HomeMy WebLinkAbout20071070 04/10/2007 10:21 FAX 914 899 7150 CITICAPITAL {J002/004
ASSIGNMENT
For value received, Citicorp Vendor Finance,Inc.("Assignor"),hereby sells,assigns,transfers
and sets over to Citicorp Leasing,Inc.("Assignee"),effective as of the 28"day of February,
2007,(i)all of its right,title and interest in and to Lease#200324459(the"I Paw")between
Citicorp Vendor Finance,Inc.and County of Weld(the"Obligor"),(ii)all payments doe and
to become due under the Lease, (iii) any and all guarantees originally given to Assignor in
respect to the performance by Obligor of its obligations under the Lease,(iv)the goods which,
are the subject of the Lease,and(v)all proceeds of the foregoing. ltems:(i)through(v)are
collectively referred to as the"Assets." Assignor's assignment of the foregoing Assets is
without recourse and without representations and warranties of any kind,except that the
foregoing Assets are free and clear of all liens created by,through or under Assignor.
Citicorp Vendor Finance,Inc.
By: Date: 4f .2‘/0
Name:
charm C serviced
Title: VP Accou
Citicorp Leasing, /
By: Date:
Name: CFtarael ette n
VP PCpptltlt Seta
Title:
County of e
By: E r Date: 04/16/2007
Name: David E. Lon
Title: Chair, Board of County Commissioners
ATTEST: i 41/i/
WELD COUNTY CLERK TOTHs
R1
ATTESTING TO BOARD OF COUNTY U01) t'
COMMISSIONER `:G AIUBES ONLY
/9/111)17
.4 7 /e70
04/10/2007 10:21 FA% 914 899 7150 CITICAPITAL a 003/004
Form 8038-GC Information Rotten for Small Tax-Exempt
Governmental Bond Issues, Leases, and Installment Sales r1n4B wo,1sr5-0120
Rev.November 20001 ► Under Internal Revenue Code section 1 . -
arIrrprW a,r`e�,°t,,,,"1ey y Caution:If the issue price of the issue is S10R000rr ha use ram 8038-G
P at
u r t I Reporting Authority Check box if Aanntdad Regain► Q
1 Issuers name
2Impareemplayer liklitelleet era
\MELO CoUN(�T�1 6tOJERNMENT e LcC0O
3 b f street$4 P.O.Waimea is not
deemed to street address) Room/sateRoom/sate()x 7ea I O 4 City,loan.or post office.stele,and ZIP code .t Reprtarnar
61REEL.1�"1 CO 80(fl e
• Name the of officer of l represemetSe.thom the IRS may cal for informationT i arts defog or er tafinped4ite
LJNRLA Y`IRRDEt`1, DiRcc7O2 OF rINAIcE q- IlAn+I/✓ (9-1O ; Sts,-1-1-CM
P; r: II Description of Obligations Check if reporting: a single issue [3 cc on a consobdated basis
8a Issue price of obligation(s)(see instructions) - - as
b Issue date(single issue)or calendar year(consolidated)(see instructions)► - - -
9 Amount of the reported obligation(s)on line 8a:
a Used to refund prior issue(s) . RI- -
b Representing a loan from the proceeds of another tax-exempt obligation(e.g..bond bank). Ilta10 If the issuer has designated any issue under section 265(bX3KB)0)UIQ(Small issuer exceptixt check this box . 10.
11 If any obligation is in the form of a lease or Installment sale,chedt this box . . . . ►O
12 If the issuer has elected to pay a penalty in lieu of arbitrage rebate.check this box . . . . . . ►
Under penalties of pejuy.I declare amt I have examined this return and acco npehybg'swain aid statements.mid to the bast is myttw ge
sign and bead.they are In..correct and correlate.
Here n
`/ /3/D ii BARBARO CoNNei_ty Cy�nFiRO L K
Issue's au ha hz d representative Date r'Typo orient tests and ae .'
