Marks-Roos Yearly Fiscal Report For Authority Issuers Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Marks-Roos Yearly Fiscal Report For Authority Issuers Form. This is a California form and can be use in State Treasurers Office Statewide.
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STATE OF CALIFORNIA
MARKS-ROOS YEARLY FISCAL STATUS REPORT
FOR AUTHORITY ISSUE
CDIAC # ___________
I.
California Debt and Investment Advisory Commission
915 Capitol Mall, Room 400, Sacramento, CA 95814
P.O. Box 942809, Sacramento, CA 94209-0001
(916) 653-3269 FAX (916) 654-7440
cdiac_issuance@treasurer.ca.gov
Fiscal Year ___________
GENERAL INFORMATION
A.
Authority Issuer
B.
Name/Title/Series of Bond Issue
Senior Issue:
Yes
No
C.
Original Principal Amount of Bonds $
E.
Reserve Fund Minimum Balance Required
F.
No
Date of Bond Issuance
D.
Subordinate Issue: Yes
Total Issuance Costs $
Yes
Amount ($)
No
(Report Issuance Costs only at initial filing)
II.
FUND BALANCE FISCAL STATUS
Balances reported as of June 30,
(Year)
A.
$
B.
Bond Reserve Fund
$
C.
III.
Principal Amount of Bonds Outstanding
Capitalized Interest Fund
$
AUTHORITY FINANCIAL INFORMATION
A.
Fees Paid for Professional Services (Annual Totals)
1. Type of Service
2. Amount of Fees
Add sheet, if necessary
B. Local Obligor
1. Issuer/Borrower
2. Bond Purchase (BP)
or Loan (L)
3. Amount of Purchase/Loan
(from Authority Issue)
4. Administration Fee
(Charged to LOB)
Add sheet, if necessary
CDIAC MKR AUTH
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OF CALIFORNIA
MARKS-ROOS YEARLY FISCAL STATUS REPORT
FOR AUTHORITY ISSUE
(Continued)
C.
Investment Contracts
1. Terms of Investment Contracts
a. Final Maturity
b. Other (see Guidelines for explanation)
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
2. Commission/Fee for Contract
3. Interest Earnings on Contract
D.
Total $
Current $
Taxes are paid under the county’s Teeter Plan
Yes
No
IV. ISSUE RETIRED
This issue is retired and no longer subject to the Yearly Fiscal Status Filing Requirements. (Indicate reason for retirement.)
Reason for Retirement
Final Maturity Date/New Issue Date
Refunding Bond Title/Other
V.
NAME OF PARTY COMPLETING THIS FORM
NAME
TITLE
FIRM/AGENCY
ADDRESS
CITY/STATE/ZIP CODE
PHONE NUMBER
E-MAIL:
REPORT DATE:
CDIAC MKR AUTH
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