This is an obligation issued by or on behalf of a governmental issuer for which the interest paid is excluded from the holder's gross income under section 103. For this purpose, a bond can be
in any form of indebtedness under federal tax law, including a bond, note, loan, or lease-purchase agreement.
This is an issue of two or more bonds which are sold at substantially the same time; sold pursuant to the same plan of financing;
and payable from the same source of funds. See Regulations section 1.150-1(c).
A state or local governmental unit that issues tax-exempt bonds.
This generally means any sale proceeds, investment proceeds, transferred proceeds, and replacement proceeds of an issue. See
Regulations sections 1.148-1(b) and 1.148-1(c).
This is a bond issue from which loans, leases, etc. will be made to two or more conduit borrowers.
This generally means the sale proceeds of an issue (other than those sale proceeds used to retire bonds of the issue that
are not deposited in a reasonably required reserve or replacement fund). Proceeds also include any investment proceeds from
investments that accrue during the project period (net of rebate amounts attributable to the project period). See Regulations
section 1.141-1(b).
This is an irrevocable escrow established to redeem the bonds on their earliest call date in an amount that, together with
investment earnings, is sufficient to pay all the principal of, and interest and call premium on, bonds from the date the
escrow is established to the earliest call date. See Regulations section 1.141-12(d)(5). A defeasance escrow can be established for several purposes, including the remediation of nonqualified bonds. However, for purposes of completing
this schedule, an escrow established with proceeds of a refunding issue to defease a prior issue is referred to as a refunding escrow.
This is one or more funds established as part of a single transaction or a series of related transactions, containing proceeds
of a refunding issue and any other amounts to provide for payment of principal or interest on one or more prior issues. See Regulations section
1.148-1(b).
This is an issue of obligations the proceeds of which are used to pay principal, interest, or redemption price on another
issue (a prior issue), including the issuance costs, accrued interest, capitalized interest on the refunding issue, a reserve or replacement fund, or similar costs, if any, properly allocable to that refunding issue. A current refunding issue is a refunding issue that is issued not more than 90 days before the last expenditure of any proceeds of the refunding issue
for the payment of principal or interest on the prior issue. An advance refunding issue is a refunding issue that is not a current refunding issue. See Regulations sections 1.150-1(d)(1), (3), and (4).
Private business use means use of the proceeds of an issue by the organization or another section 501(c)(3) organization in an unrelated trade
or business as defined by section 513. Private business use also generally includes any use by a nongovernmental person other
than a section 501(c)(3) organization unless otherwise permitted through an exception or safe harbor provided under the regulations
or a revenue procedure.
Special rules for refunding of pre-2003 issues.
Bonds issued after December 31, 2002, to refund bonds issued before January 1, 2003, have special reporting requirements.
Such
refunding bonds are subject to the generally applicable reporting requirements of Parts I, II, and IV. However, the organization need not
complete lines 1 through line 9, of Part III to report private business use information for the issue for such refunding bonds.
These special rules do not apply to bonds issued after December 31, 2002, to refund directly or through a series of refunding
bonds that were also originally issued after 2002.
Example 1. Refunding of pre-2003 bonds.
Bonds issued in 2000 to construct a facility were current refunded in 2007. In 2010, bonds were issued to current refund
the 2007 bonds. As of December 31, 2012, the last day of the organization's tax year, the 2010 refunding bonds had an outstanding principal amount exceeding $100,000. The organization must list the refunding
bond issue in Part I for each year the outstanding principal amount exceeds $100,000 as of the last day of such year, and
must provide all Part I, Part II, and Part IV information for such refunding issue. Because the original bonds were issued prior to 2003, the organization need not complete Part III for the refunding bond
issue.
Example 2. Refunding of post-2002 bonds.
Bonds issued in 2003 were advance refunded in 2007. As of December 31, 2011, the last day of the organization's tax year, the refunding issue had an outstanding principal amount exceeding $100,000. The organization must list the refunding issue in Part I for each year the outstanding principal amount exceeds $100,000 as of the last day of the year, and must provide all Part I, Part II, Part III, and Part IV information for such refunding issue. If any outstanding bonds of the 2003 bond issue were not legally defeased, the organization
also must list the 2003 bond issue in Part I, and must provide all Part I, Part II, Part III, and Part IV information for such bond issue.
In Part I, provide the requested information for each outstanding tax-exempt bond issue (including a refunding issue) that:
-
Had an outstanding principal amount in excess of $100,000 as of the last day of the tax year (or other selected 12-month period), and
-
Was issued after December 31, 2002.
