8038-G (2)Fpnny ®30�� Information Return for Tax- Exempt Governmental Obligations
► under Internal Revenue Code section 149(e) OMB No. 1545 -0720
(Rev. May 2010) ► See separate instructions.
Depamnsm m me T.u,y Caution: if the issue rice is under $100,000, use Form 8038 -GC.
Imemal neverx,e Service P
Reporting Authority If Amended Return_ check here ► F I
1 IssUel's name 1,
2 Issuers.amployer Wwbfication numbv (EIN)
City of Salina, Kansas
48 i 6017288
3 Number and street (or P.O. box if mail's not delivered to street address)
RoorNSOHo
4 Report number (For IRS Use Only)
300 W. Ash Street
. .
13
5 City, town, or Prot office, state, and ZIP code -
6 Data of Issue
Salina, Kansas 67402 -1736
07/28/2011
7 Name of issue General Obligation Internal improvement Bonds, Series 2011 -A
8 CUSIP number
-
794743 2K9
9 Name and title of officer of the issuer or other Person whom the IRS may call for more information
t0 Telephone number of officer or other person
Gina Riekhof, Bond Counsel, Gilmore 8 Bell, P.C. i�
( 816 ) 221.1000
Itxnan I ype uI Issue tenter tree Issue price) see mstrucnons ana attacn scnecule
11 Education . . . . . . . . . . . . . . . . . . . .
. . . . .
12 Health and hospital . . . . . . . . . . . . . . .
. . . . . .
13 Transportation . . . . . . . . . . . . . . . . . . . . . .
. . . . . .
14 Public safety . . . . . . . . . . . .
. .
15 Environment (including sewage bonds). . . . . .. . . . . .
. . . . . .
16 Housing . . . . . . . . . . . . . .
17 Utilities . . . . . . . . . . . .
.
18 Other. Describe ► Various Internal Improvements '!
19 If obligations are TANS or RANs, check only box 19a. . . . . . . . .
. . . . ► ❑
If obligations are BANS, check only box 19to . . . . . . . .
. . . . ► ❑
20 1 Nation WA In the form of a lease or installment (sale, check box
► ❑
28 Proceeds used to advance refund prior issues . . . . . . 29 0 00
e '' tion tx Obli ai#io �`'. Corn !eke foF tI,TQ entire aS "sue fog Ipcfi
this d7m
(al FIX. maturity da[e�X
ib� Issue
Stated rfanrpiion
(tl) W to '
-,
y+", Pnce
��.. price at rrf aturity j+r
!. averaoe�aNtM
r Uses of Proceeds of Bond Issue (including underwriters' discount
22 Proceeds used for accrued interest. . . . , . 11 , . . , ,
22
81555
28
23 Issue price of entire issue (enter amount from line 21,;�column (b)) .
23
6,679,184
55
24 Proceeds used for bond issuance costs (including underwriters' discount) 24 1143,642 20
25 Proceeds used for credit enhancement . . . . 25 0 00
-+
26 Proceeds allocated to reasonably required reserve or replacement fund . 26 0 00
27 Proceeds used to currently refund prior issues . 27 2,289 608 78
_
28 Proceeds used to advance refund prior issues . . . . . . 29 0 00
29 Total (add lines 24 through 28) . .'i , . , . -.
29
2,433,250
98
30 ' Nonrefundino proceeds of the issue (subtract line 29 from line 23 and enter amount here!
an
4 215 9ia
z>
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 . 0- 0.008 years
32 Enter the remaining weighted average maturity of the bonds to be advance refunded . ► NIA - yeas
33 Enter the last date on which the refunded bonds will be called (MM /DD/YYYY) . . . . . ► 08101/2011
34 Enter the date(s) the refunded bonds were issued ► (MM /DD/yvnl 05/05/2010
For Privacy Act and Paperwork Reduction Act Notice, see separate instructions, cat. Na 637735 Form 8038 -G (Rev. 5 -2oio)
Form 8038 -G (iev. 5 -2010)
Page 2
35 Enter the amount of the state volume cap allocated to the issue under section 141(6)(5) . so
36a Enter the amount of gross proceeds invested onto be invested in a guaranteed investment contract
(GIC) (see instructions) . . . . . . . . . . ICI . . . . . . . . . . . . . . 36a
b Enter the final maturity date of the GIG ►
37 Pooled financings: a Proceeds of this issue that� are to be used to make loans to other
governmental units . . . . . , . _ .
b If this issue is a loan made from the proceeds of another tax- exempt issue, check box ► ❑ and enter the name of the
issuer ► I and the date of the issue ►
38 If the issuer has designated the issue under section 'f265(b)(3)(B)(1)(III) (small issuer exception), check box . . . . ► ❑
39 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box . . . . . . . . . . . . . ► ❑
40 If the issuer has identified a hedge, check box . . iI . . . . . . . . . . . . . . . . . . . . . 0 ❑
Under penalties of perjury, I declare that I have examined this retum and accompanying schedules and statements, and to the best of my knowledge
Signature and belief, they ere true, correct, and complete. I Further declare that I consent to the IRS's disclosure of the issuers return information, as necessary
to process this retum, to the person that I have authodied above.
and I
Consent $(3077
Signature of issuer's authorized representative i,� Date Type or print name and title
Paid Preparer's I Date Check If Preparees SSN or PI
W
sgnature r p, /2Y /r,.11 selt�mpbyetl ❑ P O L I S 1 6
Preparer's Rnn's name (or Gilmore & Bell, P.C. FIN 1 1611738
Use Only yours if self- employed),
61 and ]IP � H� 2405 Grand Blvd.. Suite 1100, Kansas City, M0 64100 1 phone no. (816 1 221 -1000
Form 8038-G (Rev. 5 -2010)
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