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Form 80~ V ~ N (Rev. September 2011} Department of the Treasury Internal Revenue Service Information Return for Tax-Exempt Governmental Obligations - Under Internal Revenue Code section 149(e) OMB No. 1545-0720 - See separate instructions. Caution: if the issue price is under $100, 000, use Form 8038-GC. t2annrliein errfhrtrity If Amended Return: check here - i_~ t issuer's name 2 Issuer's employer identification number (EIN) 3a Name of person (other than issuer] with whom the IRS may communicate about this return (see instructions) 3b Telephone number of other person shown on 3a ~....... 4 Number and street (or P,O. box if mail is not delivered to street address} Room/suite 5 Report number (For IRS Use Only) ~3 .._ 6 City, town, or post office, state, and ZIP code. 7 Date of issue 8 Name of issue ~~~ ~ ~~ ~ 1 E 3 c 9 CUSIP number _ .__....... ...__ ...................................»_ 10a Name and title of officer or other emp eyee of the issuer whom the IRS may call for more information (see r tOb Telephone number of officer or other instructions} ~ employee shown on t0a Type of Issue (enter the issue price). See the instructions and attach schetlule. _~.__~ 11 . . . . Education ii ~ 12 . Health and hospital . . ~ 12 . 13 Transportation a . . - - 13 14 . : . . Public safety 14 15 . Environment (including sewage bonds} . : 15 _ .~_ _._ 16 Housing . . ___._ 16 - _._e.._- _ __ 17 Utilities . . 17 18 Other. Describe - '~$ 19 20 If obligations are TANs or RANs, check only box i 9a . - ^ If obligations are BANs, check only box 19b . - ^ If obligations are in the form of a lease or installment sale, check box - ^ • . Description of t,~bli ations. Complete for the entire issue for which this form is being fi ~ )ed. a Final maturit date O y (b) Issue rice p ~ (c) Stated redemption price at maturity (d} Weighted average maturity (e) Yield 21 I $ ears ;'o • . Uses of Proceeds of G~ond tsstae (including underwriters' dsscount) 22 Proceeds used for accrued interest . 22 23 Issue price of entire issue (enter amount from line 21, column (b)) . 23 24 Proceeds used for bond issuance costs (including underwriters' discount} . 24 25 Proceeds used for credit enhancement 25 26 Proceeds allocated to reasonably required reserve or replacement fund 26 27 Proceeds used to currently refund prior issues 27 28 Proceeds used to advance refund prior issues 28 29 Total (add Ilnes 24 through 28} 29 30 Nonrefunding proceeds of the issue (subtract line 29 from line 23 and enter amount here} 30 • . Descrip#on of Refunded Bonds. Complete this art onf for refundin bonds. _......_ , .s__... 31 32 33 34 Enter the remaining weighted average maturity of the bonds to be currently refunded . - Enter the remaining weighted average maturity of the bonds to be advance refunded . - Enter the last date on which the refunded bonds will be called (MM/DD/YYYY) - Enter the data s the refunded bonds were issued - (n>jnarDD~vv~v} ears __ years_ For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 63773S Form S03(3-G (Rev. 9-2017)