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Form 8038 -G (Rev. 5 -2010) <br />Page 2 <br />Miscellaneous N/A <br />35 <br />Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) . . . 35 <br />36a <br />Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract <br />(GIC) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . 36 <br />b <br />Enter the final maturity date of the GIC ► <br />37 <br />Pooled financings: a Proceeds of this issue that are to be used to make loans to other <br />governmental units . . . . . . . . . . . . . . . . . . . . . . . . . . 37a <br />b <br />If this issue is a loan made from the proceeds of another tax - exempt issue, check box ► ❑ and enter the <br />name of the <br />issuer ► , and the date of the issue Do- <br />38 <br />If the issuer has designated the issue under section 265(b)(3)(B)(i)(III) (small issuer exception), check box . . <br />. . ► ❑ <br />39 <br />If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box . . . . . . . . . . . <br />. . ► ❑ <br />40 <br />If the issuer has identified a hedge, check box . . . . . . . . . . . . . . . . . . . . . . <br />. . ► ❑ <br />Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge <br />Signature and belief, they are true, correct, and complete. I further declare that I consent to the IRS's disclosure of the issuer's return information, as necessary <br />and <br />to proc this r ur , to the person that I have authorized above. <br />Consent ' /1 Steve ' Steve Parker, Director of Finance <br />Signature of issuer's authorized representative Date Type or print name and title <br />Paid <br />Pre rer Check if 's ' Date Preparer's SSN or PTIN <br />signature self - employed ❑ <br />Preparer's <br />Use Onl Firm's name m EIN <br />�/ yours if self - employed), <br />address, and ZIP code Phone no. ( ) <br />Form 8038 -G (Rev. 5 -2010) <br />