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Tab_91Form (Rev. September2011) Department of the treasury fn,rnal Revenue Service Reportlnq Information Return for Tax-Exempt Governmental Obligations 10, Under Internal Revenue Code section 149(e) OMB No. 1545-0720 See separate instructions. Caution: If the Issue price is un der $100,000, use Form 8038-GC. If Am4nded nisfitvii nhesnk hrnth 1 a.,uer's name - - -- 2 Issuers employer Identification number (EIN) -City of 0111ingharri, Alaska 003674 - 92 Sue 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 Se Number and street (or P.O. box iT all is not delivered to street address) oorn/suite 5 Reportwumber (rIAS Use Only) 6 City, town, or post office; state, and ZIP code - 7 Date of issue nj1 Alaska 995?6 November 3, 2016 8 Norris of issue 9 CUSIP number -General Obligation Refundlflj Bond, 2018 Series A - - None iSa Name and title of officer or other employee of the Issuer whom the IRS may call For more Information (see lob Telephone number of officer or other instructions) employee shown on 1 O Navin Bisorarn, Finance Director 907.842.5211 ext. 204 - 'j!!.lusue tunier ine 11 12 13 14 15 18 17 18 19 20 Education .........................,,,,,,, Health and hospital ..............................12 Transportation - - - - - - - - - - - - - - - - - - --- - - Public safety ...............................14 Environment (including sewage bonds) ..,..,.,,,,.,,, Housing .................... .............________ Utilities .....................,,...,-,, Other. Describe - If obligations are TANS or RANs, check only box 19a ............... If obligations are BANS, check only box 19b ....................- If obligations are in the form of a (ease or Installment sale, check box .........- -- - - -- - - -- 0 El LI 11 9,38,700 = - 15 16 -- 18 Description of Obligations, Corn hate for the entire Issue for which this farm is being filed (a) Final maturity date I (b) Issue price (c) Stated redemption I price at maturity a (d) Weighted verage maturity (e) Yield I 12/01/2027 -- 9,800,7001 $ 111,426,0001_7.0998 ea 2.5904 Uses of Proceeds of Bond Issue (includ ing underwriters' 22 23 24 Proceeds used for accrued interest Issue price of entire issue (enter amount from line 21, column (b)) ..............231 Proceeds used for bond issuance costs (including underwriters' discount) . 24 66,686 22 0 9,800,708 - 25 25 Proceeds used for credit enhancement ............ 25 5.753 26 27 Proceeds allocated to reasonably required reserve or replacement fund • 26 0 28 Proceeds used to currently refund prior Issues ..........27 Proceeds used to advance refund prior issues ..........28 9,734,429 29 Total (add lines 24 through 28) 29 9801068 0 Nonrefurtd(p proceeds of the Issue (subtract line 29 from line 23 and enter amount hero) 30 1_040 only j9 refund lf1g bonds -- 31 32 33 Enter the remaining weighted average maturity of the bonds to be currently refunded . . . . - Enter the remaining weighted average maturity of the bonds to be advance refunded . . . Do- Enter the last date on which the refunded bonds will be called (MM/DD/YYYY) S,,, 11- .years 7.2836 -years 04/0112010 Enter the dtufs the wiujicied bonds were Isuod 04/15/2000 For Paperwork Reduction Act Notice, see separate instructions. bat. No. 637730 Form 8038-0 (Rev. 9-2011) U I Form 8038-0 (Rev, 9-2011) - Pa o Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) . . 36 . 36a Enter the amount of gross proceeds Invested or to be invested in a guaranteed investment contract (GIG) (see Instructions) ..............................o b Enter the final maturity date of the GIG 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 10 other governmental Units ...,......,...,..,. 01 Lp,,,-- 38a If this issue is a loan made from the proceeds of another tax-exempt issue, check box " E21 and enter the following informak b Enter the date of the master pool obligation" November 32016 o Enter the EIN of the Issuer of the master pool obligation 1111 92-6001185 d Enter the name of the issuer of the master pool obligation ' Alaska Municipal Bond Bank 39 If the issuer has designated the issue under section 265(b)(3)(B)(i)(lll) (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 ' El and enter the following information: b Name of hedge provider ' o Type ofhedge lil, d Term of hedge P - 42 If the Issuer has superintegrated the hedge, check box ..................... Do- 43 If the Issuer has established written procedures to ensure that all nonqualifiad bonds of this issue are rernediated according to the requirements under the Code and Regulations (see instructions) check box ........ Dt- 44 If the issuer has established written procedures to monitor the requirements of section 148, check box ..... Do 45a If some portion of the proceeds was used to reimburse expenditures, check here El 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 end accompanying schedulee and statements, and to the beat of my knowledge Signature and belief, they are true, correct, and complete. I further declare that I consent to the IRS's disclosure of the issuer's return Information, as necessary to and process this return to the person that I have authorized above, Consent I - - I Navin Bissrarno Finance Director ' Signature of issuer's auU'roried representetis Oats ivcorirt name and title Paid rrinv type pmpsrsr'a name Preparer Thomas Klinkrier Use Only rirm t, name b, Birch Horton BIQI r . 1127 West 71h Avenue, Date Check n it self emyedIPTIN P01874546 907.263.7219 -8038.G (Rev. 9-2011) • 't• Birch Horton Bittner & Cherot apro(essionci! corpora/ion Thomas F. Klinkner Respond to Anchorage Office T 907.263.7219 • F 907.276,3680 tklinkner@bhb.com November 8, 2016 CERTIFIED Department of the Treasury Internal Revenue Service Center Ogden, UT 84201-0074 RE: City of Dillingham, Alaska Our File No.: 506,268.2 To Whom It May Concern: ISSUE DATE DESCRIPTION 11/3/2016 Form 8038-G - GO Refunding Bonds, 2016 Series A File original 3 Prepaid return envelope enclosed 3 For your information/files [ 3 For signature/notarize [3 Per your request [1 For filing 3 For review and comment [ 3 Return to our office [] Returned to you [] Forward to: Please call Tom Klinkner at (907) 276-1550, if you have any questions. Yours truly, BIRCH HORTON BITTNER & CHEROT 11 1 Thomas F. Klinkner TFK: lcj Enclosure 1127 West Seventh Ave,j Anchorage, AK 99501-3301 1156 15th St. N,W,, Ste. 1020, Washington, D.C. 20005-1754 T 907.276.1550 • 800.478.1550 • F 907.276.3680 T 202.659.5800 • F 202.659.1027 506268M00558116 LAW OFFICES BIRCH HORTON BIUNER & CHEROT A PROFESSIONAL CORPORATION 1127 WEST SEVENTH AVENUE ANCHORAGE, ALASKA 99501 506,268.2 H I iL 91 ?08 2:' 9? 389 Linda Julian From: auto-reply@usps.com Sent: Monday, November 14, 2016 9:12 AM To: Linda Julian Subject: USPS Item Delivered, To Agent for Shipment 9171082133393724973839 Tracking Number: 9171082133393724973839 mm b1. Thank you for using This is a post-only message. Please do not respond. Linda Julian has requested that you receive a USPS Tracking® delivery or delivery attempt update, as shown below. USPS Tracking® e-mail update information provided by the U.S. Postal Service. Tracking Number: 9171082133393724973839 Expected Delivery Date: November 14, 2016 Service Type: Certified Mail1M iIIiiii: Shippijt Partner Delivered, To Agent OGDEN, UT 84201 November 1 2016 10:20 am November 11, 2016 11:47 pm SALT LAKE CITY, UT November 10, 84199 2016 10:53 pm SALT LAKE CITY, UT November 10, 84199 2016 11:48 am SALT LAKE CITY, UT November 10, 84199 2016 11:47 am November 9, 2016 9:50 pm ANCHORAGE AK 99530 November 9, 2016 3:28 am ANCHORAGE, AK 99530 November 8, 1 In Transit to Destination Departed USPS Facility Arrived at Unit Arrived at USPS Destination Facility In Transit to Destination Departed USPS Facility Arrived at USPS Origin Facility Departed Post Office Acceptance ANCHORAGE, AK 99517 ANCHORAGE, AK 99517 2016 9:50 pm November 8, 2016 6:20 pm November 8, 2016 6:09 pm Reminder: USPS Tracking® by email Date of email request: November 9, 2016 Future activity will continue to be ernailed for up to 2 weeks from the Date of Request shown above. If you need to initiate the USPS Tracking® by email process again at the end of the 2 weeks, please do so at the USPS Tracking site at http.if www. lisps corn/shipping/uspstrackingfaqs. htrn Results provided by the U.S. Postal Service. Want to Track on the go? You can track your packages using USPS Text TrackingTM by texting your tracking number to 28777 (2USPSTM) or selecting the Text Update option on our USPS Tracking® site Standard Message and Data Rates may apply. For more information go to https://www.usps.com/text-tracking/welcome.htm Download USFSMobile® I1 USPS.coml Frivay PolicyI Customer Servicel FAQs j This is an automated email please do not reply to this message. This message is for the designated recipient only and may contain privileged, proprietary, or otherwise private information. If you have received it in error, please delete. Any other use of the email by you is prohibited. 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