General Instructions ' issuer{Rev rib a separate Farm Other Ferns that May Be Required
8038- fa each of a rxanber of small
Section references de to the Internal issues and report the rerrmirder at small For nlbewams sows far the paying a parmlty.in
Revenue Code unless otherwise noted. issues issued during the calendar year on at .lieu d aliltrause e Fowl wows..tsalusho
Purpose of Form consolidated Fam 8038-GC.However.a d Pawky in of age
separate Form 8038-GC Pored be filed to give- Rebate.For mate in tie,howls,use Farm
Faro 8038-GC s used by the Issuers of the IRS notice of the Section to pay a penalty ae a.alfmoss„Rebtm fa Tax-E
tax-exempt goverrrnental obligations to in iou of arbitrage rebate. Private y Bo d Issues.Thu-Exempt
provide the RS with the information required
by section 149(e)and to monitor the When To File Rounding to Whole Dollars
requirements of sections 141 through 150. To file a separate seas file Form 8038-GC youmayshow do money inns at this
Who Must File on or
be month a the fore the 15th dosof ed second
reo+h aswbde-ddla .Tom sex
arra
Issuers of tax-exempt governmental calendar quarter in which the issue is issued scoasp mad=ounce== SO en
tW next amount from 50 b 88 tents go
0 .00 with issue prices of less than To file a no or F stuns Faro the next ht.#w mdola.
4100.000 must file Rine 8038-GC. 8038-GC on before Feauay 15th of the - -
Issuers of a tax-exempt governmental calendar year following the year in 1Narh.the Definitions
obligation with an issue price of$100,000 or issue is issued. Obliwitions.pis refers to a tingle
more test sue Fonm 8038-G,Information Late fthg.Art issuer may be=can W r an tax-exempt govanmen obligation Form
Return for Tax-Exempt Governmental extension of tare to Me Form lade. 8038-GC is used for separate reportiv a to
Ob gations. Section 3 of Rev.Proc.88-10, 1988-7 C.B. multiple taXmlarealpt getientiftental otinienS
Fling a separate return.Issuers have the 635.if It s determined that the failure to fee few form is used oar arreOlklated reporting.
option to Me a separate Form 8038-GC for on times not die to warn neglect Type a Tax-exempt okBAalkla Ills i5 a bend.
any tax-exempt governmental obligation with prim at the top d the Form,'Iris Statement
wwwww an issue price less than 6100.000 is Sudnlned u Accordance wits Rev.Prot. puq�e
88-10'Attach to the Fam 8038-GC.a letter b on Wien se ti ice. Iron An issuer of a tax-exempt bond used to stoma west sactlan iO3.
finance corewction experdknaes must 81e a .btieflx stating why the lam was lot
separate Farm 8038-GC for each issue to suhme t to the IRS an time.Also indicate TR' '9aa ISAI O t is n l a Isi -A
gale notice to the IRS that an election was whether the od lion in questionsis once ubmit copies ael-exemlifiLY ec akfigebe $OM is taxis eri to
ct
made to pay a penaky in lieu d arbitrage of examination bbond tldoocuuments,ba the iRS.DO ses. install goammoRFa nomiad atm.TatIs s iiicki a•tatd
rebate(see the ere 12 instructions). sale documents.See Where To Fora babel. roues by a quelled wittier pre
Fling a consolidated return.For all depenme t under section 189(et...
tax-exempt gove naval obligations with Where To File Prkrap scatty bond This-Includes an
issue prices of less then$100.000 that are Fie Form 8038-GC,and
Cit
act reported An a separate Form 8038-GC, any i Center.
a as pat er poc IMAM w be
an issuer mutt file a consolidated information with the T l Revenue Service Cerra, •'More any 1098 ioft alepy busin,.ssuse.
ream including all such Issues Issued Whin Ogden.UT 84201. used for any private activity business im,
the calendar year. autd - -
Cat.No.841088 Far 1038-GC Rev.1t-20001
04/10/2007 10:29 FAX 914 899 7150 CITICAPITAL (iii 004/004
Farm 8038-GC(Rev.11-2000) Page 2
• More than 10%of the payment of prncipal specific instrucUOfls Lien 9reW Y4.For One 8a,enter the
or interest of the issue is either(a)secured amount aft proceeds that will be used to
by an interest in property to be used for a In general,a Form 8038-GC must be
pinapal inteteSt,or call amide ar any
private business use(or payments for such completed on the basis of available other iSSucoot bards,icand to proceeds that
property)or(b)to be derived from payments information and reasonable expectations as wi be used to fund an escrow acmut fat for property(or borrowed money)used fora of the date the issue is issued.However.- this purpose.Elan S 9a and lib may apply
private business use. forms that are flied on a consolidated basis ma particular obligated Fa emnyk,sepat
It also includes a bond,the proceeds of my�completed
on is oM of en mine 9a and 9b idedmrefund-.
which(a)rem be used to make or Finance the dily a ail close - prior issues which represent bans barn the
karts(othr than loans desalted n sectionyear to which the form relates, proceeds of enable-tax-tempt ablgeten.
