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Tab_220(Rev. September 2011) Department of the Treasury Internal Revenue Service I Reiorti Information Return for Tax-Exempt Governmental Obligations Under Internal Revenue Code section 149(e) OMB No. 1546-0720 110, See separate Instructions. Caution: If the issue price is under $100,000, use Form 8038-GC. If Amended Riun r.her* here BD- 1 Issuer's name 2 Issuer's employer identification number (ElN) Petersburg Borough 926000142 3a Name of person (other than issuer) with whom the IRS may communicate about this return (see instructions) Number an d street (or P.O.box if mail is not delivered to street dress)'Room/suite Sb Telephone number of other person shown on So 5 Report number (For IRS Use Only) P.O. Box 329 1 3 B City, town, or post office, state, and ZIP code 7 Date of Issue Petersburg, Alaska 99833 November 3, 2016 B Nameofissue 9 CUSlffnumber Service Area 1 General Obligalbon Refunding Bonds, 2016 Series A and 2016 Series B None lOa Name and title of officer or other employee of the issuer whorir the IRS may call for more information (see lOb Telephone number of officer or other Instructions) employee shown on ba Jody Tow, Finance Director 907.772.4425 i ype OT I SSUO jenter me issue price). See the instructions and attach schedule 11 12 13 14 15 16 17 18 19 20 Education Health and hospital Transportation ........,,,,,,,,,,, , Public safety Environment (including sewage bonds) Housing Utilities ............................... Other. Describe If obligations are TANS or RANs, check only box 19a ............. LII If obligations are BANS, check only box 19b ..................... If obligations are in the form of a lease or installment sale, check box ........... LI 11 765,293 - 12 13 551,717 14 15 16 18 LT Description of Obligations, Complete for the entire issue for which this form is being fled. (a) Final maturity date price at maturity average maturity le) Yield 21 I 12/01/2026 1,317 10L$ 1,190 4.6084 years 2.5985 - ' Uses of Proceeds of Bond Issue (including underwriters' discount) 22 Proceeds used for accrued interest ............,,,,,,, 22 - 0 23 24 Issue price of entire issue (enter amount from line 21, column (b)) ..,,,,,.,,, Proceeds used for bond issuance costs (including underwriters' discount) 24 14,143 23 1,317,010 25 Proceeds used for credit enhancement 25 813 26 Proceeds allocated to reasonably required reserve or replacement fund 26 0 27 28 Proceeds used to currently refund prior issues ..........27 1,297,891 Proceeds used to advance refund prior issues 0 29 30 Total (add lines 24 through 28) .........................29 Nonrefundinqprceoclsofthe issue (subtract line 29 from line 23 and enter amount here,,, 1,312,817 30 4,163 Description of Refunded Bonds. Complete this part only for refunding bonds. 31 32 33 Enter the remaining weighted average maturity of the bonds to be currently refunded . . . Do. Enter the remaining weighted average maturity of the bonds to be advance refunded . Ill , Enter the last date on which the refunded bonds will be called (MM/DDIYYYY) ,, 10'- 4.5053 years 12/05/2016 34 Enter the dote(s) the refunded bonds were issued (MM/Do, yv)j 01/31/2007 For Paperwork Reduction Act Notice, see separate instructions. Cat. No, 63773S Form 8038-G (Rev. 9-2011) Form 8038-0 (Rev. 9-2011) Page 2 Lj.jtsce1Ianeous * 35 Enter the amount of the state volume cap allocated to the issue under section 141 (b)(5) ....I 35± 0 36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract (GIC) (see instructions) ...............................0 b Enter the final maturity date of the GIC 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 to other governmental units .........................37 0 38a If this issue is a loan made from the proceeds of another tax-exempt issue, check box fa- 1211 and enter the following information: b Enter the date of the master pool obligation November3, 2016 C Enter