Tab 27 IRS Form 8038-GD o PSEY & WHITNEY
PIROFESSIONA.L DMITED LiA-BILITY PARTNERSHIP
MINNEAPOI,IS
NEW YORH
127 EAST FRONT STIE?EET
ROCHESTER, MN
SUITE 310
WASHINGTON, D. C.
MISSOULA2 MONTANA 59802
BILEINGS
(406)721-6025
OIRA-WGE COUNT-f-7 CA
FAX (406) 543-0863
GREAT FAEES
F-&IRGO
DES MOINES
LONI)ON
AME NAN ELLINGSON
DEN-VER
BRUSSEES
September 29, 1995
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Internal Revenue Service
Philadelphia, PA 19255
Re: $100,000 Special Improvement District No. 341 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
MNE-.1mc
Enclosures
Form 8038-G I information Return for Tax -Exempt Governmental Obligations
(Rev. May 1995)
Department of the Treasury
Internal Revenue SeMce
10- Under Internal Revenue Code section 149(e)
0- See separate Instructions.
(Note: Use Form 8038-GC if the issue price is under $100,000.)
I I
OMB No. 1545-0720
[M
R2porti-nq Auth�� �i
If Amended Return, check here l0o- D
1
Issuer's name
City of Kalispell, Montana
2 issuees employer identffication number
81:6001281
3
Number and street (or P.O. box If mail is not delivered to street address)
312 1st Avenue East
Roorn/suite
4 Report number
G19 95-1
5
City, town, or post office, state, and ZIP code
Kalispell, Montana 59901
6 Date of issue
09/26/95
7
Name of issue
Special Improvement District No. 341 Bonds
8 CUSIP number
483408 9Q5
Type of Issue (check applicable box(es) and enter the issue priSe
9
10
11
1.2
13
14
15
16
17
18
EJ Education (attach schedule -see instructions) . . . . . . . . . . . . . . . . .
0 Health and hospital (attach schedule -see instructions) . . . . . . . . . . . . . .
El Transportation . . . . . . . . . . . . . . . . . . . . . . . . . . .
El Public safety . . . . . . . . . . . . . . . . . . . . . . . . . . . .
El Environment (including sewage bonds) . . . . . . . . . . . . . . . . . . .
El Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
El Utilities . . . . a . . . . . . - ' * '
El Other. Describe (see instructions) 10- instaliation 'of'a*sanj:tar'y*s.e*w�r inain
If obligations are tax or other revenue anticipation bonds, check box 1110. F-1
If ob 2ations are in the form of a lease or installment sale, check box 10- El
9
$
10
11
12
13.
14
15
16 100,000
N..
Description of Obligations
(a)
Maturity date
(b)
Interest rate
M
Issue price
(d)
Stated redemption
price at maturity
(e)
Weighted
average maturity
M
Yield
(9)
Net interest
cost
07/01/11
6.200/0
10 000
10 r 0 0
19 Final maturity.
100 000f_
100,00
10. 013__E
F VearS,
5 .698070
A
%
20 Entire issue
Uses of
Proceeds of Bond Issue (including underwriters' discoun�)
21
Proceeds used for accrued interest . . . . . . . . . . . . . . . . . .
. . .
21
383
22.
100,000
22
Issue price of entire issue (enter amount from line 20, column (c)) . . . . 0 . 0
& . -
23 Proceeds used for bond issuance costs (including underwriters' discount) 23
6..250
24
Proceeds used for credit enhancement . . . . . . . . . . . 0 24
0
25
26
27
Proceeds allocated to reasonably required reserve or replacement fund . 25
Proceeds used to currently refund prior issues . . . . . . . . 26
Proceeds used to advance refund prior issues . . . . . . . . t
0
10"no
0
0
28
Total (add lines 23 through 27) . . . . . . . . . . . . . . . . . . . .
. .
28
16, 250
29
83,750
29 Nonrefundin2 proceeds of the issue Lsubtract line 28 from line 22 and enter amount here).
I=
Description of Refunded Bonds (Complete this part only jor_ refunding
bonds.)
30
Enter the remaining weighted average maturity of the bonds to be currently refunded .
. . 110- ars
31
Enter the remaining weighted average maturity of the bonds to be advance refunded .
. . 0- ars
32-
Enter the last date on which the refunded bonds will be called . . . . . . . . .
. . 1110-
33
Enter the dateCsLthe refunded bonds were issued Pop-
. ......
Miscellaneous
34 Enter the amount of the state volume cap allocated to the issue under section 141 (b)(5) U4
35 Enter the amount of the bonds designated by the issuer under section 265(b)(3)(B)(i)(111) (small issuer exception) 35 100,000
36a 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 investrnent contract . No- 0
37 Pooled financings: a Proceeds of this issue that are to be used to make loans to other govemmental units 37a
b If this issue is a loan made from the proceeds of another tax-exempt issue,, check box Ilo- El and enter the name of the
issuer OPP. and the date of the issue 00-
38 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box 0- El
39 If the issuer has identified a hedge, check box . . . . . . . . 00- El
Under penalties of pedury, 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 Douglas D. Rauthe, Mayor
Here
Signature of."Puer s authorii&d 'representative Date Type or print name and title
For Paperwork Reduction Act Notice, see page I of the Instructions.
G) Prkftd on recycW paper
Cat. No. 63773S Form8M-G (Rev. 5-95)
*U,s. Cwwrowat Prtntlng Offkxr. 19W — 397-096/20109