141(c)(20 to persons other than govemwaal supplemented by estimates made in e good . Line 11.Check des box if prepertyldt.er than
units and(b)exceeds the lesserof 5%of the fad.
proceeds or$5 radon. •
cash k w oth e mat a e.¢;
Issue.Generally,obligations are treated as Part I. Reporting n9 urn obstruct,twdt a
de o telephone p rlentapothent through aswimsarti
partthe the same issue only if ey are issued Amended check t If this is amended xpm s monthly phymrxs. n tape or copal l s$0is
.
by same issuer,on the same date,and as 8038-GC,check the amended retain box. eomnieres rreretf to a.e'madcipY trSe.'.)
part of a single transaction,or a series of Complete Part I and only those lines of Form Also neck*is box kneel ts.diectly
related transactions.I lone.o,obligations 8038-GC that are being amended.Do not acquired in exchange fee'Sian to
issued daring the same calendar year(a) amend estimated amounts previously make periodic mimosa of interest and
under a loan ageement under which amounts reported once the actual amounts are prnoipal pond aeclt this boa fie:
rem be advanced periodically(a determined.(See the Part II instructions proceeds d the obligator are meshed in the
'draw-down ban")or(0)with a term not below.) . form of cash,evert Vete arm least..s uSed
exceeding 270 days,may be treated as pert line 1.The issuer's name is the name of the r the a at the sa
of the same issue If the obligations are entity issuing the obligations,not the name of Line 12 Check the bun lathe issue is a
equally and ratably
seared under a single the entity receiving the benefit of the cansosn:0ai'� an
d d an krevocable.eleca
indenture or loanm
agreement and are issued financing.In the case',release at installment to pay a penalty In Spoof arbi nsgemote..
under a common financing arrangement(e.g., sale,the issuer is the lessee a'pachase. he been made on a before the date the
under the same official statement periodically Line 2.An issuer that does not have an bonds were issued.The penalty s payableupdated m cha
nging anging factual With identkcation nenmher with a Form 8039-7 for oath 6rnothorbd
circumstances).Aso,for obligations issued a for oat on Fomr 55.4, 8cadori rise after the date the wade issued.Do not
under a draw-down ban that meets the rkarion Mxnorer.Tits tam make am)W�of penalty n bee d rebate
oequnaements d the during
ig sentence, me b obtained at Sochi with Form GC.Sea rev.Rec.92-22,
obligations issued durig different calendar Admirhstration orri:es or - 1992-1 C.B.736,fix sties regarding the
years may be treated as part d the sere 1-800-TAX-FORM.If the by
has not been •fie rssue d ore of the amounts to be advanced received by the due date forForm 8038-GC,
under the draw-dawn loan are expected to be advanced within 3 years of write'Applied fa' in the space for the BM
prepared S.enter two paperwork 1tOdl1Ct101f italicise
the date of issue of the rest obligation. Linn s.After the
Likewise,obligations(other than private sek-desigated numbers.Member repots - We ail farther iraPennhetonon-this tam to
agreement th or Ille
activity at s in issued
under far single
f a lease or 54,595eu)ang anY calendar Year(e g Mad internal
ma rapped Revenue m give us the
agree ant sale may be rested as pat o(the idaaredoie We reed ft t arses that ru are
sane issue k as d the property covered by Part l4 Description of cpmltlykng wile these taws.
that agreement is reasonably expected to be Obligations You are not required to provide the
delivered wain 3 years of the date of issue information reryu cited a form that is
of the fast obligation. Lime 6a.The korp price d obligations is Signet the Pa Reduction Act
rebate. generally determined under Regulations tones makers 0 valid DIM control
state or t is d Generally.
exempt Hass1.148-1(b).Thus,when issued for number)looks or tenth m tram
the issuer of the bond rebates to the url United cash.the issue price is the prise at which a or is l astntdons nest be retained as Iogg as
substantial amount of the obligations are sold their contents become material m tea
States s earned from yielding
to the public.To determine the issue p d- adnil uaaon d any Internet Revenue law.
proceeds
ofose the bon in See section 1480). obligation issued fa properly,see tax returns and return information
sections 1273 and 1274 and rte related we as required by section 8103.