the EIN of the issuer of the master pool obligation 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)(13)(i)(I1I) (small issuer exception), check box ... El 40 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box ............... LI 41a If the issuer has identified a hedge, check here III LI and enter the following information: b Name of hedge provider - C Type of hedge '- d Term of hedge 42 If the issuer has superintegrated the hedge, check box ..................... L1 43 If the issuer has established written procedures to ensure that all nonqualified bonds of this issue are remedlated according to the requirements under the Code and Regulations (see instructions), check box ........ 110 44 If the issuer has established written procedures to monitor the requirements of section 148, check box ..... 11> LI 45a If some portion of the proceeds was used to reimburse expenditures, check here LI and enter the amount of reimbursement .......... b Enter the date the official intent was adopted Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best 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 .Jody Tow, Finance Director Slgna re of Issue Ks authorized representative> Date - yi8 or print name and title Print/Type preparer a name r ip % / JatePai PTIN p d eparer Thomas Kltnkner 1 sefemyed P01874546 Use Only pirmrs:nnune p, Birch Horton Bittner &Cheri. Firm's EIN - 92-0046806 Firm's address t'- 1127 West 7th Avenue, Anchoutge AK 89501 Phone no. 907.263.7219 Form 8038G (Rev. 9-2011) / Birch Horton Bittner & Cherot a professional corporation Thomas F. Klinkner Respond to Anchorage Office T 907.263.7219 e F 907.276.3680 tklinkner@bhb.com November 8, 2016 CERTIFIED MAIL !iit'J wi :1 i '1 Department of the Treasury Internal Revenue Service Center Ogden, UT 84201-0074 RE: Petersburg Borough, Alaska Our File No.: 506,254.11 To Whom It May Concern: ISSUE DATE DESCRIPTION 11/3/2016 Form 8083-G Service Area I GO Refunding Bonds, 2016 Series A and 2016 Series B s- File original F 1 Prepaid return envelope enclosed For your information/files [ ] For signature/notarize 3 Per your request I I For filing 3 For review and comment [ 3 Return to our office Returned to you [ 3 Forward to: Please call Tom Klinkner at (907) 276-1550, if you have any questions. Yours truly, BIRCH HORTON BITTNER & CHEROT Thomas F. Klinkner TFK: lcj Enclosure 1127 West Seventh Ave., Anchorage, AK 99501-3301 1156 15th St. NW., Ste. 1020, Washington, D.C. 20005-1754 T 907.276.1550 800.478,1550 • F 907.276.3680 1 T 202.659.5800 F 202.659.1027 506254\1 1\0055e121 LAW OFFICES BIRCH HORTON BITTNER & CHERO1 A PROFESSIONAL CORPORATION 1127 WEST SEVENTH AVENUE ANCHORAGE, ALASKA 99501 11 I II I i HItI 91 ?108 2133 393? 2497 360 FP111IflT - ---- -------- .----- - - ;- ---a - - - _______ From: auto-reply©usps.com Sent: Monday, November 14, 2016 9:12 AM To: Linda Julian Subject: USPS Item Delivered, To Agent for Shipment 9171082133393724973860 - Tracking Number: 9171082133393724973860 Hello Linda Julian, Th a nk syou 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: 91710821333937-24973860 Expected Delivery Date: November 14, 2016 Service Type: Certified Mail7M Shipment Activity Location Date & Time Sh i pping Partner Delivered, To Agent OGDEN, UT 84201 November 14, 2016 10:20 am In Transit to Destination Non 11, 2016 11:47 pm Departed USPS Facility p SALT LAKE CITY, UT November 10, 84199 2016 10:53 pm Arrived at Unit SALT LAKE CITY, UT November 10, 84199 2016 11:48 am Arrived at USPS Destination Facility SALT LAKE CITY, UT November 10, 84199 2016 11:47 am In Transit to Destination November 9, 2016 9:50 pm Departed USPS Facility ANCHORAGE AK 99530 November 9, 2016 3:28 am Arrived at USPS Origin Facility ANCHORAGE, AK 99530 November 8, 1 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 emailed for up to 2 weeks -from the Date of Request shown above. 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