guaranteed investment contract (see instructions) ... ■ 36a 0
b Enter the final maturity d f the guaranteed investment contract ■ =gz
r.
37 Pooled financings: a Proceeds of this issue that are to be used to make loans to other governmental units ........... 37a 0
b If this issue is a loan made from the proceeds of another tax-exempt issue, check box ■ 1:1 and enter the name of the
issuer ■ and the date of the issue ■
38 if the issuer has designated the issue under section 265(b)(3)(B)(i)(Ill) (small issuer exception), check box ............ ■ ]
39 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box .................................. ■ ❑
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,
Please they are t e correct and pomplete. WILLIAM BOHARSKI
Sign d �- MAYOR
Here Signature of issuer's authorized representative IDate Tvoe or print name and title
For Paperwork Reduction Act Notice, see page 2 of the Instructions. ISA
STF FED6403F
Form 8038-G (Rev 5-99)
DORSEY & WHITNEY LLP
MINNEAPOLIS
NEW YORK
SEATTLE
DENVER
WASHINGTON, D.C.
DES MOINES
ANCHORAGE
LONDON
COSTA MESA
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Internal Revenue Service
Ogden, UT 84201
MILLENIUM BUILDING
BILLINGS
125 BANK STREET, SUITE 600
GREAT FALLS
MISSOULA, MONTANA 59802
MISSOULA
TELEPHONE: (406) 72 .---6025
BRUSSELS
FAX: (406) 543-0863
FARGO
MAE NAN ELLINGSON
HONG KONG
ellings vn.mae.nara dvrs eylaw.c vm
RC7CHESTER
SALT LAKE CITY
VANCOUVER
June 19, 2001
RE: $11581,500 Special Improvement District No. 343 Bands
City of Kalispell, Montana
Dear Sir/Madam:
Enclosed are two 8 03 8 - 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
MNEIj kh
Enclosure