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8038-G .............................................. ........................... Department of Treasury Notice.,.................................. C.P.1.5.2 ........................ Internal Revenue Service Tax period ..Apri.l 3.0.,2.0.11............... Notice 'date June 20, 2011 IR S Ogden LIT 84201-0074 Employer. .. .. ' I D_ number 48-6017228 To contact us Phone 1-877-829-5500 ........... ............................................................................... Page 1 of 1 073019.860929.0274.006 1 AB 0.368 375 I III,-111-11,Jill Jill Jill 1111 Jill 1111 1111 11111111111 CITY OF SALINA KANSAS 300 W ASH ST SALINA KS 67401-2335009 073019 Acknowledgment of your April 29, 2011 Form 8038-G We received your tax-exempt bond form This notice serves as official acknowledgment Tax-exempt bond information thatwe received your Form 8038-G. If you filed ......................... ................................................... ..................... .............. ................................ more than one form, you will receive a separate Bond issuer CITY OF SALINA KANSAS I...................................... ................................. .................... ................................................ acknowledgment for each one. Name of issue WATER&SEWAGE SYSTEM REVENUE BONDS ...................... ............................................... _................................. ............................................................ Address 300 W ASH ST SALINA KS 67401 ............. ......................................... ......................................... ................................- ...................... CUSIP number 794811 KU2 ......................................... ............................................... ..............I............. ..........................-........................ Issue date April 29, 2011 .............I................................. .................................... I..................................................___........................ Issue price $16,193,924.00 . ...................... ........... ............................................................... .................................. .......................................... Maturity date October 1, 2031 ................................................ 1.............................................-.................. ......................... IRS report number 321 Important reminders • Attach a copy of this notice to all of your correspondence and documents related to this tax-exempt bond. • If a tax practitioner or someone else prepared your form,you may want to give them a copy of this notice. (A copy was automatically sent to all representatives authorized with a Power-of-Attorney for this form.) Additional information • Visit www.irs.gov/cpl52. • For tax forms, instructions, and publications, visit www.irs.gov or call 1-800-TAX-FORM(1-800-829-3676). • If you have questions about tax-exempt bonds, call TEGE Customer Account Services at 1-877-829-5500. • Keep this notice for your records. If you need assistance, please don't hesitate to contact us. Fame °� Information'Return for Tax-Exempt Governmental Obligations >a Under Internal Revenue Code section 149(e) pM6 No.1545-0720 (Rev.May 2010) 0- See separate.instructions. Deoanment of the Treasury p'Caution:If the issue ice is under,S1Og000,use Form.8038-GC. Internal Revenue Service Reporting Authority If Amended Return, check here ► ❑ 1 Issuer's name 2 Issuer's employer identification number(EIN) City of Salina,Kansas 48 6017288 3 Number and street(or P.O,box if mail is not defivered to street address) Roontismte 4 Report number(For IRS Use Only) 300 W.Ash Street �� 5 City,town,or post office,state,and ZIP code 6 Date of issue Salina.Kansas 67402-1736 April 29,2011 7 Name of issue Water and Sewage System Revenue Bonds Series 2011 8 CUSIP number 794811 KU2 9 Name and title of officer of the issuer or other person whom the IRS may call for more information 10'.Telephone number of officer or other person Alan Woolever,Gilmore&Bell,P.C. ( 818 ) 221.1000 Type of Issue (enter the issue price)See instructions and attach schedule 11 Education . . . . . . . . . . . . . . . . . . . . . . . . 11 12 Health and hospital . . . . . . . . . . . . . . . . . . . . . . . . . 12 I 13 Transportation. . . . . . . . . . . . . . . . . . . . . . . . . . . 13 14 Public safety . . . . . . . . . . . 14 15 Environment(ncluding sewage bonds). . . . . . . . . . . . . . . . . 15 16 Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . _ 16 17 Utilities . . . . . . . . . . . . . . . . . . . . . .. . . . . , 17 . 16;193,924 50 18 Other. Describe 1- _ 18 19 If obligations are TANS or RANs,check only box 19a If obligations are BANS, check only box.19b ! ❑ ` ' �'� r k 20 if obligations are in the form of a lease or installment sale, check box , . , t+ ❑ Y — }}} D- 'crip l n (a Obl�iq."for`. CompletP or*he:&tire i_ 'for hr is for s 3 n film; at ma( ` Iss pr L2 Stated reds l on ✓,td)Wetghtedr f pace aim_rty 4nerege mat- �: F r�r �18r yea 3.97;24 % Uses o Procee s of Bortd Issue including underwriters iscount) 22 Proceeds used for accrued interest, . , , , • • • , , • , . . , . . . . 22 23,216 33 23 Issue price of entire issue(enter amount from line 21, column(b)) 23 I 16,193,924 50 24 Proceeds used for bond issuance costs(including underwriters' discount) 24 329,7 831 24 25 Proceeds used for credit enhancement . . . . , . . . . . , 25 0 00 26 Proceeds allocated to reasonably required reserve or replacement fund. 26 1,214,141 26 27 Proceeds used to currently refund prior issues . 27 28 Proceeds used to advance refund prior issues . . . . 28 01 00 29 Total (add lines 24 through 28) . . . . . . . 29 1,543,924 50 30 Nonrefundinq proceeds of the issue(subtract line 29 from line 23 and enter amount here) 30 14,650,000 Otl Description of Refunded Bonds (Complete this part only for refunding.bonds.) 31 Enter the remaining weighted average maturity of the bonds to be currently refunded. . . ® years 32 Enter the remaining weighted average maturity of the bonds to be advance refunded. . . A _ years 33 Enter the last date on which the refunded bonds will be called(rAM/DD/YYYY) . . . . . 34 Enter the date(s)the refunded bonds were issued>(mm/DDiYYYY) For Privacy Act and Paperwork Reduction Act Notice,see separate instructions. Cat.No.63773S Form 8038-G (Rev.5-2olo) Form 8038-G(Rev.5-2010) Page 2 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 final maturity date of the GIC® 37 Pooled financings: a Proceeds of this issue that are to be used to make loans to other j governmental units . . . . . . . . . . . . . . . . . . . . . .. . . . �37a b If this issue is a loan made from the proceeds of another tax-exempt issue, check box Ir❑ and enter the name of the issuer f and the date of the issue P 38 If the issuer has designated the issue under section 265(b)(3)(B)n(111)(small issuer exception),check box 1 ❑ 39 If the issuer has elected to pay a penalty in lieu of arbitrage rebate,check box . . . . . . . . . . . . . P ❑ 40 if the issuer has identified a hedge, check box . . . . . . . . . . . . . . . . . . . . . . . . ► ❑ 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 bf the issuer's return information,as necessary to process this retum.to the person that I have authorized above. _ and Rodney Franz,Finance Director Consent Signature of issuer's authorized representat've Date — Type or print namo and title Preparer's D Preparer's SSN or PTIN Paid signature Check it self-ernployed❑ P01062536 Preparer's Firm's name(or Gilmore&Bell,P.C. EIN 43 16.11738 Use Only yours it self-empi(yed), address,and ZIP code 2405 Grand Blvd..,Suite 1100,Kansas City,MO 64108 Phone no. (816) 221-1000 Form 8038-G (Rev.5-2010) ll�0*1, ..r• j U r, r'; S�y Y �''.r.Y'� '�,,9' ��+'i� y•. '�7. `'` �,�:�� `� � eat: v