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Home My WebLink About8038-G Tax Exempt Government ObligationsForm 8038-G (Rev. September 2011) Information Return for Tax -Exempt Governmental Obligations ► Under Internal Revenue Code section 149(e) ► See separate instructions. OMB No. 1545-0720 Department of the Treasury Internal Revenue Service Caution: If the issue price is under $100, 000, use Form 8038-GC. ' Reporting Authority If Amended Return, check here ► ❑ 1 Issuer's name 2 Issuer's employer identification number (EIN) City of Tamarac, Florida 59-1039552 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) 7525 NW 88th Avenue 131 6 City, town, or post office, state, and ZIP code Tamarac, Florida 33321 7 Date of issue April 19, 2012 8 Name of issue 9 CUSIP number Schedule of Property No. 1 to Master Equipment Lease Purchase Agreement, between Banc of None America Public Capital Corp, as Lessor, and the City of Tamarac, FL, as Lessee 10a Name and title of officer or other employee of the issuer whom the IRS may call for more information (see instructions) 10b Telephone number of officer or other employee shown on 10a Mark Mason, CPA, Director of Financial Services (954) 697-3560 ' Type of Issue (enter the issue price). See the instructions and attach schedule. 11 Education............................................................................................................................................ 11 12 12 Health and hospital............................................................................................................................. 13 13 Transportation..................................................................................................................................... 14 14 Public safety........................................................................................................................................ 15 15 Environment (including sewage bonds).............................................................................................. 16 16 Housing............................................................................................................................................... 17 17 Utilities................................................................................................................................................ 18 607,667 00 18 Other. Describe ► Essential Use Equipment 1 q If nhlinatinns are TANs or RANs_ check only box 19a................................................................... ► ❑ 20 If obligations are BANs, check only box 19b.................................................................................. ► ❑ If obligations are in the form of a lease or installment sale, check box .......................................... ► ' Description of Obligations. Complete for the entire issue for which this form is beingfiled. (a) Final maturity date (b) Issue price (c) Stated redemption price at maturity (d) Weighted average maturity (e) Yield 21 4/1/2017 $ 607,667 607,667 2.7338 years 1.679 % ' Uses of Proceeds of Bond Issue(including underwriters' discount 22 Proceeds used for accrued interest................................................................................................... 22 0 00 23 607,667 00 23 Issue price of entire issue (enter amount from line 21, column (b))................................................... 24 Proceeds used for bond issuance costs (including underwriters' discount)........ 24 0 00 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 0 00 28 Proceeds used to advance refund prior issues .............................................. 28 01 00 29 607,667 00 29 Total (add lines 24 through 28)...................................................................................................:....... 30 0 00 30 Nonrefunding proceeds of the issue (subtract line 29 from line 23 and enter amount here) ............... ' 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 ..................... ► 32 Enter the remaining weighted average maturity of the bonds to be advance refunded ..................... ► 33 Enter the last date on which the refunded bonds will be called (MM/DD/YYYY) ............................... ► 34 Enter the date(s) the refunded bonds were issued ► (MM/DD/YYYY) For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 63773S Form 8038-G (Rev. 9-2011) 4834-1255-3999.1 Form 8038-G (Rev. 9-2011) Page 2 FWWM 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 Pi- c Enter the name of the GIC provider ► 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 No- 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 ........................ ► ❑ 40 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 ......................... ► ❑ 45a If some portion of the proceeds was used to reimburse expenditures, check here ► ❑ and enter the amount of reimbursement ........................................... lo- 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, ago complete. I further declare that I consent to the IRS's disclosure of the issuer's return information, as necessary to and process this r rn t e p o t l ve authorized above. Consent � 62) 4/19/2012 Beth Talabisco, Mayor S 1 v Paid Preparer Use Only I' Signature of issuer's authorized represenfative Date Tvae or arint name and title Printrrype preparer's name I Preparer's signature Emily F. Magee, Esq. Date 4/19/2012 Firm's name ► Foley & Lardner LLP Firm's address ► One Independent Drive, Suite 1300, Jacksonville, FL 32202 4834-1255-3999.1 Check ❑ if PTIN calf-cmninvori 1 1776034 Firm's EIN No. 39-0473800 Phone no. 904-359-2000 Form 8038-G (Rev. 9-2011)