Amending the 2010G Stormwater Utility Revenue Capital Loan Notes (State Revolving Fund Loan) - Lower Bee Branch Restoration Project Copyrighted
January 19, 2021
City of Dubuque Action Items # 3.
City Council Meeting
ITEM TITLE: Proceedings to Amend the 2010G Stormwater Utility Revenue Capital
Loan Notes (State Revolving Fund Loan)for a Rate Reset (Refinancing)
— Lower Bee Branch Restoration Project
SUM MARY: City Manager recommending approval of an amendment to the City
Stormwater Utility Revenue State Revolving Fund (SRF) loan agreement
entered into as of October 27, 2010.
RESOLUTION Approving and authorizing Amendment to Loan and
Disbursement Agreement by and between the City of Dubuque and the
lowa Finance Authority, and authorizing and providing forthe reissuance
of the Stormwater Utility Revenue Capital Loan Note, Series 2010G
(Rate Reset).
SUGGESTED Suggested Disposition: Receive and File;Adopt Resolution(s)
DISPOSITION:
ATTACHMENTS:
Description Type
MVM Memo City Manager Memo
Staff Memo Staff Memo
Resolution Resolutions
Tax Certificate Supporting Documentation
Revised Amortization Schedule Supporting Documentation
Form 8038-G Supporting Documentation
Dubuque
THE CI'TY OF �
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TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: Proceedings to Amend the 2010G Stormwater Utility Revenue Capital Loan
Notes (State Revolving Fund Loan) for a Rate Reset (Refinancing) — Lower
Bee Branch Restoration Project
DATE: January 12, 2021
Director of Finance and Budget Jennifer Larson recommends City Council approval of an
amendment to the City Stormwater Utility Revenue State Revolving Fund (SRF) loan
agreement entered into as of October 27, 2010.
The original loan was for $7,850,000 and was used for the Lower Bee Branch Restoration
Project and the refinancing of the $1,889,521 General Obligation Capital Loan Notes
Anticipation Project Note, Series 2006. The outstanding loan amount is currently
$6,224,000 at 3% interest. This rate reset will reduce the interest rate to 1.75% for the
remaining $6,224,000 and will generate interest savings of$907,550 over the remainder of
the loan.
I concur with the recommendation and respectfully request Mayor and City Council
approval.
�;N"'r�"� �GN,t
Michael C. Van Milligen
MCVM:jml
cc: Crenna Brumwell, City Attorney
Cori Burbach, Assistant City Manager
Cassie Ross, Assistant Director of Finance
Dubuque
THE CI'TY OF �
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TO: Michael C. Van Milligen, City Manager
FROM: Jennifer Larson, Director of Finance and Budget
SUBJECT: Proceedings to Amend the 2010G Stormwater Utility Revenue Capital Loan
Notes (State Revolving Fund Loan) for a Rate Reset (Refinancing) — Lower
Bee Branch Restoration Project
DATE: January 12, 2021
INTRODUCTION
The purpose of this memorandum is to suggest proceedings and amend the City's
Stormwater Utility Revenue State Revolving Fund (SRF) loan agreement entered into as
of October 27, 2010 for the Lower Bee Branch Restoration Project.
BACKGROUND
The original loan was for $7,850,000 and was used for the Lower Bee Branch Restoration
Project and the refinancing of the $1,889,521 General Obligation Capital Loan Notes
Anticipation Project Note, Series 2006.
DISCUSSION
This loan rate reset will reduce the interest rate from 3.00% to 1.75% for the remaining
principal balance of $6,224,000 and will generate interest savings of $907,550 over the
remainder of the loan.
The resolution approves and authorizes an amendment to the loan and disbursement
agreement between the City of Dubuque, lowa and the lowa Finance Authority (lender)
and the lowa Department of Natural Resources and Wells Fargo Bank, N.A. (trustee).
ACTION
I respectfully recommend approval of resolution and the Supplemental Tax Certificate
confirming no changes to the covenants and representations of the original tax certificate
the City approved for the 2010 loan.