For this purpose, bond issues that have been legally defeased in whole, and as a result are no longer treated as a liability
of the organization, need not be listed in Part I and are not subject to the generally applicable reporting requirements of Parts I, II, III, and IV. Organizations are reminded,
however, that continued compliance with Federal tax law requirements is required with respect to defeased bonds.
Use one row for each issue, and use the Part I row designation for a particular issue (for example, “A” or “B”) consistently throughout Parts I through IV. The information provided in columns (a) through (d) should be consistent with
the corresponding information included on Form 8038, Information Return for Tax-Exempt Private Activity Bond Issues, filed
by the governmental issuer upon the issuance of the bond issue. Complete multiple schedules if necessary to account for all
outstanding post-December 31, 2002, tax-exempt bond issues. In this case, describe in the first Schedule K, Part VI, that
additional schedules are included.
Columns (a) and (b).
Enter the name and employer identification number (
EIN) of the issuer of the bond issue. The issuer's name is the name of the entity which issued the
bond issue (typically a state or local
governmental unit). The issuer's name and EIN should be identical to the name and EIN listed on Form 8038, Part I, lines 1 and 2 filed for
the bond issue.
Column (c).
Enter the Committee on Uniform Securities Identification Procedures (CUSIP) number on the bond with the latest maturity.
The CUSIP number should be identical to the CUSIP number listed on Form 8038, Part I, line 8, filed for the bond issue. If
the
bond issue was not publicly offered and there is no assigned CUSIP number, write “
None.”
Column (d).
Enter the issue date of the obligation. The issue date should be identical to the issue date listed on Form 8038,
Part I, line 7, filed for the
bond issue. The issue date generally is the date on which the issuer receives the purchase price in exchange for delivery of the evidence
of indebtedness (for example, a bond). In no event is the issue date earlier than the first day on which interest begins to
accrue on the bond for federal income tax purposes. See Regulations section 1.150-1(b).
Column (e).
Enter the issue price of the obligation. The issue price generally should be identical to the issue price listed on
Form 8038, Part III, line 21(b) filed for the
bond issue. The issue price generally is determined under Regulations section 1.148-1(b). If the issue price is not identical to the
issue price listed on the filed Form 8038, use
Part VI to explain the difference.
Column (f).
Describe the purpose of the
bond issue, such as to construct a hospital or provide funds to refund a prior issue. If any of the bond proceeds were used to refund
a prior issue, enter the date of issue for each of the refunded issues. If the issue has multiple purposes, enter each purpose.
If the issue financed various projects or activities corresponding to a related purpose, only enter the purpose once. For
example, if proceeds are used to acquire various items of office equipment, the amount of such expenditures should be aggregated
and identified with the stated purpose of “
office equipment.” Alternatively, if proceeds are used to construct and equip a single facility, the expenditures should be aggregated and
identified with the stated purpose of “
construct & equip facility” where the identification of the facility is distinguishable from other bond-financed facilities, if any. Use
Part VI if additional space is needed for this purpose.
Column (g).
Check “
Yes” or “
No” to indicate whether a
defeasance escrow or
refunding escrow has been established to irrevocably defease any bonds of the
bond issue.
Column (h).
Check “
Yes” if the organization acted as an “
on behalf of issuer
” in issuing the
bond issue. Check “
No,” if the organization only acted as the borrower of the bond proceeds under the terms of a conduit loan with the
governmental issuer of the bond issue.
An “
on behalf of issuer
” is a corporation organized under the general nonprofit corporation law of a state whose obligations are considered obligations
of a state or local
governmental unit. See Rev. Proc. 82-26, 1982-1 C.B. 476, for a description of the circumstances under which the IRS will ordinarily issue
a letter ruling that the obligations of a nonprofit corporation will be issued on behalf of a state or local governmental
unit. See also: Rev. Rul. 63-20, 1963-1 C.B. 24; Rev. Rul. 59-41, 1959-1 C.B. 13; and Rev. Rul. 54-296, 1954-2 C.B. 59. An
“
on behalf of issuer
” also includes a constituted authority organized by a state or local governmental unit and empowered to issue debt obligations
in order to further public purposes. See Rev. Rul. 57-187, 1957-1 C.B. 65.
Column (i).
Check “
Yes” or “
No” to indicate if the
bond issue was a pooled financing issue.
