(To be completed by Senior Manager)
In accordance with the Purchase Agreement, this report is to be completed and returned to the State Treasurer's Office, Trust Services Division; 915 Capitol Mall, Room 107; Sacramento, CA 95814 within 10 days of closing of the below mentioned issue.
___________________________
Issuer
___________________________
Issue Description
Series ______________________________ Amount $ __________________________________________________ Date Sold __________________________________________________
___________________________
Senior Manager
Contact Person ________________________________________________________________________________ Phone__________________________________________________
1. MANAGEMENT FEE
Total: $__________
Lead Manager's share of management fee $______________________________ % of Total ______________________________ %
Co-Managers' share of management fees:
Co-Manager(s) | TBE* Firm(s) Yes/No | Management Fee | % of Total | |||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
* TBE --means target business enterprise which collectively includes minority business enterprises, or women business enterprises as both of these are defined in Section 16851 of the Government Code, and disabled veteran business enterprise as defined in Section 999 of the Military and Veterans Code. |
2. TAKEDOWN
a: Gross Takedown | ___________________________$ | |
Less Identified concessions | ___________________________$ | |
Net takedown | ___________________________$ | |
b: Takedown by Manager/Co-Managers/Syndicate member/Selling group member: |
Firm | TBE Firm Yes/No | Takedown (Excluding Identified Concessions) | % of Total | |||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % |
If necessary, continue in same format on an attachment labeled "Attachment A."
3. RISK | Total: $ | ___________________________ | ||
___________________________Lead Manager's risk: $ | ___________________________% of Total | % |
Co-Managers/Syndicate members risk:
Name | TBE Firm Yes/No | Amount | % of Total | |||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % | ||||
___________________________ | ___________________________ | ___________________________$ | ___________________________ | % |
If necessary, continue in same format on an attachment labeled "Attachment B."
4. EXPENSES | Total: $ | ___________________________ |
Professional Bond Services (PBS) Expenses | Firm | TBE Firm Yes/No | Compensation | |||
Underwriter's Counsel | ___________________________ | ___________________________ | ___________________________$ | |||
Underwriter's Co-Counsel | ___________________________ | ___________________________ | ___________________________$ | |||
Printing--OS/POS | ___________________________ | ___________________________ | ___________________________$ | |||
Printing--Bonds | ___________________________ | ___________________________ | ___________________________$ | |||
Other PBS Expenses: (Identify) | ||||||
___________________________ | ___________________________ | ___________________________ | ___________________________$ | |||
___________________________ | ___________________________ | ___________________________ | ___________________________$ | |||
___________________________ | ___________________________ | ___________________________ | ___________________________$ | |||
___________________________ | ___________________________ | ___________________________ | ___________________________$ | |||
All other Expensers (non-PBS) | ||||||
___________________________ | ___________________________ | ___________________________ | ___________________________$ | |||
___________________________ | ___________________________ | ___________________________ | ___________________________$ | |||
___________________________ | ___________________________ | ___________________________ | ___________________________$ | |||
___________________________ | ___________________________ | ___________________________ | ___________________________$ |
5. GROSS SPREAD | Total: $ | ___________________________ |
6. DVBE GOOD FAITH EFFORTS
The Senior Managing Underwriter on this bond sale took the actions indicated below to demonstrate a good faith effort to include DVBE firm(s) in this bond sale (indicate by marking with an "X").
___ At least one DVBE firm was included in the financing team for this bond sale and the DVBE participation was in accordance with the Treasurer's DVBE participation goals.
___ Contact was made with the Treasurer's Office to identify Certified DVBEs;
___ At least one certified DVBE firm was invited to participate on the financing team for this bond sale;
___ The financing team was formed under the specific direction of the Treasurer's Office.
Cal. Code Regs. Tit. 2, div. 2, ch. 4, subch. 4, art. 4, app C
A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 8-8-89.
2. Certificate of Compliance transmitted to OAL 8-8-89 and filed 9-7-89 (Register 89, No. 40).
Note: Authority cited: Section 16853, Government Code. Reference: Section 16853, Government Code.