Notice Of Issue {Form L}

MINNESOTA MANAGEMENT & BUDGET ("MMB") TREASURY DIVISION NOTICE OF ISSUE Pursuant to Minnesota Statutes, Chapter 474A, as amended Due within 5 business days after issuance (each series if issued in series) or prior to 4:30 p.m. on the last business day in December (whichever occurs first) Form L Notice of Issue Revised May 2013 Page 1 of 2 Issuer's Name: Issuer's Address: Issuer's Employer Identification Number: Name of Issue: Date of Issue: CUSIP Number: Allocation under which issued: Entitlement: Current year authority Pool Certificate of Allocation number: Carryforward authority Type of Qualified Bonds under Federal Tax Law: Small Issue Bonds Public Facilities Bonds Governmental Bonds Name of enterprise: Nature of enterprise: Location of enterprise: Principal amount of this issue: Additional series to be issued: $ $ $ Interest Rate: Residential Rental Project Bonds Mortgage Bonds Enterprise Zone Facility Bonds Redevelopment Bonds Student Loan Bonds 501 (c) (3) Dollar amount of bonds issued subject to the annual volume cap: Term: Equity contributed to project: $ Other sources of financing (please specify): $ Amount previously issued for this project: Total cost of project: $ $ Original purchaser(s) of bond issue: Submitted by: Signature: Send two original copies to: (one copy will be signed by MMB and returned to bond counsel) Management and Budget -Treasury Division Attn: Susan Gurrola 400 Centennial Building, 658 Cedar Street St. Paul, Minnesota 55155-1489 Title: Date: For manufacturing projects, send one additional copy to: Minnesota Department of Employment and Economic Development Attn: Mr. Bob Isaacson First National Bank Building 332 Minnesota Street, Suite E200 St. Paul, Minnesota 55101-1351 Form L Notice of Issue Revised May 2013 Page 2 of 2 OPINION OF BOND COUNSEL (as provided to Department of Management and Budget ("MMB")) The undersigned has acted as bond counsel in connection with the issuance and delivery of the bonds named in this notice of issue. In this connection the undersigned has examined certificates of the issuer as to certain facts and circumstances and such other documents as deemed relevant and necessary in rendering this opinion. From such examination it is the opinion of the undersigned that the bonds meet the requirements of Minnesota Statutes, Chapter 474A, and Section 146 of the Internal Revenue Code of 1986, as amended, relating to the volume cap on private activity bonds. Additional comments (optional): By: (Name of Bond Counsel): Address: Signature: Date: CERTIFICATION BY THE DESIGNATED OFFICIAL OF THE MINNESOTA DEPARTMENT OF MANAGEMENT and BUDGET Based on the information supplied to the department in this notice of issue and bond counsel opinion, the undersigned official of the MMB hereby certifies, pursuant to section 149(e) of the Internal Revenue Code of 1986, as amended, ("the Code"), that the issue identified in this notice meets the requirements of Minnesota Statutes, Chapter 474A, and Section 146 of the Code relating to volume cap. By: (Name of MMB Official designated to provide this certification): Title: Signature: Date: Address: Department of Management and Budget 400 Centennial Building 658 Cedar Street St. Paul, MN 55155-1489