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<br />Form 8038-GC (Rev. 5-95) <br /> <br />Page 2 <br /> <br />When To File <br />To file a eeparale return, file Form 8038-GC on <br />or before the 15th day of the second calendar <br />month after the.close of the calendar quarter In <br />which the Issue Is Issued. <br />To fll. a consolidated return, file Form <br />8038-GC on or before February 15th of the <br />calendar year following the year In which the <br />lsaue Is Issued. <br />l..Ide filing. - An l$Suer may be granted an <br />extension of time to file Form 8038-GC under <br />Section 3 of Rev. Proc. 88-10, 1988-1 C.B.635, <br />K ~ Is determined that the failure to file on time <br />Is not due to wllKul neglect. Send a late Form <br />8038-GC to: Internal Revenue SERVice, <br />" Philadelphia Service Center, Statistics of <br />!:. '~ncome Unit, P:DA: Unit F-SOI, Philadelphia, <br />I I PA 19255, Stop 1335. Type or print at the top <br />of the form, 'This Statement Is Submitted In <br />Accordance with Rev. Proc. Q8-10.' Attach to. <br />the form 8038-GC a letter briefly stating why <br />Form 8038-GC was.not submitted to the IRS <br />on time. Also indicate whether the obligation <br />In question Is under examination by the IRS. <br />Do not submit copies of any bond documents, <br />leases" or Installment sale documents. <br /> <br />Where To File <br />File Form 8038-GC with the Internal Revenue <br />Service Center, Philadelphia, PA 19255. <br /> <br />Rounding Off to Whole Dollars <br />You may Ihow the money Items on this return <br />al whole-dollar amounts. To dO.lo, drop any <br />amount less than. 50 centl and Increase any <br />amount from 50 cents through 99 cents to the <br />next higher dollar. <br /> <br />Definitions <br />. Obligations refer to a single tax-exempt <br />governmental obligation K Form 8038-GC Is <br />used for separate reporting and refer to <br />multiple tax-exempt governmental obligations K <br />the form Is used for consolidated reporting. <br />. A "tax-exempt obligation' Is not limited to <br />the formal Issuance of bonds. It also Includes <br />Installment purchase agreements and financial <br />leases. <br />. A "tax-exempt governmental obligation' Is a <br />tax-exempt obligation that Is not a private <br />activity bond. <br />. A 'private activity bond' Is generally an <br />obligation Issued as part of an Issue of which <br />(1) more than 10% of the proceeds are to be <br />used for any private business use, and (2) <br />more than 10% of the payment of principal or <br />Interest of the Issue Is either secured by an <br />Interest In property to be used for a private <br />business use (or payments In respect of such <br />property); or Is to be derived from payments In <br />respect of property (or borrowed money) used <br />for a private business use. An obligation Is <br />also considered a private activity bond K the <br />amount of the proceeds to be used to make or <br />finance loans (other than loans described In <br />section 141 (c)(2) to certain persons exceeds <br />the smaller of 5% of the proceeds, or $5 <br />million. Report private activity bonds on form <br />8038, Information Pleturn for Tax-Exempt <br />Private Activity Bond Issues. <br /> <br />. 'Issue.' In general, obligations are treated <br />as part of the same Issue only n they are <br />Issued (1) by the same Issuer, (2) on the same <br />date, and (3) pursuant to a single transaction <br />or to a series of related transactions. <br /> <br />Exceptions ...:. (a) Draw-down loans, <br />commercial paper, etc. - Obligations Issued <br />during the same calendar year (1) pursuant to <br />a loan agreement under which amounts are to <br />be advanced periodically ('draw-down loan'), <br />or (2) with a term not exceeding 270 days, <br />may be treated as part of the same Issue K the <br />obligations are equally and ratably secured <br />under a single Indenture or loan agreement <br />and are Issued pur~uant to a common <br />financing arrangement; e.g., pursuant to the <br />same official statement that Is periodically <br />updated to reflect changing factual <br />circumstances. In addition, for obligations <br />Issued pursuant to a draw-down loan that <br />meets the requirements of the preceding <br />sentence, obligations Issued during different <br />calendar years may be treated as part of the <br />same Issue n all the amounts to be advanced <br />pursuant to the draw-down loan are <br />reasonably expected to be advanced within 3 <br />years of the date of Issue of the first obligation. <br />(b) Leases and Installment sales.- <br />Obligations other than private activity bonds <br />may be treated as apart of the same Issue If <br />(1) the obligations are Issued pursuant to a <br />single agreement that Is In the form of a lease <br />or Installment sale and (2) all of the property <br />covered by that agreement Is reasonably <br />expected to be delivered within 3 years of the <br />date of Issue of the first obligation. <br />A1bitrage robate.