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Form 8038 -0 (Rev. 9.201 <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 />(GIG) (see instructions) . , . . . , . . , . . . . . . . . . . . 36a <br />Is <br />Enter the final maturity date of the GIC 0, <br />c <br />Enter the name of the GIC provider ►' <br />37 <br />Pooled financings: Enter the amount of the proceeds of this issue that are to be used to make loans <?'. <br />to other governmental units . . . . . . . . . . , . 37 <br />38a <br />If this Issue is a loan made from the proceeds of another tax - exempt issue, check box)- ❑ and enter the following information: <br />IS <br />Enter the data of the master pool obligation 0- _ <br />c <br />Enter the EIN of the issuer of the master pool obligation )- <br />d <br />Enter the name of the issuer of the master pool obligation.)- <br />39 <br />If the Issuer has designated the issue under section 265(b)(3)(B)(i)(III) (small Issuer exception), checla box. . ► <br />❑ <br />40 <br />If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box . . . . , ,. )- <br />❑ <br />41a <br />If the issuer has identified a hedge, check here)- ❑ and enter the following information: <br />I <br />Name of hedge provider)-- <br />c <br />Type of hedge 0- <br />d <br />Term of hedge 0, <br />42 <br />If the issuer has superintegrated the hedge, check box . . . . . . . . . . . . . . . ► <br />❑ <br />43 <br />If the issuer has established written procedures to ensure that all nonqualified bonds of this issue are remedlated <br />according to the requirements under the Code and Regulations (see instructions), check box . , , . . , . . > <br />❑ <br />44 <br />If the Issuer has established written procedures to monitor the requirements of section 148, check box . . . . . )- <br />❑ <br />45a <br />If some portion of the proceeds was used to reimburse expenditures, check here ► ❑ and enter the amount <br />of reimbursement . . . . . . . , . ► <br />b <br />Enter the date the official intent was adopted it <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 t0 the IRS's disclosure of file issuer's return Information, as necessary to <br />and process this return, to the person that I have authorized above. <br />Consent 1 lk <br />Signature of issuers authorized representative Date IF Type or prait name and title _ <br />Pali [p_rMTypo eparers name Preparer's si gnature Date Prepare! Use Only > Firm's EIN <br />tree. <br />55A -63 <br />