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<br />CASS COUNTY <br />MIDA BOND APPLICATION FORM <br /> <br />1. Name of applicant: Oak Grove Lutheran School <br /> <br />2. Telephone number of applicant: <br />237-0212 <br /> <br />3. Size of issue requested: <br />$2,400,000 <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 501(c)(3) issue [Section 145] <br />( e) Refunding issue <br />(t) 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 <br />facility 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 <br />requirements for tenants as set out in Section 142( d)? Yes No /tit A <br /> <br />7. Estimated date of issue if approved by County: November 20,2008 <br /> <br />8. Give a brief explanation of project, which explanation should include the location of the project, <br />description of the use of the bond proceeds, and whether or not the project would create additional <br />employment: <br /> <br />The Bond proceeds will be used to finance the construction and equipping of a new health and <br />wellness center and the renovation of Gorder Gymnasium on the campus of Oak Grove Lutheran <br />Schoollocated at 124 N. Terrace, Fargo, North Dakota (the "Project"). The Project is expected to <br />cost approximately $2,400,000 and will create additional employment during construction. <br /> <br />9. Attached to the Application Form is a check in the amount of $1 ,000 which is the application fee, <br />which fee is nonrefundable. If issue does close, the application fee shall be deducted from the <br />issuance fee set out in paragraph 11. <br /> <br />10. Attached is a typed Initial Resolution giving project preliminary approval and a Notice of Hearing, <br />both in the form provided by the County Auditor's office. The Initial Resolution and Notice shall <br />have a hearing date which has been provided to the applicant by the County Auditor's office. <br /> <br />11. The applicant understands that the issuance fee for a new MIDA bond issue is equal to 1 % of the <br />first $1 ,000,000 ofthe Bond issue and that there is no fee beyond the first $1,000,000. For refunding <br />bond issues the issuance fee is one-half of the amount set forth above. <br /> <br />Dated: September I~, 2008. <br /> <br />OAK GROVE LUTHERAN SCHOOL <br /> <br /> <br />~~~ <br />- - <br />