3.5. EDSR 02-13-2012 - Laserfiche WebLink

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Form 9038-G (Rev, 9-2011) Page ~ Miscellaneous 35 Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) 35 36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract (GIC) {see instructions) 36a ~- b Enter the fins( maturity date of the GIC - c Enter the name of the GIC provider - ._...._._.__.~..._....._.-...~..__..~_~......._.~ ~_._,~n~~.~.._._.a... 37 Pooled financings: Enter the amount of the proceeds of this Issue that are to be used to make loans to other governmental units 37 38a If this issue is a loan made from the proceeds of another tax-exempt issue, check box - ^ and enter the following information: b Enter the date of the master pool obligation - „~~,~,_ . ~ ___ c Enter the EIN of the issuer of the master pool obligation - d Enter the name of the issuer of the master pool obligation - _ 39 If the issuer has designated the issue under section 265{b){3}{B){i)(III) (small issuer exception), check box - ^ 4t3 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box - ^ 41a If the issuer has identified a hedge, check here - ^ and enter the following information: b Name of hedge provider- c Type of hedge - __ d Term of hedge - 42 If the issuer has superintegrated the hedge, check box . - ^ 43 If the issuer has established written procedures to ensure that all nonqualified bonds of this issue are remediated according to the requirements under the Code and Regulations (see instructions), check box - ^ 44 If the issuer has established written procedures to monitor the requirements of section 148, check box . - ^ 46a If some portion of the proceeds was used to reimburse expenditures, check here - ^ and enter the amount of reimbursement . - b Enter the date the official intent was adopted - Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge 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 and process this return, to the person that I have authorized above. Consent - ~ Signature of issuer's authorized representative Date ~ 7ajpa or print name and title Paid Printlrype preparer's name Preparer's signature Date ,Check [~ if PTIN Plr@parBC ~ self-employed _.-.__ _ _ _ _. , _ _ ___ ~..m _- _-_.-. ..._..,.,~... . Use Only Firm s name - Firm's EIN - ~;,~,•,~ atSdrxAaa - Phone rw. Form$038-G (Rev. 9-2011)