Attachments
cc: Crenna Brumwell, City Attorney
Cori Burbach, Assistant City Manager
Cassie Ross, Assistant Director of Finance
ITEMS TO INCLUDE ON AGENDA
CITY OF DUBUQUE, IOWA
$6,224,000 Stormwater Utility Revenue Capital Loan Note, Series 2021 (Rate Reset of 2010G
SRF loan)
. Resolution approving and authorizing Amendment to Loan and Disbursement Agreement
by and between the City of Dubuque and the Iowa Finance Authority, and authorizing and
providing for the reissuance of the Stormwater Utility Revenue Capital Loan Note, Series
2010G (Rate Reset).
NOTICE MUST BE GIVEN PURSUANT TO IOWA CODE
CHAPTER 21 AND THE LOCAL RULES OF THE CITY.
- 1 -
January 19, 2021
The City Council of the City of Dubuque, State of Iowa, met in regular session, via
electronic means, an in-person meeting being impossible or impractical due to the COVID-19
pandemic, at 6:30 P.M., on the above date. There were present Mayor Roy D. Buol, in the
chair, and the following named Council Members:
Brad Cavanagh, Rick Jones, Kevin Lynch, David Resnick,
Laura Roussell, Danny Sprank,
______________________________________________
Absent: _____________________________________________
Vacant:______________________________________________
* * * * * * *
- 2 -
Council Member Jones introduced the following Resolution entitled "A RESOLUTION
APPROVING AND AUTHORIZING AN AMENDMENT TO LOAN AND DISBURSEMENT
AGREEMENT BY AND BETWEEN THE CITY OF DUBUQUE AND THE IOWA FINANCE
AUTHORITY, AND AUTHORIZING AND PROVIDING FOR THE REISSUANCE OF THE
STORMWATER UTLITY REVENUE CAPITAL LOAN NOTE, SERIES 2010G (RATE
RESET), OF THE CITY", and moved its adoption. Council Member Resnick seconded the
motion to adopt. The roll was called and the vote was:
AYES: Lynch, Sprank, Roussell, Buol, Cavanagh,
Jones, Resnick
NAYS: _________________________________________
Whereupon the Mayor declared the following Resolution duly adopted:
- 3 -
RESOLUTION NO: 19-21
A RESOLUTION APPROVING AND AUTHORIZING AN
AMENDMENT TO LOAN AND DISBURSEMENT
AGREEMENT BY AND BETWEEN THE CITY OF DUBUQUE
AND THE IOWA FINANCE AUTHORITY, AND
AUTHORIZING AND PROVIDING FOR THE REISSUANCE
OF THE STORMWATER UTILITY REVENUE CAPITAL
LOAN NOTE, SERIES 2010G (RATE RESET), OF THE CITY
WHEREAS, the City of Dubuque (hereinafter the "Issuer") previously issued its
Stormwater Utility Revenue Capital Loan Note, Series 2010G, dated October 27, 2010, in the
amount of $7,850,000 (hereinafter the "Note") currently outstanding in the amount of
$6,224,000, pursuant to a Loan and Disbursement Agreement between the Issuer and the Iowa
Finance Authority, dated of like date (the "Agreement"), for the purpose of defraying the costs of
the Project (as defined in the resolution authorizing issuance of the same (hereinafter the
"Resolution")); and
WHEREAS, the Iowa Finance Authority, as Original Purchaser and current holder of the
Notes, has authorized a reduction in the interest rate on the Notes to 1.75%; and
WHEREAS, an Amendment to the Loan and Disbursement Agreement (hereinafter the
"Amendment") has been prepared to reflect said interest rate reduction, a copy of which is
attached hereto as Exhibit A; and
WHEREAS, pursuant to IRS regulations adoption of the Amendment constitutes a
reissuance of the Notes.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF DUBUQUE, IN THE COUNTY OF DUBUQUE, STATE OF IOWA:
Section 1. That the Resolution is hereby amended to reflect the interest rate reduction
to 1.75% per annum on the outstanding principal amount from and after
December 1, 2020 for the remainder of the life of the Notes.
Section 2. That the Amendment in substantially in the form attached to this
Resolution is hereby authorized to be executed and issued on behalf of the
Issuer by the Mayor and attested by the City Clerk.
Section 3. That the Supplemental Tax Certificate regarding the uses of proceeds and
the system is hereby approved. The Director of Finance & Budget is
directed to execute the same.
