TAX RETURN FOR $20000 BOND
Co'solidated Information Return f~r Small
Tax-Exempt Governmental Bond Issues
~ Under Section 149(e)
~ For calendar year ending 19 __ __ _,
(Use Form 8038-G If issue price of the issue is $100,000 or more.)
Check box if Amended Return
. ;orm 8038-GC
(May 1987)
Department of the Treasury
Internal Revenue Service
Reporting Authority
1 Issuer's name
City of Clearwater
3 Number and street
1900 Grand Avenue
4 City or town, state, and ZIP code
Clearwater, FL 34625
Description of Bonds
OMS No. 1545,0720
Expires 02/28/90
~ 0
2 Issuer's employer identification number
5 Total issue price of all bonds issued as part of an issue, the issue price of which is less than $100,000
6 Check box that most nearly approximates the weighted average maturity of the bonds:
a D Less than 5 years
b [i] From 5 to 10 years
c D More than 10 years
7 Check box that most nearly approximates the weighted average interest rate on the bonds:
a D Less than 5%
b D From 5% to 10%
c [XJ More than 10%
8 Total issue price of the bonds reported on line 5 that are:
a Bonds issued in the form of a lease or installment sale,
b Bonds designated by the issuer under section 265(b)(3)(B)(ii)
c Bonds issued to refund prior issues .
8a
20,000 00
8b
8e
Please
Sign
Here
d Loans made from the proceeds of another tax-exempt bond issue 8d
Under penalties of periury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief,
they are true., correct, and~OmPI!!. jG
/~~,,. /. j........
~ V 7, CL I /,(--<_~, U-<, .v
,. Signature of officer j'
General Instructions
(Section references are to the Internal
Revenue Code unless otherwise noted.)
Changes You Should Note
All issuers of tax-exempt bonds must report
certain information about bonds they issue.
Issuers should use Form 8038-GC only if
the issue price of the issue is under
$100,000. If the issue price is $100,000 or
more, issuers should use Form 8038-G,
Information Return for Tax-Exempt
Governmental Bond Issues. For private
activity bonds, issuers should use Form
8038, Information Return for Tax-Exempt
Private Activity Bond Issues.
Paperwork Reduction Act Notice
We ask for this information to carry out the
Internal Revenue laws of the United States.
We need it to ensure that you are complying
with these laws. You are required to give us
this information.
v""'" 4 / 1 ? / gO ~ / Ac ting:!..City ~Manager
Date ,. Title
Definitions
. A tax-exempt bond is an obligation
issued as part of an issue the interest on
which is exempt from tax under the Internal
Revenue Code.
. A tax-exempt governmental bond is a
tax-exempt bond that is not a private activity
bond.
. A private activity bond is generally a
bond issued as part of an issue of which:
(1) more than 10% of the proceeds are to
be used for any private business use; and
(2) more than 10% of the payment of the
principal or interest either is secured by an
interest in property to be used for a private
business use (or payments in respect of
such property) or is to be derived from
payments in respect of property (or
borrowed money) used for a private
business use. A bond will also be
considered a private activity bond if the
amount of the proceeds to be used to make
or finance loans (other than loans
Purpose of Form
Form 8038-GC is to be used by issuers of
tax-exempt governmental bonds to provide
IRS with the information required by section
149(e) and to monitor the requirements of
sections 141 through 150.
Who Must File
Each issuer must file a single Form 8038-GC
for all tax-exempt governmental bond issues
issued after December 31,1986, with issue
prices of less than $100,000. Form 8038-G
is filed to report each issue of governmental
bonds with issue prices of $100,000 or
more.
When To File
File Form 8038.GC on or before Februilry
15th after the close of the calendar year in
which the issue is issued. Form 8038-GC
must be completed based on the facts as of
the close of the calendar year.
Where To File
File Form 8038-GC with the Internal
Revenue Service Center, Philadelphia, PA
19255.
Form 8038-GC (5-87)
(1.1)
. y
I
I
May 22, 1990
Ms. Kathy Rice, Acting city Manager
city of Clearwater
1900 Grand Avenue
Clearwater, FL 34625
Dear Ms. Rice:
In processing your Lease for your telephone system, we find that
there is a difference in the "System Price". This is a result
of equipment changes made subsequent to the signing of your
Lease.
A copy of your Lease is enclosed. We ask that you read the
terms of your Lease, specifically "OTHER TERMS" #5. Because of
the greater than 10% difference, GTE Leasing corporation will
not initiate the changes stated at the bottom of this letter
without your signature authorizing such changes. It is
imperative that the same person who signed our documents sign at
the bottom of this letter and return to us as soon as possible.
Your first invoice will reflect this amount.
We appreciate the opportunity to serve your leasing needs and if
we can be of further service to you, or answer any questions
regarding your Lease, please do not hesitate to call our office.
Sincerely,
GTE LEASING CORPORATION
Dan Hathcoat
District Credit Manager
ORIGINAL SYSTEM PRICE (INSTALLATION INCLUDED):
$ 20.000.00
TERMS:
60 months
@ $
434.00
AMENDED SYSTEM PRICE (INSTALLATION INCLUDED):
$ 23.146.02
TERMS:
60 months
@ $
502.27
~
TITLE: A(.t:~J (:+1 fV\JV" DATE: 5~d:J. 7'0