07Form 8038G Information Return for Tax-Exempt Governmental Obligations
Rev September 2011 Under Internal Revenue Code section 149e
Department of the Treasury
See separate instructions
Internal Revenue Service Caution If theissue price is under $100000 use Form 8038-GC
0MBNo 1545-0720
U1II Reporting Authority If Amended Return check here LI
Issuers name Issijers employer irtentification number FIN
Kodiak Island Borough Alaska 92-0030845
3a Name of personother than issuer with whom the IRS may communicateabout this return see instructions 3b Telephone number ofother person shownon3a
Number and street or P.O box if mail is not deliveredtostreet address Room/suite Report number For IRSUse Only
710 MillBay Road
City town or post office state andZIPcode Date ofissue
Kodiak Alaska 99615 2/20/2014
Name ofissue CUSIP number
General Obligation School Bond 2014 Series N/A
lOa Name and title ofofficer or other employee of the issuer whom the IRS may callfor more information see lOb Telephone number ofofficerorother
instructions employee shownon Oa
Karleton Short Finaiice Director 907-486-9320
I1TiIII Type of Issue enter the issue price See the instructions and attach schedule
11 Education 11 25087432
12 Health and hospital 12
13 Transportation 13
14 Public safety 14
15 Environment including sewage bonds 15
16 Housing
17 Utilities 17
18 OtherDescribe
19 If obligations are TANs or RANs check only box 19a LI
If obligations are BANs check only box 9b LI
20 If obligations are in theform of lease or installment sale check box LI
I1IIII Description of Obligations Complete for the entire issue for which this form is being fled
Statedredemption Weighted
Finalmaturity date Issue price
price at maturity average maturity
Yield
21 03/01/2034 25087432 22660000 11.961 years 3.2232
IVIi Uses of Proceeds of Bond Issue including underwriters discount
22 Proceeds used for accrued interest 22
23 Issue price ofentire issue enter amount from line 21 column 23 25087432
24 Proceeds used for bond issuance costs including underwriters discount 24 86969
25 Proceeds used for credit enhancement 25
26 Proceeds allocated to reasonably required reserve or replacement fund 26
27 Proceeds used to currently refund prior issues 27
28 Proceeds used to advance refund prior issues 28
29 Total add lines 24 through 28 29 86969
30 Nonrefundingproceeds of the issue subtract line 29 from line 23and enter amount here 30 25000463
I1iLYi Description of Refunded Bonds Complete this partonly for refunding bonds
31 Enterthe remaining weightedaverage maturity of the bonds to be currently refunded N/A years
32 Enter the remaining weightedaverage maturity of the bonds to be advance refunded N/A years
33 Enterthe last date on which the refunded bonds will be called MM/DDIYYYY N/A
34 Enterthe dates the refunded bonds were issued MM/DD/YYYY N/A
For Paperwork Reduction Act Notice see separate instructions Cat No 63773S Form 8038G Rev 9-2011
Form 8038-G Rev 9-2011 Page
36a
37
N/A
N/A
IThLAI Miscellaneous _________
35 Enterthe amount of the state volume cap allocated to theissue under section 141 b5 N/A
36a Enterthe amount of gross proceeds invested orto be invested in guaranteed investment contract
GIC see instructions
Enterthe final maturity date of the GIC _________________________________
Enterthe name of the GIC provider ___________________________________
37 Pooled financings Enterthe amount of the proceeds of this issue that are to beused to make loans
to other governmental units
38a If this issue is loan made from the proceeds of another tax-exempt issue check box and enter the following information
Enterthe date of the master pool obligation 02/20/2014
Enterthe EIN of the issuerof the master pool obligation 92-6001185
Enterthe name ofthe issuerof the master pool obligation Alaska Municipal BondBank
39 If the issuer has designated the issue under section 265b3BiIII small issuer exception check box
40 If the issuer has elected to pay penalty inlieu of arbitrage rebate check box LI
41a If the issuer has identified hedge check here LI and enterthe following information
Name of hedge provider _________________________________
Type of hedge ____________________________________
Term of hedge ___________________________________
42 If the issuer has superintegrated the hedge check box LI
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 monitorthe requirements of section 148 check box
45a If some portion of the proceeds was used to reimburse expenditures check here LI and enter the amount
of reimbursement ___________________________________________
Enter the date the official intent was adopted _____________________________________________
Under penalties of penury declare that haveexamined this return and accompanying schedules and statements and to thebest of my knowledge
Signature and belief they are true correct and complete further declare that consent to the IRSs disclosure of the issuers return information as necessary to
and process this returto the person that have authorized above
Consent 02/20/2014 KarletonShort Finance Director
Signature of issuers authorized representative Date Type or print name and title
Print/Type preparers name Preparers signature Date
Check LI if
PuN
Paid
Preparer Marc Greenough LU4 02/20/2014 seIf-empIoyed P01061698
Firms EIN 91-0606972UseOnlyFirmsnameFosterPepperPLLC
Firms address 1111 Third Avenue Suite 3400 Seattle WA 98101 Phone no 206 447-4400
Form 8038-G Rev 9-2011
35
CERTIFICATE OF MAILiNG
Cynthia Nevins paralegal at Foster Pepper PLLC in Seattle Washington certify
that on this day mailed the original IRS Form 8038-G relating to theissuance of
Kodiak Island Borough Alaska
$22660000
General Obligation School Bond 2014 Series
Issue Date February 20 2014
Dated Date February 20 2014
to the Department of the Treasury Internal Revenue Service Center Ogden Utah 84201 by
certified mail return receipt requested 7011 297000041870 5787
DATED April 14 2014
AtlJA Cf//
Cynt Nevins
51364725.1 207890-000001
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1111 Complete items 1, 2, 3. Also complete
item 4 if Restricted Delivery is desired. X
IIIIi Print your name and address on the reverse j_:_:__ ______ ---'-'-z-7..,.-.,.:~rri8~::::1_!~~~
so that we can return the card to you.
IIIIi Attach this card to the back of the mail piece,
or on the front if space permits.
1. Article Addressed to:
Department of Treasury
Internal Revenue Service Genter
Ogden, UT 84201 3. Service Type
0 Certified Mail® 0 Priority Mail Express"'
2. Article Number 701
0 Registered 0 Return Receipt for Merchandise _
0 Insured Mail 0 Collect on Delivery
4. Restricted Delivery? (Extra Fee) 0 Yes
0 0004 1870 5787
Domestic Return Receipt
UNITED STATES PosTAL SERVICE First-Class Mail
Postage & Fees Paid .
USPS
Permit No. G-10
'" Sender: Please print your name, address, and ZIP+4® in this box•
Cind.;: Nevins
Foster Pepper PLLC
1111 Third Avenue, Suite 3400
Seattle, WA 98101
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