Complete for each bond issue listed in rows A through D of Part I. Complete multiple schedules if necessary to account for
all outstanding tax-exempt bond issues. Note that lines 3 and 5 through 12 concern the amount of proceeds of the bond issue, but line 4 concerns the amount of gross proceeds of the bond issue. Because of this, the aggregate of the amounts entered on lines 4 through 12 may not equal the amount entered
on line 3.
Line 1.
Enter the cumulative principal amount of bonds of the issue that have been retired as of the end of the 12-month
period used in completing this schedule.
Line 2.
Enter the cumulative principal amount of bonds of the issue that have not been retired, but have been legally defeased
through the establishment of a
defeasance escrow or a
refunding escrow, as of the end of the 12-month period.
Line 3.
Enter the total amount of proceeds of the
bond issue as of the end of the 12-month period. If the total proceeds are not identical to the issue price listed in Part I, column
(e), use Part VI to explain the difference (for example, investment earnings).
Line 4.
Enter the amount of
gross proceeds held in a reasonably required reserve or replacement fund, sinking fund, or pledged fund as of the end of the 12-month period.
See Regulations sections 1.148-1(c)(2), 1.148-1(c)(3), and 1.148-2(f).
Line 5.
Enter the cumulative amount of proceeds used, as of the end of the 12-month period, to pay interest on the applicable
portion of the
bond issue during construction of a financed capital project.
Line 6.
Enter the amount of proceeds held in a
refunding escrow as of the end of the 12-month period. For this purpose only, include investment proceeds without regard to the project period
limitation found in the definition of proceeds.
Line 7.
Enter the cumulative amount of proceeds used to pay bond issuance costs, including (but not limited to) underwriters'
spread as well as fees for trustees and bond counsel as of the end of the 12-month period. Issuance costs are costs incurred
in connection with, and allocable to, the issuance of a
bond issue. See Regulations section 1.150-1(b) for an example list of issuance costs.
Line 8.
Enter the cumulative amount of proceeds used to pay fees for credit enhancement that are taken into account in determining
the yield on the issue for purposes of section 148(h) (for example, bond insurance premiums and certain fees for letters of
credit) as of the end of the 12-month period.
Line 9.
Enter the cumulative amount of proceeds used to finance working capital expenditures as of the end of the 12-month
period. However, do not report expenditures reported in lines 4, 6, 7, or 8. A working capital expenditure is any cost that
is not a capital expenditure (for example, current operating expenses). See Regulations section 1.150-1(b).
Line 10.
Enter the cumulative amount of proceeds used to finance capital expenditures as of the end of the 12-month period.
Capital expenditures generally include costs incurred to acquire, construct, or improve land, buildings, and equipment. See
Regulations section 1.150-1(b). However, do not report capital expenditures financed by a prior issue that was refunded by
the bond issue or capitalized interest that was reported on line 5.
Line 11.
Enter the cumulative amount of proceeds used for any item not reported on lines 4 through 10 as of the end of the
12-month period. Include any proceeds used or irrevocably held to redeem or legally defease bonds of the issue.
Line 12.
Enter the amount of unspent proceeds as of the end of the 12-month period other than those amounts identified in
Part II, lines 4, 6 and 11.
Line 13.
Enter the year in which construction, acquisition, or rehabilitation of the financed project was substantially completed.
A project can be treated as substantially completed when, based upon all the facts and circumstances, the project has reached
a degree of completion which would permit its operation at substantially its design level and it is, in fact, in operation
at such level. See Regulations section 1.150-2(c). If the
bond issue financed multiple projects, enter the latest year in which construction, acquisition, or rehabilitation of each of the financed
projects was substantially completed. For example, if a bond issue financed the construction of three projects which were
substantially completed in 2010, 2011, and 2012, respectively, then enter “
2012.” If the bond issue financed working capital expenditures, provide the latest year in which the proceeds of the issue were
allocated to those expenditures.
Line 14.
Check “
Yes” or “
No” to indicate if the bond issue is a current
refunding issue.
Line 15.
Check “
Yes” or “
No” to indicate if the bond issue is an advance
refunding issue.
Line 16.
Check “
Yes” or “
No” to indicate if the final allocation of proceeds has been made. Proceeds of a
bond issue must be accounted for using any reasonable, consistently applied accounting method. Allocations must be made by certain applicable
due dates and are generally not considered final until the expiration of such due dates. See Regulations section 1.148-6.
Line 17.
Check “
Yes” or “
No” to indicate if the organization maintains adequate books and records to support the final allocation of proceeds. Answer
this question only with respect to the
tax year applicable to this schedule.
