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Farm 8038 G Informatlo Return for Tax-Exempt GovernmennnnnnnnTdiI Obligations <br /> ► Under Internal Revenue Code section 149(e) OMB No. 1545-0720 <br /> (Rev. May 2010) • See separate instructions. <br /> Department of the Treasury P <br /> Caution:If the issue rice is under$100,000, use Form 8038-GC. <br /> Internal Revenue Service <br /> ,Perth" Reporting Authority If Amended Return, check here • ❑ <br /> 1 Issuer's name 2 Issuer's employer mp ayer identlfiwtlon number(MN) <br /> City of Pleasanton, CA 94 6000397 <br /> 3 Number and street(or P.O.box if mall is not delivered to street address) Roam/suite 4 Report number For IRS Use Only) <br /> 123 Main Street 3 i <br /> �L:_��'�:1 <br /> 5 City, town,or post office,state,and ZIP code 8 Date of issue <br /> Pleasanton, CA 94566 11/08/11 <br /> 7 Name of issue 8 CUSIP number <br /> Master Equipment Lease/Purchase Agreement dtd as of 04/21/05, Schedule 004 <br /> 9 Name and title of officer of the issuer or other person whom the IRS may call for more information 10 Telephone number of officer or other person <br /> Charl Yang,Accounting Manager, Finance Dept. ( 925 ) 931-5417 <br /> Part II Type of Issue (enter the issue price) See instructions and attach schedule <br /> 11 Education 11 <br /> 12 Health and hospital 12 <br /> 13 Transportation 13 <br /> 14 Public safety 14 102,371 25 <br /> 15 Environment (including sewage bonds) 15 <br /> 18 Housing 16 <br /> 17 Utilities 17 <br /> 18 Other. Describe• 18 <br /> 19 If obligations are TANs or RANs, check only box 19a ► ❑ <br /> If obligations are BANs, check only box 19b • ❑ <br /> 20 If obligations are in the form of a lease or installment sale, check box • <br /> Part Ill Description of Obligations. Complete for the entire issue for which this form is being filed. <br /> (a)Final maturity date (b)Issue price (c)Stated redemption (d)Weighted <br /> p price at maturity average maturity (e)Yield <br /> 21 11/08/16 $ 102,371.25 $ 2.670 years 2.1940 % <br /> Part;lV' Uses of Proceeds of Bond Issue (including underwriters' discount) <br /> 22 Proceeds used for accrued interest 22 <br /> 23 Issue price of entire issue(enter amount from line 21, column (b)) 23 102,371 25 <br /> 24 Proceeds used for bond issuance costs(including underwriters' discount) . 24 - .i <br /> 25 Proceeds used for credit enhancement 25 <br /> 26 Proceeds allocated to reasonably required reserve or replacement fund . 26 <br /> 27 Proceeds used to currently refund prior issues 27 <br /> 28 Proceeds used to advance refund prior issues 28 <br /> 29 Total (add lines 24 through 28) 29 <br /> 30 Nonrefunding proceeds of the issue (subtract line 29 from line 23 and enter amount here) . 30 102,371 25 <br /> 'Part V Description of Refunded Bonds (Complete this part only for refunding bonds.) <br /> 31 Enter the remaining weighted average maturity of the bonds to be currently refunded. . . • years <br /> 32 Enter the remaining weighted average maturity of the bonds to be advance refunded . . ► years <br /> 33 Enter the last date on which the refunded bonds will be called (MM/DD/YYYY) • <br /> 34 Enter the date(s)the refunded bonds were issued •(MM/DD/VVYT) <br /> For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. cat.No.537735 Form 8038-G (Rev.5-2010) <br />