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Form 8038 -GC Information Return for Small Tax - Exempt <br />Governmental Bond Issues, Leases, and Installment Sales <br />(Rev. May 1995) 1 <br />b. Under Internal Revenue Code section 149(e) ► For calendar year ending 19 OMB No. 1545-0720 <br />Internal Revenue Servvice ice <br />Department of the 7r (Use Form 8038 -G if the issue price of the issue Is $100,000 or more.) <br />tl <br />Reporting Authority <br />Check box if Amended <br />Return ► [ j ;, ;,. •, <br />Issuer's name <br />2 ssuer s employer Identification number <br />City or Parts <br />75 6000635 <br />umber and street (or P.O. box If mall Is not delivered to street address) <br />Room/su to <br />135 First Street S.E <br />carry out the Internal Revenue laws of the <br />United States. You <br />City, town, or'post office, state,—a-n-a ZIP code <br />Parts„ TX 75461- 9D;i'7 ' <br />JI' 1,`t �; { <br />Description of Obligatiom <br />Issue price of small tax - exempt governmental obligations reported on this form. <br />5 <br />$32,950.00 <br />Check the box that most nearly approximates the weighted average maturity of the obligation(s): <br />}(` i&: <br />[x] Lose than 5 years <br />finance construction expenditures must file a <br />•' ^� ` <br />v <br />(] From 5 to to yearo <br />> {; ::v�N <br />Form 8038 -GC is used by Issuers of tax- <br />[ ] More than 10 yearo <br />x <<z <br />The time needed to complete and file this <br />exempt governmental obligations to provide <br />notice to the IRS that an election was made to <br />Check the box that most nearly approximates the weighted average Interest rate on the obligations(e): <br />form varies depending on Individual <br />[ j Less than 5% <br />pay a Penalty In lieu of arbitrage rebate (see line <br />(x] From 5% to 10% <br />section 149(e) and to monitor the <br />9 instructions). <br />[ ] More than 10% <br /><^ <br />is: <br />requirements of sections 141 through 150. <br />.. ,; <br />Total issue price of the obligations) reported on fine 5 that is /are: <br />Learning about the <br />Obllgation(s) Issued In the form of a lease or Installment sale <br />as <br />$32.950.00 f <br />Who Must File <br />governmental obligations with Issue prices of. <br />Obligatlon(s) designated by the issuer under section 265(b)(3)(13)(1)(ili) <br />8b <br />Issuers of tax- exempt governmental <br />less than $100,000 that are not reported on a <br />' <br />Obligations) issued to refund prior Issues <br />80 <br />-0- <br />8d <br />Loans made from the proceeds of another tax - exempt obligation <br />-0- 'r.' .''•: '' ' <br />$100,000 must file Form 8038 -GC. <br />consolidated Information return Including all <br />Check box N Issuer has elected to pay a penalty In lieu of arbitrage rebate <br />If you have comments concerning the <br />Issuers of a tax- exempt governmental <br />PLEASE <br />SIGN <br />HERE <br />Under penalties of perjury, l declare that I have examined this return and accompanying schedules and statements, and to the best 'H..:i;, ` <br />of my knowledge and belief, they are true, correct and complete. <br />Date: 3/10/97 <br />Issuer's authorized representative: Michael E. Malone.City Manager <br />rebate. <br />4 <br />n <br />,;,. NXA Form 8038 -GC (Rev 5�b7 a r ' •,x >; <br />Paperwork Reduction Act Notice <br />General Instructions <br />Each such separate return should specify the <br />We ask for the Information on this form to <br />Secilon references are to the Internal <br />calendar year In which the issue was Issued. <br />1 <br />carry out the Internal Revenue laws of the <br />United States. You <br />Revenue Code unless otherwise noted. <br />JI' 1,`t �; { <br />are required to give us <br />An issuer of a tax- exempt bond used to <br />the Information. We need it to ensure that <br />Purpose of Form <br />finance construction expenditures must file a <br />•' ^� ` <br />v <br />•' <br />you are complying with these laws. <br />Form 8038 -GC is used by Issuers of tax- <br />separate Form 8038 -GC for each Issue to give <br />The time needed to complete and file this <br />exempt governmental obligations to provide <br />notice to the IRS that an election was made to <br />", �• ti,; <br />form varies depending on Individual <br />the IRS with the Information required by <br />pay a Penalty In lieu of arbitrage rebate (see line <br />circumstances. The estimated average time <br />section 149(e) and to monitor the <br />9 instructions). <br />r` ` <br />is: <br />requirements of sections 141 through 150. <br />.. ,; <br />Learning about the <br />Filing a consolidated return. -For all tax-exempt,:" <br />law or the form . . . 1 hr., 46 min. <br />Who Must File <br />governmental obligations with Issue prices of. <br />Preparing the form 2 hr., 50 min. <br />Issuers of tax- exempt governmental <br />less than $100,000 that are not reported on a <br />' <br />Copying, mbling. and <br />form <br />obligations with issue prices of less than <br />separate Form 8038 -GC, an Issuer must file a <br />' ' 1 •! <br />r <br />sending the to the IRS 16 min. <br />$100,000 must file Form 8038 -GC. <br />consolidated Information return Including all <br />If you have comments concerning the <br />Issuers of a tax- exempt governmental <br />such Issues issued within the calendar year. <br />accuracy of these time estimates or <br />obligation with an issue price of $100,000 or <br />suggestions for making this form simpler, we <br />more must file Form 8038 -G, Information <br />Thus, an Issuer may file a separate Form 8038 - <br />would be happy to hear from you. You can : <br />Return for Tax-Exempt Governmental <br />GC for each of a number of small Issues and <br />write to the Internal Revenue Service, <br />Obligations. <br />report the remainder of small Issues Issued <br />Attention: Tax Forms Committee, PC:FP, <br />Filing a separate return.- Issuers have the <br />during the calendar year on one consolidated <br />,--Washington, <br />DC 20224. DO NOT send the <br />option to file a separate Form 8038 -GC for <br />Form 8038 -GC. However, a separate Form 8038• <br />orm to this address. Instead, see Where 7o <br />any tax- exempt governmental obligation with <br />GC must be filed to give the IRS notice of the <br />.:. <br />=11e on page 2, <br />an Issue price of less $100,000. <br />election to pay a penalty to lieu of arbitrage <br />rebate. <br />4 <br />n <br />,;,. NXA Form 8038 -GC (Rev 5�b7 a r ' •,x >; <br />