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07Form 8038-G 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 the issue price is under $100000 useForm 8038-GC 0MBNo 1545-0720 iII Reporting Authority If Amended Return checkhere ci I I Issuers name Issuers employer identification number EIN Kodiak Island Borough Alaska 92-0030845 3a Name of person other than issuer with whom the IRS may communicateabout thisreturn see instructions 3b Telephone number ofother person shown on3a Number and street or P.O box if mail is notdeliveredtostreet address Room/suite Report number For IRSUse Only 710 llilI Ba Row City town or post office state andZIPcode Date ofissue Kodiak Alaska 99615 9/16/2015 Name of issue CUSIP number General Obligation School Bond 2015 Series and 2015 Series 13 N/A lOa Name and title ofofficerorother employee oftheissuer whom the IRS may call for more information see lOb Telephone number ofofficerorother instructions employee shown on lOs Karleton Short Finance Director 907-486-9320 ThiII Type of Issue enter the issue price See the instructions and attachschedule 11 Education it 9062818 12Healthand hospital 13 Transportation 14 Public safety ._i__ 15 Environment including sewage bonds 16 Housing 17 Utilities 17 18 Other Describe 18 19 If obligations are TANs or RANs check only box 19a Eli If obligations are BANs check only box 9b LI 20 If obligations are in theform of lease orinstallment sale check box Eli Ifl1lII Description of Obligations Complete for theentireissue for which this form is being led Stated redemption Weighted Final maturity date Issue price puce atmaturity average maturity Yield 21 10/01/2035 9062818 7990001 10.8178 years 3.6984 h1TiIk1 Uses of Proceeds of Bond Issue including underwriters discount 22 Proceedsused for accrued interest 23 Issue price of entire issue enter amount from line 21 column 24Proceedsused for bond issuance costs including underwriters discount 25 Proceedsused forcredit enhancement 26 Proceeds allocatedto reasonablyrequired reserve or replacement fund 27 Proceedsused to currently refund prior issues 28 Proceeds used to advance refund prior issues 29 Total add lines 24 through 28 30 Nonrefundingproceeds of theissue subtract line 29 from line 23and enter amount here ITL1 Description of Refunded Bonds Complete this partonly for refunding bonds 31 Enter the remainingweightedaverage maturity of the bonds to be currently refunded N/A years 32 Enterthe remainingweightedaverage maturity of the bonds to be advance refunded N/A years 33 Enterthe last date on whichtherefunded bonds will be called MM/DDIYYYY N/A 34 Enter the dates therefunded bonds wereissued MM/DDrYYY N/A For Paperwork ReductionAct Notice see separate instructions Cat No 63773S Form 8038G Rev 9-2011 Form8038-G Rev 9-2011 Page ITL4I Miscellaneous 35 Enterthe amount of the state volume cap aiocated to the issue under section 141b5 35 N/A 36a Enterthe amount of grossproceeds invested or to be invested in guaranteed investmentcontract GIC see instructions 36a N/A Enterthe final maturity date of the GIC ___________________________________ Enter the name of the GIC provider __________________________________ 37 Pooled financings Enterthe amount of the proceeds ofthis issue that are to be used to make loans to other governmental units 37 N/A 38a If thisissue is loan made fromthe proceeds of anothertax-exempt issue check box and enter the following information Enter the date of the master pool obligation 09/16/2115 Enter the EIN of the issuerof themaster pool obligation 92-6001185 Enter the name of the issuerof themaster pool obligation AlaskaMunicipal Boiid Bank 39 If the issuer has designated theissueunder section 265b3Bil II small issuer exception check box LI 40 If the issuer has elected to pay penalty inlieu of arbitrage rebate check box LI 41a If the issuer has identified hedge checkhere 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 ofthis issue are remediated according to the requirements underthe Code and Regulations see instructions check box 44 If the issuer has established written procedures to monitortherequirements of section 148 check box 45a If some portion of the proceeds was used to reimburse