rom 8038 Information Return for Tax-Exempt

OMB No. 1545-0720

(Rev. May 1989) Private Activity Bond Issues tgp
Department of the Treasury (Under Section 149(e)) Expires 5/31/9:
Internal Revenue Service l > See separate instructions.
Reporting Authority Check box if Amended Return > [_]
1 Issuer's name 2 Issuer's employer identification number
3 Number and street 4 Report number

PA19 ——
5 City or town, state, and ZIP code 6 Date of issue
7 Name of issue 8 CUSIP number
GREMD) Type of Issue (check box(es) that applies and enter the Issue Price for each) Issue Price

9 Exempt facility bond:

al Airport (sections 142(a)(1) and 142(c))

b C1 Docks and wharves (sections 142(a)(2)and 1420)

c LI Mass commuting facilities (sections 142(a)(3)and 142(c))
qa Water furnishing facilities (sections 142(a)(4)and 14202)
e
f
g

im Sewage facilities (section 142(a)(5))
CO solid waste disposal facilities (section 142(aX6))
oO Qualified residential rental projects (sections 142(a)(7) and 142(@)), as 1s follows:
Meeting 20-50 test (section 142(d)(1)(A)) soe ee
Meeting 40-60 test (section 142(d(1(B)) . . . ....... OF
Meeting 25-60 test (NYC only) (section 142(d)(6))
Has an election been made for deep rent skewing, (section 142(4(4)(8))? CYes LINo

Mh

h CJ Facilities for the local furn ishing of electric energy or gas (sections 142(a)(8)and 142(f)).
i C2 Local district heati ing or cooling facilities (sections 142(a)(9) and 142(g)).
j im Qualified hazardous waste facilities (sections 142(a)(10) and 142(h)).
KO High-speed intercity rail facilities (sections 142(a)(11), 142(c), and 142(i)) .
Check box if you elected not to claim depreciation or any tax credit (see instructions) .
1 1 Facilities allowed under a transitional rule of the Tax Reform Act of 1986 (see instructions). . . . H]
Facility type _ Ne
1986 Act section 7G
10 CI Qualified mortgage bond (section 143(a)). . . Se ee eee ee LO
Check box if you elect to rebate arbitrage profits to the U.: s. Ce ee ee ee PO
11 (1 Qualified veterans’ mortgage bond (section 143(b)) . . . 2... ee ee . AL
Check box if you elect to rebate arbitrage profits to the U.S. wo > oO
2 0 Qualified small issue bond (section 144(a)). Check box for $10 million ‘small issue ue exemption | 12
23 OO Qualified student loan bond (section 144(b)). 6 6. ee ee ee ee ee LB
14 (J Qualified redevelopment bond (section 144(c)). . 2. 2 ee ee ee LOM
3 O Qualified hospital bond (section 145(c)) . . . . frre ae 6)
1s O Qualified 501(c)(3) bond other than a qualified hospital bond (section 148). soe ee ee. [6
Employer identification number (EIN) of qualifying 501(c)(3) organization =
70 Nongovernmental output property bond (treated as private activity bond)(section 141(d)) 17
18 (1 Other. Describe (see instructions) > 8
1
GE] Description of Bonds
TM 6) © @ @ o @
watrtyeate [intestate] sueprce Sttearetempion |Weihsdaverage| gy | Helin
19 Final maturity. . %) $ $
20__Entireissue__. $ $ years} % %

For Paperwork Reduction Act Notice, see page 1 of the Instructions. Form 8038 (Rev. 5-89)


Form 8038 (Rev.5-89) Page 2

Uses of Original Proceeds of Issue (including underwriters’ discount) Amount

21 Proceeds used foraccruedinterest . . . . ee ee ee fd

22 Issue price of entire issue (enter amount from line 20, column ©). Se ee ee ee es [22

23 Proceeds used for bond issuance costs (including underwriters’ discount). . |23

24 = Proceeds used forcreditenhancement. . . . . . [24

25 Proceeds allocated to reasonably required reserve or ‘replacement fund . . [25

26 Proceeds used to refund prior issues (complete PartVI) . . . . . . . L26 Uh
27 Total (add lines 23, 24,25,and26). . . 2 ee. LOZ

28 __Nonrefunding proceeds of the issue (subtract line. 27 from tine 22 and enter amount here) aL 28
Description of Property Financed by Nonrefunding Proceeds
(Do not complete for qualified student loan bonds, qualified mortgage bonds, or qualified veterans’ mortgage bonds.)

29 Type of Property Financed by Nonrefunding Proceeds: Amount
aland.. . a
b Buildings and structures . oe Se ee ee ee ee. [29D
c Equipment with recovery period of more ‘than 5 years ee ee ee ee L29E
d Equipment with recovery periodofSyearsorless . . 2... 2.2... ee. [29d
e Other(describe) . si... . |29e
30 Standard industrial classification (Sic) of nonrefunding proceeds ‘for: the Financed projects.
SIC Code Nonrefunding proceeds $ SIC Code Nonrefunding proceeds $
a c
b d
Description of Refunded Bonds (complete this part only for refunding bonds)
31 Enter the remaining weighted average maturity ofthe bondstoberefunded . 2. 2 2 1 1 ee ee ears,
32 Enter the last date on which the refunded bonds willbecalled . 2. 6 6 ee ee ee ee ee

33 Enter the date(s) the refunded bonds were issued >

dads Miscellaneous

35 Enter the amount of the bonds designated by the issuer under section 265(b)(3)(BXi(III) . .
i adly Volume Cap Amount

36 Amount of volume cap allocated to the issuer. Attach statecertification. . . . ...... . {36
37 Amount of issue subject to the unified state volumecap . . . wee ee. £32
38 Amount of issue not subject to the unified state volume cap or other volume limitations:

a Of bonds for governmentally owned solid waste facil , airports, docks, wharves or high-speed intercity

railfacilities. . . . coe ee ee ee ee [388
b Under a carryforward election. Attach copy of Form 8328 to this return a BS: +)
¢ Under transitional rules of the Tax Reform Actof1986. 2... 6. 1 ee ee ee ees [38
Enter the Act section of the applicable transitional rule . Wy
d_ Under the exception for current refunding (section 1313(a) ofthe Tax Reform Act of 1986). . . . . [38d
39 Amount of issue of qualified 501(c)(3) bonds:
a Qualifiedhospitalbonds. © 6 6. ee ee ee [88
b Qualified nonhospitalbonds . . . Fe 2
¢ Outstanding tax-exempt nonhospital bonds. a
40a Amount of issue of qualified veteran's mortgagebonds. . . . . . 1. ee ee ee es [40a
b_Enter the amount of the state veterans’ limit. . ee AOD
Arbitrage Rebate (see instructions)
41 Methodofpayment® . .. 2... 1... ee ee ee « + LI Check §=[1 Other

42 Amount being rebated > $.
43__ CUSIP number >

Under penalties of perjury, 1 deciare ‘that | have examined this return, and accompanying schedules and statements, and to the best of my knowledge and belief,
they are true, correct, and complete.

Please

Sign > ‘Signature of officer » Date
Here

‘Type ot print name of above officer Title (type or print) of officer