Form 8038-B Information Return For Build America Bonds {8038-B} | Pdf Fpdf Doc Docx | Official Federal Forms

 Official Federal Forms /  Department Of Treasury /
Form 8038-B Information Return For Build America Bonds {8038-B} | Pdf Fpdf Doc Docx | Official Federal Forms

Form 8038-B Information Return For Build America Bonds {8038-B}

This is a Official Federal Forms form that can be used for Department Of Treasury.

Alternate TextLast updated: 11/1/2011

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Form 8038-B Issuer's name (January 2010) Department of the Treasury Internal Revenue Service Information Return for Build America Bonds and Recovery Zone Economic Development Bonds Under Internal Revenue Code section 149(e) See separate instructions. OMB No. 1545-2161 Part I 1 3 5 6 8 10 Reporting Authority Check if Amended Return 2 Issuer's employer identification number (EIN) 4 Report number (For IRS Use Only) 1 Name of person (other than issuer) with whom the IRS may communicate about this return (see instructions) Number and street (or P.O. Box if mail is not delivered to street address) City, town, or post office, state, and ZIP code Name of issue Name and title of officer of issuer whom the IRS may call for more information (see instructions) 7 Date of issue (MM/DD/YYYY) / / 9 CUSIP number 11 Telephone number of officer or other person (see instructions) Part II 1a b c 2 3 a b c d e f 1 a b c d e f g h 2 a b c d 3 4 5 1 2 3 4 5 Type of Bonds (see instructions, if the box on line 1b or 1c is checked, complete lines 2 and 3) . . . . . . . . . . . . . . . . . . . . . Build America bonds (Tax Credit) (section 54AA(a)) . . . . . . . . . . . . . . . . Build America bonds (Direct Payment) (sections 54AA(g) and 6431) . . . . . . . . . . . Recovery zone economic development bonds (Direct Payment) (sections 1400U-2 and 6431) . . / / Enter the first interest payment date (MM/DD/YYYY) Interest payment date frequency: (Check box) (see instructions and attach debt service schedule) annual, semi-annual, quarterly, monthly, or other If line 3e above is checked, please describe the payment frequency: Part III Purpose of Issue Amount (Whole Dollars) For a build America bond, identify the purpose of issue and enter the issue price. (see instructions and attach schedule) Education . . . . . . . . . . . . Health and hospital . . . . . . . . Transportation . . . . . . . . . . Public safety . . . . . . . . . . . Environment (including sewage bonds) . . Housing . . . . . . . . . . . . Utilities . . . . . . . . . . . . . Other description For a recovery zone economic development price. (see instructions and attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a 1b 1c 1d 1e 1f 1g 1h bond, identify the purpose of issue and enter the issue 2a Capital expenditures relating to property located in the zone . . . . . . . . . . . . . 2b Public infrastructure and construction of public facilities . . . . . . . . . . . . . . 2c Job training and educational programs . . . . . . . . . . . . . . . . . . . . 2d Other description . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Total issue price (Part III, lines 1a through 1h or lines 2a through 2d) . . . . . . . . . . If obligations are TANs or RANs, check only box 4a If obligations are BANs, check only box 4b If obligations are in the form of a lease or installment sale, check box Part IV Description of Obligations (Complete for the entire issue for which this form is being filed.) . . . . . . . . 1 ............... / / ........ . ..... years . % ... Please indicate the frequency rates are reset 5b Cat. No. 53393K Form 8038-B (1-2010) Stated redemption price at maturity . . . . Final maturity date (MM/DD/YYYY) . . . . Weighted average maturity . . . . . . . Yield . . . . . . . . . . . . . . If the issue is a variable rate issue, check box 5a For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. American LegalNet, Inc. www.FormsWorkFlow.com Form 8038-B (1-2010) Page 2 Part V 1 2 3 4 5 6 7 8 9 10 1 2 3 4 Use of Proceeds of Issue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 5 6 7 8 9 10 Amount (Whole Dollars) Part VI Sales proceeds . . . . . . . . . . . . . . . . . . . Expected investment proceeds ............. Proceeds used for accrued interest . . . . . . . . . . . . Proceeds used for bond issuance cost (including underwriter's discount) Proceeds used for credit enhancement . . . . . . . . . . . Proceeds allocated to a reasonably required reserve fund . . . . . Proceeds used for capital expenditures . . . . . . . . . . . Proceeds used for working capital expenditures . . . . . . . . Proceeds used to currently refund prior issues ........ Proceeds used to advance refund prior issues ........ Description of Refunded Bonds (complete this part only for refunding bonds) Part VII Enter the remaining weighted average maturity of the bonds to be years currently refunded . . . . . . . . . . . . . . . . . Enter the remaining weighted average maturity of the bonds to be years advance refunded . . . . . . . . . . . . . . . . . / / Enter the last date on which the refunded bonds will be called (MM/DD/YYYY) Enter the date the refunded bonds were issued (if more than one date of issue, attach a schedule) (MM/DD/YYYY) (see instructions) . . . . . . . . . . . . / / Miscellaneous 1 1 Enter the amount of the volume cap allocated to the issue (see instructions) (attach volume cap certification) 2 a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract (GIC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a / / b Enter the final maturity date of the GIC (MM/DD/YYYY) c Enter the name of the GIC provider 3 Proceeds of this issue that are to be used to make loans to other governmental units . . . . . 3 4 a If this issue is a loan made from the proceeds of another issue, check box and enter the following information: / / b Enter the issue date of the master pool obligation (MM/DD/YYYY) c Enter the EIN of the issuer of the master pool obligation d Enter the name of the issuer of the master pool obligation 5 a If the issuer entered into a hedge, check box and enter the following information: b Name of hedge provider c Type of hedge d Term of hedge 6 If the issuer has superintegrated the hedge, check box 7 If the issuer elected to pay a penalty in lieu of arbitrage rebate, check box If the issuer has established written procedures to ensure that all nonqualified bonds of this issue are remediated in accordance 8 with the requirements under Regulations section 1.141-12, check box 9 If the issuer has established written procedures to monitor t

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