expenditures checkhere LI and enter the amount of reimbursement ______________________________________________ Enterthe date the officialintent was adopted ______________________________________________ Under penalties of perjury declare that have examined thisreturn andaccompanying schedulesand statements and to thebest of my knowledge Signature and belief they are truecorrect and complete further declare that consent tothe IRSs disclosureof the issuers return information as necessary to process thisreturntothe perso that have authorized above Consent f..09/16/2015 Karleton Short Finance Director Sign ture of issuers authotized representative Date Type or print name and title Printfrype preparers name Preparers signature Date PTIN Paid check Lii if Preparer 1Mc Creeiiouh 09/16/2015 self-employed P01061698 Use Only Firms name Foster Pepper PLL Firms EIN 91-0606972 Firms address 1111 Third Avenue Suite 3400 Seattle WA 98101 Phone no 206 447-4400 Form 8038-G Rev 9-2011 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 $6210000 General Obligation School Bond 2015 Series And $1780000 General Obligation School Bond 2015 Series Issue Date September 16 2015 Dated Date September 16 2015 to the Department of the Treasury Internal Revenue Service Center Ogden Utah 84201 by certified mail return receiptrequested 7014 349000015580 3206 DATED September 21 2015 Cyntl4a Nevins 5471776.1 207890-000003 Department of Treasury Internal Revenue Service Center Ogden UT 84201 UNITED STATESPOSTALSERVICE II First-Class Mail Postage Fees Paid uSPS Permit No 0-10 USPS TRACKING 1 I I I II III I I L H 959094030213 5146 1361 48 CERTIFIED MAIL RECEIPT D4mestlc Mail Only or delivery information visit ourwebsite at www usps comeOFFLICAUSE ._u ri ru ru ni In 10 UUU. rrlDD In mm r1 rrDD c-P-N Postage Certilied Fee PostmarkReturnReceiptFee EndorsementRequired are Restricted Delivery Fee EndorsementRequired Total PostageFees Sent To riwo 2kr SENDERCOMPLETE THIS SECTION COMPLETE THISSECTION ON DELIVERY Complete items and Print your name and address on the reverse so that we can return the card to you Attach this card to the back of the mailpiece or on the front if space permits Article Addressed to Signature Agent Addressee Date of Delivery Is delivery address different from Item Yes If YES enter delivery address below No lIllIllIl li i i 11 1 1 1 11111111111111111 11 1 1 1 1 11 1 1 1 9590 940302135146 136148 Article Number ffansfer from service label Service Type Adult Signature Adult Signature Restricted Deilvery CertifIed MaJI Certified Mail Restricted Delivery Collect on Deflvery Collect on Delivery Restricted Deuvery Insured Mail Insured Mail Restricted Delivery over$500 _____________ PS Form 3811 April 2015 PSN 7530-02-000-9053 PriorityMail ExpressS Registered MailM Reglsteied Mall Restricted Delivery Return Receipt for Meihandise IJ Signature Conflrmatlon Signature Confirmation Restricted Delivery DomesticReturnReceipt Sender Please print your name address and ZIP4 in this box Cindy Nevins Foster Pepper PLLC 1111 Third Avenue Suite 3400 Seattle WA 98101 10/13/2015 USPS.com USPS Tracking English Customer Service USPS Mobile Register Sign In USPS.COM USPS Tracking Get EasyTracking Updates Signup for My USPS Tracking Number70143490000155803206 Updated Delivery Day ThursdaySeptember24 2015 Product Tracking Information AvailableActions Postal Product Features Certified Mail Text Updates DATE TIME STATUSOF ITEM LOCATION Email Updates September2420151151 Delivered OGDENUT84201 Your item was delivered at 1151am on September 24 2015 in OGDEN UT 84201 September 24 2015 731 SALTLAKE am Outfor Delivery CITY UT84199 September 24 2015 .721 SALTLAKE am Sorting Complete CITY UT84199 September23 2015818 SALTLAKE am Arrived at Unit CITY UT84199 September23 2015 818 SALTLAKE am Arrived at USFS Facility CITY UT84199 September 222015 715 Departed USFS Facility SEATtLE WA 98168 September 212015 714 Arrived at USFS Facility SEATtLE WA 98168 Track Another Package Manage IncomingPackages Tracking or receipt number Track all your packages fromdashboard No tracking numbers necessary Trackit Sign upforMyUSPS https//tools.usps.com/go/TrackConfirmActionqtc_tLabe1s170143490000155803206