Section 4. Except as amended herein, all of the other terms and conditions of the
Resolution and Agreement are in all respects ratified, confirmed and
approved and shall remain in full effect.
PASSED AND APPROVED this 19a' day of Janua 2020.
Mayor
ATTEST:
CERTIFICATE
STATE OF IOWA )
) SS
COUNTY OF DUBUQUE )
I, the undersigned City Clerk of the City of Dubuque, State of Iowa, do hereby certify that
attached is a true and complete copy of the portion of the records of the City showing proceedings
of the Council, and the same is a true and complete copy of the action taken by the Council with
respect to the matter at the meeting held on the date indicated in the attachment, which proceedings
remain in full force and effect, and have not been amended or rescinded in any way; that meeting
and all action thereat was duly and publicly held in accordance with a notice of meeting and
tentative agenda, a copy of which was timely served on each member of the Council and posted on
a bulletin board or other prominent place easily accessible to the public and clearly designated for
that purpose at the principal office of the Council pursuant to the local rules of the Council and the
provisions of Chapter 21, Code of Iowa, upon reasonable advance notice to the public and media at
least twenty-four hours prior to the commencement of the meeting as required by law and with
members of the public present in attendance; I further certify that the individuals named therein
:were on the date thereof duly and lawfully possessed of their respective City offices as indicated
therein, that no Council vacancy existed except as may be stated in the proceedings, and that no
controversy or litigation is pending, prayed or threatened involving the incorporation,
organizatioji, existence or boundaries of the City or the right of the individuals named therein as
,
�officersAo.th'eir respective positions.
WITNESS my hand and the seal of the Council hereto affixed this aC t6 day of
Jcan A ox , 2021.
r
City Clerk, City of Dubuque, State of Iowa
�0
EXHIBIT A
AMENDMENT TO LOAN AND DISBURSEMENT AGREEMENT
The Loan and Disbursement Agreement (Stormwater Revenue) (the "Agreement") entered
into as of October 27, 2010 by and between the City of Dubuque, Iowa (the "City" or "Issuer") and
the Iowa Finance Authority, as lender (the "Lender") relating to a loan from the Lender to the City
in the original amount of $7,850,000, currently outstanding in the aggregate amount of
$6,224,000, is hereby amended as follows:
1. The applicable interest rate for the Agreement shall be changed to 1.75%, effective
as of December 1, 2020, and the Agreement shall thereafter be payable in accordance with the debt
service schedule attached hereto and incorporated herein by this reference.
2. Except as amended herein, all of the other terms and conditions of the Agreement
are in all respects ratified, confirmed and approved and shall remain in full effect.
IN WITNESS WHEREOF, we have hereunto affixed our signatures all as of the 19th day of
January 2021.
City Clerk
CITY OF; DUBUQUE, IOWA
By: V,
Mayor
IOWA FINANCE AUTHORITY
By:
Its:
01813256-1\10422-115
SUPPLEMENTAL TAX CERTIFICATE
OF
DUBUQUE, IOWA
The undersigned officer of the City of Dubuque, Iowa(the "City"),hereby certifies as
follows:
1. The Council of the City of Dubuque ("Council"), acting at a meeting duly called
and held on January 19, 2021,has authorized the execution and delivery of an Amendment to the
Loan and Disbursement Agreement originally dated as of October 27, 2010 ("Agreement") by
and between the Council and the Iowa Finance Authority ("Purchaser"), and approved a
resolution ("Supplemental Resolution") amending the resolution approved by the Council on
October 18, 2010 ("Original Bond Resolution"), which Original Bond Resolution authorized the
issuance and delivery of a$7,850,000 Stormwater Utility Revenue Capital Loan Note, Series
2010G, dated October 27, 2010, of the City ("Original Note").
2. The officer whose name, title and signature appears below was, on the date or
dates of the execution of the instruments referred to in paragraph 1 hereof, and is on the date
hereof, the duly elected and qualified incumbent of the office of the City set opposite the name
appearing below, and such signature is the genuine signature of said officer.
