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Form 8038-G (Rev. 0-201 <br />39a <br />C <br />3i <br />38a <br />b <br />39 <br />40 <br />41a <br />b <br />42 <br />43 <br />44 <br />45a <br />Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) . . , 35 <br />Enter the amount of gross proceeds Invested or to be invested in a guaranteed investment contract <br />(GIC) (see Instructions) . . . . . . . . . • . • . • • • . • 36a <br />Enter the final maturity date of the GIC► <br />Enter the name of the GIC provider 0 - <br />Pooled <br />Fooled 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 />If this Issue Is a loan made from the proceeds of another tax-exempt issue, check box ► ❑ and enter the following information: <br />Enter the date of the master pool obligatlon ► <br />Enter the EIN of the issuer of the matter pool obligation ► <br />Enter the name of the issuer of the master pool obligation ► <br />If the issuer has designated the Issue under section 265(b)(3)(B)(i)(Ill) (small Issuer exception), check box ► D <br />If the issuer has elected to pay a penalty In lieu of arbitrage rebate, check box . . . . . . . . . . . ► ❑ <br />If the Issuer has Identified a hedge, check here ► ❑ and enter the following Information: <br />Name of hedge provider Op <br />Type of hedge M <br />Term of hedge ► <br />If the Issuer has superimegrated the hedge, check box . • , . • • . . • • • <br />If the issuer has established written procedures to ensure that all nonqualified bonds <br />a000rding to the requirements under the Code and Regulations (see Instructions), Check bo <br />. . , ► <br />of this issue are remediated <br />If the Issuer has established written procedures to monitor the requirements of section 148, check box . . . . . <br />if some portion of the proceeds was used to reimburse expenditures, check here I► ❑ and enter the amount <br />of reimbursement . . . . • No <br />Enter the date the official Intent was adopted ► <br />00 <br />n <br />■ <br />Under penalties of perjury, i declare that i have examined this return and accompanying schedules and statements, and to the beet 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 to <br />and process this return, to the person that/ have authorized above. <br />Consent , \ / Francisco Gutlerrez,Exa.®Ireotar of Finance <br />< 3 .>oa .anrmantat vt Date TvDe or orat name and title <br />Paid <br />Preparer <br />Use only <br />Check <br />(Rov.9-2011) <br />