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<br />CASS COUNTY <br />MIDA BOND APPLICATION FORM <br /> <br />1. Name of applicant: Plains Art Museum <br /> <br />2. <br /> <br />Telephone number of applicant: <br />232-3821 <br /> <br />3. Size of issue requested: <br />$2,000,000 <br /> <br />4. Type of issue (check one): <br />(a) Small issue - $1,000,000 [Section 144(a)] <br />(b) Small issue - $10,000,000 [Section 144(a)(4)] <br />(c) Qualified residential rental project [Section 142(a)(7)] <br />(d) X Qualified 50 1 (c )(3) issue [Section 145] <br />(e) X Refunding issue <br />(f) Other (specify type): <br /> <br />5. If type of issue checked was small issue ($1,000,000 or $10,000,000), is issue for a manufacturing facility <br />as defined in Section 144(a)(12)(C)? Yes No <br /> <br />6. If type of issue check was qualified residential rental project, will project meet the low income requirements <br />for tenants as set out in Section 142( d)? Yes No <br /> <br />7. Estimated date of issue if approved by County: November 24,2005 <br /> <br />8. Give a brief explanation ofproject, which explanation should include the location of the project, description <br />of the use of the bond proceeds, and whether or not the project would create additional employment: <br /> <br />Bond proceeds will be used to refund the outstanding Museum Facilities Revenue Bonds, Series <br />1996 (Plains Art Museum) (the "Series 1996 Bonds") issued by the City of Fargo. Proceeds of the <br />Series 1996 Bonds were used to finance a portion of the cost of renovating a building located at 704 <br />First Avenue North in Fargo for the Plains Art Museum. <br /> <br />9. Attached to the Application Form is a check in the amount of$1 ,000 which is the application fee, which fee <br />is nonrefundable. If issue does close, the application fee shall be deducted from the issuance fee set out in <br />paragraph 11. <br /> <br />10. Attached is a typed Initial Resolution giving project preliminary approval in substantially the form provided <br />by the County Auditor's office. The Initial Resolution shall be placed on the County Commission agenda <br />for a meeting determined by the County Auditor's office. No public hearing is required for refunding bonds. <br /> <br />11. The applicant understands that the issuance fee for a new MIDA bond issue is equal to 1 % of the first <br />$1,000,000 of the Bond issue and that there is no fee beyond the first $1,000,000. For refunding bond issues <br />the issuance fee is one-half of the amount set forth above. <br /> <br />Dated: October ~ 2005. <br /> <br />Plains Art Museum <br /> <br />By: <br /> <br />~_e<P~ <br /> <br />Its: Executive Director \ <br />