Part III. Private Business Use
Complete for bond issues listed in rows A through D of Part I, other than listed bond issues that are post-December 31, 2002 refunding issues which refund pre-January 1, 2003 bond issues directly or through a series of refundings. For this purpose, a refunding bond
issue also includes allocation and treatment of bonds of a multipurpose issue as a separate refunding issue under Regulations
section 1.141-13(d). Complete multiple schedules if necessary to account for all outstanding tax-exempt bond issues.
Line 1.
Check “
Yes” or “
No” to indicate if the organization was at any time during the reporting period a partner in a partnership or a member of a
limited liability company which both owned property that was financed by the
bond issue and included as partner(s) or member(s) entities other than a section 501(c)(3) organization.
Line 2.
Check “
Yes” or “
No” to indicate if any lease arrangements that may result in
private business use were effective at any time during the year with respect to property financed by the
bond issue. The lease of financed property to a nongovernmental person other than a section 501(c)(3) organization is generally private
business use. Lease arrangements that constitute unrelated trade or business of the lessor, or that are for an unrelated trade
or business of a section 501(c)(3) organization lessee, may also result in private business use. See Regulations sections
1.141-3(b)(3) and 1.145-2(b)(1).
Line 3a.
Check “
Yes” or “
No” to indicate if any management or service contract that may result in
private business use was effective at any time during the year with respect to property financed by the
bond issue. For this purpose, answer “
Yes” even if the organization has determined that the management or service contract meets the safe harbor under Rev. Proc. 97-13,
1997-1 C.B. 632, and will not result in actual private business use. A management or service contract for the financed property
can result in private business use of the property, based on all facts and circumstances. A management or service contract
for the financed property generally results in private business use of that property if the contract provides for compensation
for services rendered with compensation based, in whole or in part, on a share of net profits from the operation of the facility.
See Regulations section 1.141-3(b)(4).
Line 3b.
If Line 3a was checked “
Yes,” check “
Yes” or “
No” to indicate if, during the 12-month period used to report on the bond issue, the organization routinely engaged bond counsel
or other outside counsel to review any management or service contracts relating to the financed property.
Line 3c.
Check “
Yes” or “
No” to indicate if any research agreement that may result in private business use was effective at any time during the year
for property financed by the
bond issue. For this purpose, answer “
Yes” even if the organization has determined that the research agreement meets the safe harbor under Rev. Proc. 2007-47, 2007-2
C.B. 108, and will not result in actual
private business use. An agreement by a nongovernmental person to sponsor research performed by the organization can result in private business
use of the property used for the research, based on all the facts and circumstances. A research agreement for the financed
property will generally result in private business use of that property if the sponsor is treated as the lessee or owner of
financed property for federal income tax purposes. See Regulations section 1.141-3(b)(6).
Line 3d.
If line 3c was checked “
Yes,” check “
Yes” or “
No” to indicate if, during the 12-month period used to report on the bond issue, the organization routinely engaged bond counsel
or other outside counsel to review any research agreements relating to the financed property.
Line 4.
Enter the average percentage during the year of the property financed by the
bond issue that was used in a
private business use by a nongovernmental person other than a section 501(c)(3) organization. See Regulations section 1.141-3(g)(4). The average
percentage is determined by comparing (i) the amount of private business use (see Definitions) during the year to (ii) the
total amount of private business use and use that is not private business use during that year. Do not include costs of issuance
reported in Part II in the amount of property used in a private business use (clause (i) of the preceding sentence), but do
include such costs in the total amount of use (clause (ii)). Enter the yearly average percentage to the nearest tenth of a
percentage point (for example, 8.9%). For this purpose, do not include any use relating to either a management or service
contract identified on line 3a that the organization has determined meets the safe harbor under Rev. Proc. 97-13, 1997-1 C.B.
632, or otherwise does not result in private business use. Similarly, do not include any use relating to a research agreement
identified on line 3b that the organization has determined meets the safe harbor under Rev. Proc. 2007-47, 2007-2 C.B. 108,
or otherwise does not result in private business use.
Line 5.
Enter the average percentage during the year of the property financed by the
bond issue that was used in an
unrelated trade or business activity (a
private business use) by the organization, another section 501(c)(3) organization, or a state or local
governmental unit. See Regulations section 1.141-3(g)(4). Enter the yearly average percentage rounded to the nearest tenth of a percentage
point (for example, 8.9%).