- Generally, interest on a <br />state or local bond Is not tax exempt unless <br />the Ilsuer of the bond rebates to the United <br />States arbitrage profits earned from Investing <br />proceeds of the bond In higher yielding <br />nonpurpose Investments. See section 148(~. <br />Construction issuo.- A construction Issue is <br />an Issue of tax-exempt bonds n (1) at least <br />75% of the available construction proceeds of <br />the Issue are to be used for construction <br />expenditures with respect to property that Is to <br />be owned by a governmental unit or a <br />501 (c)(3) organization, and (2) all of the bonds <br />that are part of the Issue are qualified 501 (c)(3) <br />bonds; bonds that are not private activity <br />bonds; or private activity bonds Issued to <br />finance property to be owned by a <br />governmental unit or a 501 (c)(3) organization. <br />In lieu of rebating any arbitrage that may be <br />owed to the United State's, the Issuer of a <br />construction Issue may make an Irrevocable <br />election to pay a penalty. The penalty Is equal <br />to 1 Yz of the amount of construction proceeds <br />that do not meet certain spending <br />requirements. See section 148(~(4)(C). <br /> <br />Specfficlnstructions <br />In general.- A form 803a-GC must be <br />completed on the basis of available <br />Information and reasonable expectations as of <br />the date the Issue Is Issued. Forms that are <br />flied on a consolidated basis, however, may be <br />completed on the basis of Information readily <br />available to the Issuer at the close of the <br />calendar year to which the form relates, <br />supplemented by estimates made In good <br />faith. <br /> <br />Part 1- Reporting Authority <br />Amended retum.- n this is an amended Form <br />8038-GC, check the amended return box. <br />Complete Part 1 and only those lines of Form <br />8038-GC that are being amended. <br /> <br />Do not amend estimated amounts previously <br />reported once the actual amounts are <br />determined. (see the Part II Instructions below.) <br /> <br />Une 1.- The Issuer's name Is the name of the <br />entity Issuing the obligations, not the name of <br />the entity receiving the benefit of the financing. <br />In the case of a lease or Installment sale, the <br />Issuer Is the lessee or purchaser. <br />Une 2.- An Issuer that does not have an <br />employer Identification number (EIN) should <br />apply for one on form SS-4, Application for <br />Employer Identification Number. This form <br />may be obtained from most IRS and Social <br />Security Administration offlcel. File Form SS-4 <br />according to the Instructions on that form. ~ <br />the EIN has not been received by the due date <br />for Form 8038-GC, write 'Applied for" In the <br />space for the EIN. <br /> <br />Part II - Description of <br />Obligations <br /> <br />Une 5.- Small governmental obligations are <br />those with an issue price of less than <br />$100,000. If the obligations are reoffered to <br />the public by an Intermediary, the Issue price <br />Is the reoffering price (excluding accrued <br />Interest). <br />~ form 8038-GC Is being filed for a single <br />Issue only, enter the Issue price of that Issue. <br />The Issue price of an obligation means the <br />principal amount due on the obligation and <br />does not Include Interest paid or to be paid. <br />Therefore, line 5 should Include only the <br />principal amount due on obligations. for <br />example, only the purchase price of an asset <br />acquired pursuant to a lease should be <br />included on line 5. A lease or Installment sale <br />Is treated as Issued on the date Interest Itarts <br />to accrue. <br />Une 6.- The weighted average maturity Is <br />determined by multiplying the Issue price of <br />each obligation reported on this form by Its <br />maturity in years, adding the results for all the <br />obligations reported on this form, and then <br />dividing the total by the total Issue prices of all <br />the obligations. for a lease or Installment <br />sale, the maturity Is the total number of years <br />the lease or Installment sale will be <br />outstanding. <br />Une 7.- The weighted average Interest rate Is <br />the average interest rate on all the obligations <br />reported on this form, weighted In proportion <br />to the Issue price and length of maturity of <br />each obligation. <br />Une 8.- Enter the total Issue price of the <br />obligations reported on line 5 that are <br />described on lines 8a through 8d. More than <br />one line may apply to a particular obligation. <br />For example, report on line 8b and line 80, <br />obligations Issued to refund prior Issues that <br />were designated by the Issuer under section <br />265 (b)(3){B){Q (IIQ. <br />Une 9.- Check this box H the Issue Is a <br />construction issue and an Irrevocable election <br />to pay a penalty In lieu of arbhrage rebate has <br />been made on or before the date the bonds <br />were Issued. The penalty Is payable with a . <br />Form 8038-T, Arbitrage Rebate and Penalty In <br />Lieu of Arbhrage Rebate, for each 6-month <br />period after the date the bonds are Issued. 00 <br />not make any payment of penalty In lieu of <br />rebate with this form. See Rev. Proc. 92-22, <br />1992-1 C.B. 736, for rules regarding the <br />'election document. <br />