Amendment to Lease Agreement - Parks Vehicle Lease

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Form8038-GC Information Return for Small Tax -Exempt Governmental Bond Issues, Leases, and Installment Sales Department of the (Rev. January ► Under Internal Revenue Code section 149(e) he Treasury T Internal Revenue Service Caution: If the issue price of the issue is $100,000 ormore, use Form 8038-G. name 5 Report number or omer employee of issuer or designated contact person whom the IRS may call for more information 1 7 OMB No. 1545-0720 ilialili Description of Obligations check one: a single issue ❑ or a consolidated return ❑ . 8a Issue price of obligation(s) (see instructions) . . . . . . . . . . . . . . . . . . b Issue date (single issue) or calendar date (consolidated). Enter date in mm/dd/yyyy format (for example, 01/01/2009) (see instructions)► 07/21/2016 9 Amount of the reported obligation(s) on line 8a that is: a For leases for vehicles . . . . . . . . . . . . . . . . . . . . . . . . . b For leases for office equipment . . . . . . . . . . . . . . . . . . . . . . . c For leases for real property . . . . . . . . . . . . . . . . . . . . . . . . d For leases for other (see instructions) . . . . . . . . . . . . . . . . . . . . . e For bank loans for vehicles . . . . . . . . . . . . . . . . . . . . . . . . f For bank loans for office equipment . . . . . . . . . . . . . . . . . . . . . g For bank loans for real property . . . . . . . . . . . . . . . . . . . . . . . h For bank loans for other (see instructions) . . . . . . . . . . . . . . . . . . . 1 Used to refund prior issue(s) . . . . . . . . . . . . . . . . . . . . . . j Representing a loan from the proceeds of another tax-exempt obligation (for example, bond bank) kOther . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 If the issuer has designated any issue under section 265(b)(3)(B)(i)(III) (small issuer exception), check this 11 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check this box (see instructions) . 12 Vendor's or bank's name: PNC Equipment Finance, LLC. 13 Vendnr'.c or hank'c Pirr er iHt ntificatinn nnmhcr- 9 8a 78,808 00 9a 78,808 00 9b 9c 9d 9e 9f 9g 9h 91 9j 9k box . . . . ► . . . . . . ► ❑ ❑ 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 Signature g 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 this return, to the persons) that I have authorized above. and 'Consent Signature of issuer's authorized representative Date Type or print name and title Paid Prin ype preparers name Preparer's signature Date Check ❑ if PTIN Preparer I self-employed Use Only Finn's name ► Firm's EIN ► Firm's address ► Phone no. General Instructions Section references are to the Internal Revenue Code unless otherwise noted. What's New The IRS has created a page on IRS.gov for information about the Form 8038 series and its instructions, at www.im.gov/formBO38. Information about any future developments affecting the Form 8038 series (such as legislation enacted after we release it) will be posted on that page. Purpose of Form Form 8038-GC is used by the issuers of tax- exempt governmental obligations to provide the IRS with the information required by section 149(e) and to monitor the requirements of sections 141 through 150. Who Must File Issuers of tax-exempt governmental obligations with issue prices of less than $100,000 must file Form 8038-GC. Issuers of a tax-exempt governmental obligation with an issue price of $100,000 or more must file Form 8038-G, Information Return for Tax -Exempt Governmental Obligations. Filing a separate return for a single issue. Issuers have the option to file a separate Form 8038-GC for any tax-exempt governmental obligation with an issue price of less than $100,000. An issuer of a tax-exempt bond used to finance construction expenditures must file a separate Form 8038-GC for each issue to give notice to the IRS that an election was made to pay a penalty in lieu of arbitrage rebate (see the line 11 instructions). Filing a consolidated return for multiple issues. For all tax-exempt governmental obligations with issue prices of less than $100,000 that are not reported on a separate Form 8038-GC, an issuer must file a consolidated information return including all such issues issued within the calendar year. Thus, an issuer may file a separate Form 8038-GC for each of a number of small issues and report the remainder of small issues issued during the calendar year on one consolidated Form 8038-GC. However, if the issue is a construction issue, a separate Form 8038-GC must be filed to give the IRS notice of the election to pay a penalty in lieu of arbitrage rebate. Cat. No. 64108E Form 8038-GC (Rev. 1-2012)