Line 7.
Check “
Yes” or “
No” to indicate whether, as of the end of the 12-month period used to report on the bond issue, the bond issue met the private
security or payment test of section 141(b)(2), as modified by section 145 to apply to qualified 501(c)(3) bonds. See Regulations
sections 1.141-4 and 1.145-2.
Line 9.
Check "Yes" or "No" to indicate whether the organization has established written procedures to ensure timely remedial
action with respect to all nonqualified bonds in accordance with Regulations sections 1.141-12 and 1.145-2 or other additional
remedial actions authorized by the Commissioner under Regulations section 1.141-12(h). Answer "Yes" only if the procedures
applied to the bond issue during the 12-month period used to report on the bond issue.
Complete for each bond issue listed in rows A through D of Part I. Complete multiple schedules if necessary to account for all outstanding tax-exempt
bond issues.
Line 1.
Under section 148(f), interest on a state or local bond is not tax-exempt unless the issuer of the bond rebates to
the United States arbitrage profits earned from investing proceeds of the bond in higher yielding nonpurpose investments.
Issuers of tax-exempt bonds and any other bonds subject to the provisions of section 148 must use Form 8038-T, Arbitrage
Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, to make arbitrage rebate and related payments. Generally,
rebate payments are due no later than 60 days after every fifth anniversary of the issue date and the final payment of the
bonds. Check “
Yes” or “
No” to indicate whether the issuer has filed the Form 8038-T that would have been most recently due.
Lines 2a through 2c.
If the issuer has not filed Form 8038-T for the most recent computation date for which filing would be required
if rebate were due, check “
Yes” or “
No” to indicate whether any of the explanations in lines 2a through 2c apply. If 2c is checked “
Yes” use Part VI to provide the date of the rebate computation showing that no rebate was due for the applicable computation
date.
Line 3.
Check “
Yes” or “
No” to indicate if the
bond issue is a variable rate issue. A variable rate issue is an issue containing a bond with a yield not fixed and determinable on
the issue date.
Lines 4a through 4e.
In general, payments made or received by a
governmental issuer or borrower of bond proceeds under a qualified hedge are taken into account to determine the yield on the
bond issue. A qualified hedge can be entered into before, at the same time as, or after the date of issue. Check “
Yes” or “
No” on line 4a to indicate if the organization or the governmental issuer has entered into a qualified hedge and identified
it on the government issuer's books and records. See Regulations section 1.148-4(h). If the answer to line 4a is “
Yes” :
-
Enter the name of the provider of the hedge on line 4b;
-
Enter the term of the hedge rounded to the nearest tenth of a year (for example, 2.4 years) on line 4c;
-
Enter “Yes” or “No” on line 4d to indicate if, as a result of the hedge, variable yield bonds will be treated as fixed yield bonds (superintegration
of the hedge). See Regulations section 1.148-4(h)(4); and
-
Enter “Yes” or “No” on line 4e to indicate if the hedge was terminated prior to its scheduled termination date.
Lines 5a through 5d.
Check “
Yes” or “
No” on line 5a to indicate if any gross proceeds of the
bond issue were invested in a guaranteed investment contract (GIC). A GIC includes any nonpurpose investment that has specifically negotiated
withdrawal or reinvestment provisions and a specifically negotiated interest rate, including “
negotiations” through requests for bids. It also includes any agreement to supply investments on two or more dates (for example, a forward
supply contract). If the answer on line 5a is “
Yes” :
-
Enter the name of the provider of the GIC on line 5b,
-
Enter the term of the GIC rounded to the nearest tenth of a year on line 5c, and
-
Enter “Yes” or “No” on line 5d to indicate if the regulatory safe harbor for establishing fair market value provided in Regulations section
1.148-5(d)(6)(iii) was satisfied.
Line 6.
Check “
Yes” or “
No” to indicate if any
gross proceeds were invested beyond a temporary period (for example, the 3-year temporary period applicable to proceeds spent on expenditures
for capital projects, or the 13-month temporary period applicable to proceeds spent on working capital expenditures), or if
any gross proceeds were invested in a reserve or replacement fund in an amount exceeding applicable limits. See Regulations
sections 1.148-2(e) and (f).
Line 7.
Check “
Yes” or “
No” to indicate if the organization has established written procedures to monitor compliance with the arbitrage, yield restriction
and rebate requirements of section 148. Answer “
Yes” only if the procedures applied to the bond issue during the 12-month period used to report on the bond issue.
