Form ME (Rev. 06/2018) Colorado Division of Securities 1560 Broadway St., Ste. 900 Denver, CO 80202 (303) 894-2320 COLORADO MUNICIPAL BOND SUPERVISION ACT (TITLE 11, ARTICLE 59, C.R.S.) NOTICE OF CLAIM OF EXEMPTION FROM REGISTRATION FOR CERTAIN MUNICIPAL SECURITIES Pursuant to the requirements of section 11-59-110 (2), C.R.S. notice of claim of exemption from the registration requirements of the Colorado Municipal Bond Supervision Act is submitted to the Securities Commissioner as follows: 1.ISSUE DESCRIPTION: Name of Issue: Amount of Issue: Dated (DTD): // Final Maturity Date: Rating: Moody /Standard & Poors /Fitch Lead Underwriter/Placement Agent: 2.TYPE OF DISTRICT: Special District; Municipal General Improvement District; Municipal Special Improvement District; County Local Improvement District; County Public Improvement District. 3.NAME, TITLE, FIRM, ADDRESS & PHONE NUMBER OF PERSON SUBMITTING NOTICE: ( ) IMPORTANT: 4.A filing fee of $100 made payable to the Colorado State Treasurer must accompany this notice. 5.A copy of the Official Statement or Supporting Documents must accompany this notice (Preliminary Official Statement or Draft Documents will suffice until Final Official Statement or Final Documents are available.) 6.Be certain to indicate on the following pages of this form the exemption being claimed. Colorado File No. ME Official use Only NOTE: No acknowledgement of this filing will be made unless one additional copy of this form and a stamped, self-addressed envelope are provided. American LegalNet, Inc. www.FormsWorkFlow.com EXEMPTIONS FROM REGISTRATION UNDER THE COLORADO MUNICIPAL BOND SUPERVISION ACT (TITLE 11, ARTICLE 59, C.R.S.) CHECK ONE: (All references are to either section 11-59-110(1), C.R.S. or Rules 59-10.3 or 59-10.4 promulgated under section 11-59-103, C.R.S.) (b) An issue of general obligation bonds where the total obligation represented by the issue together with any other general obligation of the district does not at the time of issuance exceed the greater of $2 million or 50% of the valuation for assessment of the taxable property in the district as certified by the assessor. (c) An issue of bonds that is rated in one of its four highest rating categories by one or more nationally recognized organization which regularly rate such obligations. (d) An issue of bonds by a district in which infrastructure is in place which has been determined by the board of such district to be necessary to construct or otherwise provide additional improvements specifically ordered by a federal or state regulatory agency to bring such district into compliance with applicable federal or state laws or regulations for the protection of the public health or the environment if the proceeds raised as a result of such issue are limited solely to the direct and indirect costs of the construction or improvements mandated and are used solely for those purposes. (e) An issue of bonds secured as to the payment of the principal and interest on the debt by an irrevocable and unconditional letter of credit, line of credit or other credit enhancement issued by a depository institution qualified as defined in section 11-59-110(1) (e), C.R.S. (f) An issue of bonds insured as to payment of the principal and interest on the debt by a policy of insurance issued by an insurance company qualified as defined in section 11-59-110(1) (f), C.R.S. (g) An issue of bonds not involving a public offering made exclusively to 223accredited investors224 as defined under Regulation D promulgated by the federal Securities and Exchange Commission. (h) An issue of bonds made pursuant to an order of a court of competent jurisdiction. (i) An issue of bonds by a district which has principal amounts payable from moneys other than the proceeds of an ad valorem tax where the total of such obligations represented by the issue together with other such bonds of the district does not at the time of issuance exceed two million dollars. (j) An issue of bonds of a district issued to the Colorado water resources and power development authority which evidences a loan from said authority to the district. (If no Official Statements prepared related to this bond, a copy of the 223Governmental Agency Bond224 will suffice.) Page 2 of 3 FORM ME (Rev /) American LegalNet, Inc. www.FormsWorkFlow.com (k) An issue of bonds by a district that contains territory subject to an intergovernmental annexation agreement between the City and county of Denver and Adams County dated April 21, 1988, made pursuant to section 30-6-109.5, C.R.S. (l) An issue of bonds being issued as capital appreciation bonds in denominations of not less than $500,000 (Interpretative Order No. 2018-CDS-041) . (59-10.3) An issue of bonds by a district issued in denominations of not less than $500,000 of not less than $1,000 each. (59-10.4.A) An issue of bonds for which the Issuer complied with the requirements of section 11-59-110(2) and were, at the time of initial issue, exempt from registration under Rule 59-10.3 or section 11-59-110(1)(g), C.R.S., and which now qualify for an exemption pursuant to one of the following sections: (Check one) 11-59-110(1) (c)*, (d), (e), (f)*, (i). *If the noted applicable qualification under section 11-59-110(1)(c) or (f) isutilized due to secondary market insurance, provide the following:CUSIP number(s) ,Total size of the bonds affected . (59-10.4.B) An issue of general obligation bonds for which the Issuer complied with the requirement of section 11-59-110(2) and were, at the time of initial issue, exempt from registration under Rule 59-10.3 or section 11-59-110(1)(g), C.R.S. and subsequently, where the total obligation represented by the issue together with any other general obligations of the district does not exceed the greater of two million dollars or fifty percent of the valuation for assessment of the taxable property in the district as certified by the assessor. Order No. (the 223Order224), issued pursuant to Section 11-59-110(3), C.R.S., exempting the bonds described in this Form ME from registration under the Colorado Municipal Bond Supervision Act. A copy of the Order is attached. District Name Signature Date Type Name and Title Page 3 of 3 FORM ME (Rev /) American LegalNet, Inc. www.FormsWorkFlow.com