3. I have reviewed the representations, covenants and warranties contained in the
Tax Exemption Certificate dated October 27, 2010 ("TaX Certificate") eXecuted on behalf of the
City in connection with the issuance of the Original Note. A true and accurate copy of the Tax
Exemption Certificate is attached hereto as Exhibit A.
4. The description of the Project set forth in Section II of the Tax Certificate
accurately describes the Project as constructed and as it exists and is used as of the date hereof,
and there has been no change in the use of the Project since the Original Note was issued.
5. The construction of the Project has been completed, and all of the proceeds of the
Original Note were expended on the costs of the Project, in the amounts and as described
Sections II and III of the TaX Certificate.
6. Not more than 10% of the proceeds of the Original Note or the facilities financed
thereby, are to be used (directly or indirectly) or were used in a trade or business carried on by
any person (other than a governmental unit), and not more 10% of the payment of the principal
of or interest on the Original Note is (directly or indirectly): (i) secured by any interest in
property used or to be used in such trade or business or payments in respect of such property; or
(ii) derived from payments (whether or not to the City) in respect of property or borrowed money
used ar to be used in such a trade or business, all within the meaning of Section 141(a) of the
Code.
7. During the term of the Original Note, and at all times prior to the date hereof, no
private business use will be made or has been made of the Project, and no payments or security
- 1 -
will be made or furnished or has been made or furnished that would cause the Original Note to
be a "private activity bond" within the meaning of Section 141 of the Code and applicable
regulations.
8.The covenants of the City contained in the Tax Certificate are hereby ratified,
confirmed and approved and shall continue to be binding upon the City as if set forth fully
herein. This certificate is intended and is being delivered in order to meet the requirements of
Section 148 of the Internal Revenue Code of 1986, as amended, and Treasury Regulation 1-
148(2)(b).
IN WITNESS WHEREOF, the undersigned has hereunto set my hand as of the 19th day
of January 2021.
CITY OF DUBUQUE, IOWA
By:
Director of Finance and Budget
01813261-1\10422-115
2 -
�
Dubuque Y�
***Effective 121.20***
�
LoanlD C0332R ��
Dated Date 10/27/2010 ��—
Loan Amount $7,850,000.00 ` �TATE
Interest Savings $907�550.00 �{9fME?SnPwTihfiOwAFr{4MCEMlf�IGRiIY
,wt T¢�-�o-:wr.ttao-,r�hannY AEta,nc�s
Current Schedule New Debt Schedule
Current Interest Servicing New interest Servicing New Annual
Date Principal 3.00% Fee Principal 1.75% Fee Debt Service
12/1/2020 93,360.00 93,360.00
6/1/202] 217,000.00 93,360.00 15,560.00 211,000.00 54,460.00 15,560.00 374,380.00
12/1/202] 90,195.00 52,613.75
6/1/2022 218,000.00 90,195.00 15,032.50 218,000.00 52,613.75 15,032.50 338,260.00
12/1/2022 86,925.00 50,706.25
6/1/2023 225,000.00 86,925.00 14,487.50 225,000.00 50,706.25 14,487.50 340,900.00
12/1/2023 83,550.00 48,737.50
6/1/2024 233,000.00 83,550.00 13,925.00 233,000.00 48,737.50 13,925.00 344,400.00
12/1/2024 80,055.00 46,698.75
6/1/2025 240,000.00 80,055.00 13,342.50 240,000.00 46,698.75 13,342.50 346,740.00
12/1/2025 76,455.00 44,598.75
6/1/2026 248,000.00 76,455.00 12,742.50 248,000.00 44,598.75 12,742.50 349,940.00
12/1/2026 72,735.00 42,428.75
6/1/2027 256,000.00 72,735.00 12,122.50 256,000.00 42,428.75 12,122.50 352,980.00
12/1/2027 68,895.00 40,188.75
6/1/2028 264,000.00 68,895.00 11,482.50 264,000.00 40,188.75 11,482.50 355,860.00
12/1/2028 64,935.00 37,878.75
