Tab 20 IRS Form 8038-GForm 8038.G Information Return for Tax -Exempt Governmental obligations
■ Under Internal Revenue Code section 149(e) OMB No. 1545-0720
(Rev. November 2000) ■ see separate instructions.
Department of the Treasury Caution: If the issue price is under $700,000, use Form 8038-CC.
Internal Reverwe service
Rpporting_Authoriq If Amended Return, check here ■ ❑
1 Issuer's name 2 Issuer's employer identification number
City of Kalispell, Montana 8160012811
3 Number and street (or P.O. box if mail is not delivered to street address) Room/suite 4 Report number
312 First Avenue E, P.O. Box 1997 3 01
5 city, town, or post office, state, and ZIP code 6 Date of issue
Kalispell, MT 59903-1997 June 29, 2006
7 Name of issue 8 CUSIP number
Special Improvement District No. 344 Bonds, Series 2006 48342N AV 7
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, City Finance Director 4 406 ) 758-7755
13fpe of Issue (check applicable boxes) and enter the issue ice) See instructions and attach schedule
11 ❑ Education . . . ■ . . . . • . . • ■ . . . r . . . . ■ ■ . . r . • 11
12 ❑ Health and hospital . . . • . . . • . . . • . . . . • . . . . . . . r 12
13 ❑ Transportation . . . ■ . . . . • . . . . • . . . • . . . • • . r 13
14 El Public safety . . . ■ . . • ■ . . . . . . • . r . ■ . ■ • ■ _ r .14
15 ❑ Environment (ncluding sewage bonds) . . . . . . . . . • • . . . . . . . • 15
16 ❑ Housing . . . . . . r • . . ■ • • . . . • ■ . . ■ ■ ■ . . . r ■ . 16
17 ❑ Utilities . . . . • w . . . a . r . . . r . 17
18 tither. Describe No- Public improvements 18 4,5209000
19 If obligations are TANs or RANs, check box 1011- ❑ If obligations are BANS, check box ■ ❑ 00
20 If obligations are in the form of a lease or installment sale, check box . r ■ ❑
Descri Lion of obli ations. Complete for the entire issue for which this form is bein filed.
(a; Final maturity date (h) Issue price (c) Stated redemption (co Weighted price Yield
price at maturity average maturity
21 071�0112025 $ 4,520, 0 ,V 49520,WV 10.§41 ears 4.737'6 <fo
Uses of Proceeds of Bond Issue(including underwriters' discoun!)./
22 Proceeds used for accrued interest . . . w . . . 22 7,937
23 Issue price of entire issue (enter amount from line 2'1, column (b)) . . . . . . w . . . • 23 4,5�D�000
24 Proceeds used for bond issuance costs (including underwriters' discount) 24 156,000
25 Proceeds used for credit enhancement . . . . . . . . . . . 25 0
26 Proceeds allocated to reasonably required reserve or replacement fund 25 4521000
27 Proceeds used to currently refund prior issues . . ■ . . . . . . 27 0
28 Proceeds used to advance refund prior issues . ■ . 28 0
000
29 Total (add lines 24 through 28) . . . . . . . . . . . . . . . . . . . . . . 29 �_
30 Nonrefunding proceeds of the issue subtract line 29 from line 23 and enter amount here . . 0 1 30 3=912,000
CM Descri on of Refunded Bonds corn fete this art only for refunding bonds,
31 Enter the remaining weighted average maturity of the bonds to be currently refunded . . . ■ years
32 .Enter the remaining weighted average maturity of the bonds to be advance refunded . ■ - ��ears
33 Enter the last date on which the refunded bonds will be called . . . . . . . . . . . ■
34 Enter the date(s) the refunded bonds were issued 01-
11MIRM 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 (see instructions) 36a
b Enter the final maturity date of the guaranteed investment contract ■
37 Pooled financings: a Proceeds of this issue that are to be used to make loans to other governmental units 37a
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 ■ and the date of the issue ■
38 If the issuer has designated the issue under section 265(b)(3)(B)(i)(11l) (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 l have examined this return and accompanying schedules and statements, and to the best of my knowledge
and belief, they are true, correct, and complete.
Sign
Here 6/29f 06 Amy Robertson, City Finance Director
signature of issuer's authorized representative Date Type or print name and title
For Paperwork Reduction Act Notice,, see page 2 of the Instructions. cat. No. 63773S Form 8038-G (Rev. 11-2000)
G)
Graven
1: P
C H A R T E R E D
July 3, 2006
470 U.S. Sank Plaza
200 South Sixth Street
Minneapolis, MN 55402
(G 12) 337-9300 telephone
(G 12) 337-931 Q fax
http://www.kennedy-graven.com
Internal Revenue Service Center
Ogden, UT 84201
Re: Form 8038-G
SOFIA A. ESTRELLADO
Paralegal
Direct Dial (G 12) 337-9244
E-maA:sestreUado@kennedy-graven.com
CERTIFIED -- RETURN RECEIPT
We have acted as bond counsel in connection with the issuance by the City of Kalispell, Montana
(the "Issuer") for the following issue:
$4,520,000
City of Kalispell, Montana
Special Improvement District No. 344 Bonds
Series 2006
On behalf of the Issuer, please find enclosed an Information Return for Tax -Exempt
Governmental Bond Issues, Internal Revenue Service Form 8038-G, filed as report number 3-01,
CUSIP number 48342N AV 7. I have also enclosed a copy of the 8038--G form to be stamped
with the date filed. Please return the stamped form to me in the self-addressed envelope.
Very truly yours,
Sofia A. Estrellado
SAE ( i N
Enclosures
2932750 SAE KA225-1
CERTIFIED MAILM RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
For dOlvery information visit our website at www.usps'com,�)
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