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Form 8038-G (Rev. 9-2011) Page 2 Part VI Miscellaneous 35 Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) . . 36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract (GIC) (see instructions) b Enter the final maturity date of the GIC ► c Enter the name of the GIC provider IP - 37 37 Pooled financings: Enter the amount of the proceeds of this issue that are to be used to make loans to other governmental units 38a If this issue is a loan made from the proceeds of another tax-exempt issue, check box lo- b b Enter the date of the master pool obligation ► c Enter the EIN of the issuer of the master pool obligation ► d Enter the name of the issuer of the master pool obligation Po- n 39 If the issuer has designated the issue under section 265(b)(3)(B)(i)(III) (small issuer exception), check box ► ❑ 40 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box ► ❑ 41a If the issuer has identified a hedge, check here ► ❑ and enter the following information: b Name of hedge provider ► c Type of hedge ► d Term of hedge ► 42 If the issuer has superintegrated the hedge, check box 110- 43 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 ► ❑ 44 If the issuer has established written procedures to monitor the requirements of section 148, check box ► ❑ 45a If some portion of the proceeds was used to reimburse expenditures, check here ► ❑ and enter the amount of reimbursement 10- b b Enter the date the official intent was adopted ► 35 36a 37 Eland enter the following information: Signature and 3onsent %.. Under penalties of perjury, 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 complete. I further declare that I consent to the IRS's disclosure of the issuer's return information, as necessary to process thi turn, to thgperson that I have authorized above. Signature of issuer's authonrepresentative Date Wesley S. Davis, Chairman Type or print name and title Paid Preparer Use Only Print/Type preparer's name Mark T. Mustian Preparer's signature Date Check El if self -employ Firm's name ► Nabors, Giblin & Nickerson, P.A. Firm's address ► 1500 Mahan Drive, Suite 200, Tallahassee, Florida 32308 Firm's EIN ► Phone no. PTIN ed P01266260 59-2427540 850-224-4070 Form 8038-G (Rev. 9-2011)