Construction issue.This is an issue of regulations. The time)neededtocardlete and lie this
tax-exempt bonds that meets both of the Una lib.For a single issue,enter the date of form ales depending on individual
following
co Ton 5%U the availableissue,general)!the date on which the issuer �_ _.g ., .lima
1.
physically exchanges to bonds that are part. . io
construction proceeds of the issue are to be of the issue for the undavater's(a other _.
used for construction expendures with plc aser's)funds;for a lease or instalment moo! i-s..respect to property to be owned by a sale,enter the date Interest starts to accrue.l unit or a 501(03)organization, For issues reported on a consolidated beds peefenit _ .31w;.3 min.
and enter calendar . -.
year during which the
2.All of the bonds that are part dew issue obligations were saved. the
_.... irhYG
are qualified 501(cx3)bonds.bonds that are
net private activity bonds,or private activity If you have canniest is Cgn enyrrg the
bonds issued to berets property to be of thesis Urns Sours or
owned by a governmental unit or a 501(03) far making thisfant simpler ore
organicion• wand be hippy to hear boon fir You can
In lieu d rebating any arbitrage that may
ewle m the Tors Fears CenanN[ae.'Western
be owed to the United Sates.the issuer of a Area Osokktlon Center.Rancho Cordon.
construction owe may make an irrevocableCA 95743.0011.Court said the ram m this
election to pay a penalty.The penalty Is equal address.Instead,see Ilium Tonle on
to 1'h%of the amount of constriction Paget
proceeds that do not meet certain spending
requirements.See section 8g1(4)(C)and the
Instructions for Farm 8038-T
04#10/2007 10:20 FAX 914 899 7150 CITICAPITAL ®001/004
W"WpiLG'
450 Mamaroneck Avenue,Harrison,NY 10528
Thp Donald Warden Preret Ken!McNeil
It 970352-0242 Mower 800-257-6451 ad 7630
Miaow Plea 914400-7150
Oahe Data Apd 10..2007.
Part 4 (kiduclng cover page)
Sal
Comments:
Thank you for signing and'turning the Stryker Ness agreement.
The igraament had mistakenly been prepared with CNcotp Wader Amnon a the taeor,
rather than Citicorp Leasing, Inc. To cared this error,we ask tut the-County a ette the
following Assignment.
Additionally,RS for 1038 should have been included wth the lane agreement Please takes
moment to complete and return this form with the Assignment That you.
•
•
This fadmh is intended only for use of se addreaeee(a)named herein,and may auxin legally mated at
aaalder'si Inkrrnalen. If yea are not the Wended recipient of this fe akntis,you as testy nailed that any
Awrni alion,degrease or copying of the facsimile is ably prohibled. If you hew+aaihed this bolts fn
error,please Fnnedelely notify IS by telephone b emerge for the ratan of It faaYnle to us vie lie post i
aerate. We nee releihnese any orals you Mar in n notifying us and relining the burlsb us-
2007-1070
c ticapital
450 Mamaroneck Avenue, Harrison, NY 10528
May 1, 2007
Barbara Connolly, Controller
Weld County Government
PO Box 758
Greeley, CO 80632
Re: Stryker lease agreement#200324459
Dear Ms. Connolly:
Enclosed please find copies of the lease assignment and form 8038 for your records.
Thank you for taking the time to complete these documents.
Please contact me at 800-257-8451, ext 7630, with any questions you may have.
Sincerely,
Kent McHale
Account Services Representative
This facsimile is intended only for use of the addressee(s)named herein,and may contain legally privileged and/or
confidential information. If you are not the intended recipient of this facsimile, you are hereby notified that any
dissemination, distribution or copying of the facsimile is strictly prohibited. If you have received this facsimile in
error, please immediately notify us by telephone to arrange for the return of this facsimile to us via the postal
service. We will reimburse any costs you incur in notifying us and returning the facsimile to us.
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