6/1/2029 273,000.00 64,935.00 10,822.50 273,000.00 37,878.75 10,822.50 359,580.00
12/1/2029 60,840.00 35,490.00
6/1/2030 282,000.00 60,840.00 10,140.00 282,000.00 35,490.00 10,140.00 363,720.00
12/1/2030 56,6]0.00 33,022.50
6/1/203] 297,000.00 56,610.00 9,435.00 291,000.00 33,022.50 9,435.00 366,480.00
12/1/203] 52,245.00 30,476.25
6/1/2032 300,000.00 52,245.00 8,707.50 300,000.00 30,476.25 8,707.50 369,660.00
12/1/2032 47,745.00 27,851.25
6/1/2033 310,000.00 47,745.00 7,957.50 310,000.00 27,851.25 7,957.50 373,660.00
12/1/2033 43,095.00 25,138.75
6/1/2034 320,000.00 43,095.00 7,182.50 320,000.00 25,138.75 7,182.50 377,460.00
12/1/2034 38,295.00 22,338.75
6/1/2035 337,000.00 38,295.00 6,382.50 331,000.00 22,338.75 6,382.50 382,060.00
12/1/2035 33,330.00 ]9,442.50
6/1/2036 347,000.00 33,330.00 5,555.00 341,000.00 ]9,442.50 5,555.00 385,440.00
12/1/2036 28,2]5.00 ]6,458.75
6/1/2037 352,000.00 28,215.00 4,702.50 352,000.00 ]6,458.75 4,702.50 389,620.00
12/1/2037 22,935.00 ]3,378.75
6/1/2038 364,000.00 22,935.00 3,822.50 364,000.00 ]3,378.75 3,822.50 394,580.00
12/1/2038 17,475.00 ]0,193.75
6/1/2039 376,000.00 17,475.00 2,972.50 376,000.00 ]0,193.75 2,972.50 399,300.00
12/1/2039 11,835.00 6,903.75
6/1/2040 388,000.00 11,835.00 1,972.50 388,000.00 6,903.75 1,972.50 403,780.00
12/1/2040 6,0]5.00 3,508.75
6/1/204] 407,000.00 6,075.00 1,002.50 401,000.00 3,508.75 1,002.50 409,020.00
6,224,000.00 2,271,480.00 189,290.00 6,224,000.00 1,363,930.00 189,290.00 7,777,220.00
Form 384 I Information Return for Tax -Exempt Governmental Bonds
Do -Under Internal Revenue Code section 149(e)
(Rev. September 2n18) ► See separate instructions. OMB No. 1545 0720
Department of the Treasury Caution. If the issue price is under $100,000, use Form 8038-GC.
Internal Revenue Service ► Go to www.irs.gov/F8038G for instructions and the latest information.
■VITWE Reoortina Authority If Amended Return. check here ► n
1 Issuer's name
2 Issuer's employer identification number (EIN)
City of Dubuque, Iowa
42-6004596
3a Name of person (other than issuer) with whom the IRS may communicate about this return (see instructions)
3b Telephone number of other person shown on 3a
4 Number and street (or P.O. box if mail is not delivered to street address)
Room/suite
5 Report number (For IRS Use Only)
50 W. 13th Street
3
6 City, town, or post office, state, and ZIP code
7 Date of issue
Dubuque, Iowa 52001
January 19, 2021
8 Name of issue
9 CUSIP number
Reissuance of Stormwater Utiility Revenue Capital Loan Notes, Series 201OG
NONE
10a Name and title of officer or other employee of the issuer Whom the IRS may call for more information (see
10b Telephone number of officer or other
instructions)
employee shown on 10a
Jenny Larson, Director of Finance and Budget
563-589-4100
Type of Issue (enter the issue price). See the instructions and attach schedule.
11
Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
12
Health and hospital . . . . . . . . . . . . . . . . . . . . . . . . .
12
13
Transportation . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
14
Public safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
15
Environment (including sewage bonds) . . . . . . . . . . . . . . . . . . . .
15
16
Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
17
Utilities . . . . . . . . . . . . . . . . . . . . .
17
18
Other. Describe ► Reissuance due to interest rate reduction
18
6,224,000
00
19a
If bonds are TANS or RANs, check only box 19a . . . . . . . . . . . . . . ► ❑
b
If bonds are BANS, check only box 19b . . . . . . . . . . . . . . . . . ► ❑
20
If bonds are in the form of a lease or installment sale, check box . ► ❑
Mr. r
Descriotion of Bonds. Comolete for the entire issue for which this form is being -filed.
