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t <br /> 1 <br /> Form 8038—G Information Return for Tax-Exempt Governmental Obligations i <br /> (Rev.September 2011) ►Under Internal Revenue Code section 149(e) OMB No.1545.0720 <br /> O.See separate instructions. <br /> Department of the Treasury Caution:If the issue price is under$100,000,use Form 8038-GC. <br /> Internal Revenue Service <br /> Part I Reporting Authority If Amended Return,check here ► 0 <br /> 1 Issuer's name 2 Issuer's employer identification number(EIN) <br /> City of Everett,Washington 91-6001248 <br /> 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 <br /> 4 Number and street(or P.O.box if mail is not delivered to street address) Room/suite 6 Report number(For IRS Use Oniy) <br /> 2930 Wetmore Ave. I 3 H-,;::.::: <br /> ": <br /> 8 City,town,or post office,state,and ZIP code 7 Date of issue <br /> Everett,Washington 98201 08107/2015 <br /> 8 Name of issue 9 CUSIP number <br /> Property Schedule No.1 to Master Tax-Exempt Installment Purchase Agreement None <br /> 10a Name and title of officer or other employee of the issuer whom the IRS may call for more information(see tOb Telephone number of officer or other <br /> instructions) employee shown on 10a <br /> Susy Haugen,Finance Manager-Treasurer 425-257-8612 <br /> Part II Type of issue(enter the issue price).See the instructions and attach schedule. <br /> 11 Education 11 <br /> 12 Health and hospital 12 <br /> 13 Transportation 13 <br /> 14 Public safety 14 <br /> 15 Environment(including sewage bonds) 15 <br /> 16 Housing 16 <br /> 17 Utilities 17 <br /> 18 Other.Describe P. Procurement&installation of LED street lighting fixtures&appurtenances 18 1,362,903 <br /> 19 If obligations are TANs or RANs,check only box 19a ► D <br /> If obligations are BANs,check only box 19b s <br /> 20 If obligations are in the form of a tease or installment sale,check box ► s <br /> Part III Description of Obligations.Complete for the entire issue for which this form is being filed. <br /> (a)Final maturity dale (b)Issue price (c)Stated redemption (d)Weighted (e)Yield <br /> price at maturity average maturity <br /> 21 05/07/2030 $ 1,362,903 $ N/A 14.75 years 2.97 % <br /> Part IV Uses of Proceeds of Bond Issue(including underwriters'discount) N/A <br /> 22 Proceeds used for accrued interest 22 <br /> 23 Issue price of entire issue(enter amount from line 21,column(b)) 23 — <br /> 24 Proceeds used for bond issuance costs(including underwriters'discount). . 24 - <br /> 25 Proceeds used for credit enhancement 25 = -- <br /> 26 Proceeds allocated to reasonably required reserve or replacement fund 26 <br /> 27 Proceeds used to currently refund prior issues 27 _- <br /> 28 Proceeds used to advance refund prior issues 28 <br /> 29 Total(add lines 24 through 28) 29 <br /> 30 Nonrefunding proceeds of the Issue(subtract line 29 from line 23 and enter amount here) . . 30 <br /> Part V Description of Refunded Bonds.Complete this part only for refunding bonds. <br /> 31 Enter the remaining weighted average maturity of the bonds to be currently refunded . . . . ► N/A years <br /> 32 Enter the remaining weighted average maturity of the bonds to be advance refunded . . . ► N/A years <br /> 33 Enter the last date on which the refunded bonds will be called(MM/DD/YYYY) ► N/A <br /> 34 Enter the date(s)the refunded bonds were issued►pvirwoor YYY) N/A <br /> For Paperwork Reduction Act Notice,see separate instructions. Cat.No.637735 Form 8038-G(Rev.9-2011) <br />