(a) Final maturity date
(b) Issue price
(c) Stated redemption
price at maturity
(d) Weighted
average maturity
(e) Yield
21
06/01/2041
$ . 6,224,000
$ 6,224,000
11.665 years
1.7500
Uses of Proceeds of Bond Issue (including underwriters' discount)
22 Proceeds used for accrued interest . . . . . . . . . . . . . . . . . . . .
22 -0-
6,224,000
00
23 Issue price of.entire-issue (enter amount from line 21,- column -(b)) . . ...... .. . . . . .
24 Proceeds used for bond issuance costs (including underwriters' discount) 24 .0-
25 Proceeds used for credit enhancement . . . . . . . . . . . . 25 .0-
'26 Proceeds'allocated to reasonably required reserve or replacement fund . 26 .0-
129
27 Proceeds used to refund prior tax-exempt bonds. Complete Part V . . . 27 6,224,000
28 Proceeds used to refund prior taxable bonds. Complete Part V . . . . 28 -0-
29 Total (add lines 24 through 28) . . . . . . . . . . . . . . . . . . . . . .
6,224,000
00
30 -0
30 Nonrefunding proceeds of the issue (subtract line 29 from line 23 and enter amount here)
LiUAA Description of Refunded Bonds. Complete this part only for retunding bonds.
31 Enter the remaining weighted average maturity of the tax-exempt bonds to be refunded . . . ► 11.665 years
32 Enter the remaining weighted average maturity of the taxable bonds to be refunded . . . . ► N/A years
33 Enter the last date on which the refunded tax-exempt bonds will be called (MM/DD/YYYY) . ► 01/19/2021
34 Enter the date(s) the refunded bonds were issued ► (MWDD/YYYY) 10/27/2010
For4•aper work Reduction •Act Netice, see separate instructions. Cat. No. 63773S Form 8038-G (Rev. 9-2018)
,Form .8038-G,(Rev_,, 9-2018) Page 2
Miscellaneous
35 Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) . . . . 35 -0-
36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract
(GIC). See instructions . . . . . . . . . . . . . . . 36a -0-
b Enterthe final maturity date of the GIC► (MM/DD/YYYY)
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 thisissue is a loan -made -fro n-theproceeds of another tax-exempt issue, check box ► ❑ and enter the following information:
b . Enter the date of the master pool bond ► (MM/DD/YYYY) unknown
c Enter the. EIN of the issuer of the master pool bond ► attached
d Enter the name of the issuer of the master pool bond ► See attached schedule 1
39 If the issuer has designated the issue under section 265(b)(3)(13)(i)(I11) (small issuer exception), check box . . . . ► ❑
40 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box . . . . . . . . . . . ► ❑
41 a If the issuer has identified a hedge, check here ► ❑ and enter the following information:
b Name of hedge provider ►
c Type of hedge Po-
d Term of hedge ►
42. If the.issuer has superintegrated the -hedge, check box .. ... .. _ .. . . . . . . . . . . . . . ► ❑
43 If the issuer has established written procedures to ensure that all nonqualified bonds of this issue are remediated
according to the requirements under the Code and Regulations (see instructions), check box . . . . . . . . ► 0
44 If the issuer has established written procedures to monitor the requirements of section 148, check box . . . . . ► 0
45a If some portion of the proceeds was used to reimburse expenditures, check here ► ❑ and enter the amount
of reimbursement . . . . . . . . . . . . . ►
b Enter the date the official intent was adopted ► MM/DD/YYYY
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, e p the . on that I have authoriz ove.
Consent � OQ 0 Jenny Larson, Director of Finance & Budget
Signature issuer' authorized represe ative Date / Type or print name and title
Paid Print/Type preparer's name Preparer's signature Date Check ❑ if PTIN
Prepares- Kristin Billingsley Cooper self-employed P02001942
_..
Use Only.
Firm's name 1 Ahlers & Cooney, P.C. Firm's EIN ,► 42-1323559
Firm's address ► 100 Court Avenue, Suite 600, Des Moines, Iowa 50309 Phone no. 515-246-0330
Form 8038-G (Rev. 9-2018)