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Home My Public Portal About10-Form 8038-G.pdfSEROTA HELFMAN COLE BIERMAN Internal Revenue Service Center Ogden, UT 84201 January 19, 2021 Certified Mail Return Receipt Requested 7012 0470 0001 3402 8559 Re: $11,238,000 - Village of Key Biscayne, Florida Capital Improvement Revenue Refunding Bond, Series 2021 Dear Sir or Madam: Enclosed please find Form 8038-G, Information Return for Tax -Exempt Governmental Obligation, for the above referenced matter. If you have any questions regarding the foregoing, please do not hesitate to contact us. Sincerely, n \aia�D n Paralegal /ed K:\DOCS\0103\155\3I27964.DOCX Enclosure as noted. cc: Jeffrey D. DeCarlo, Esq. cleber r, s U.S. Postal ServiceTr,t CERTIFIED MAILTM RECEIPT (Domestic Mall Only; No Insurance Coverage Provided) tru O m Irq ID ID ID r� 1:3 11J iru : ri Ir- I Postage Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees Sent To oaf -&, $ Postmark Here Street, Apt. No.; or PO Box No. City, Slate, ZIP+4 PS Form 3800, August 2006 See Reverse for Instructions F. 80384 (Rev. September 2018) Department of the Treasury Internal Revenue Service MA Reporting Authority 1 Issuer's name Village of Key Biscayne, Florida 2 Issuer's employer identification number (BIN) 65.0291811 3a Name of person (other than issuer) with whom the IRS may communicate about this return (see instructions) 3b Telephone number of other person shown on 3a 4 Number and street (or P.O. box if mail is not delivered to street address) 88 West Mclntrye Street Room/suite 5 Report number (For IRS Use Onty) 13 6 City, town. or post office. state, and ZIP code Ke Bisca ne, Florida 33149 7 Date of issue 01/1512021 8 Name of issue Capital Improvement Revenue Refunding Bond, Series 2021 9 CUSIP number N.A. 1Oa Name and title of officer or other employee of the issuer whom the IRS may call for more information (see instructions) Chi a� R. Press, Interim Village Manager IMIIIPET 10b Telephone number of officer or other employee shown on 1Oa (305) 365-5506 Information Return for Tax -Exempt Governmental Bonds F. Under internal Revenue Code section 149(e) ► See separate instructions. Caution: if the issue price is under $100,000, use Form 8038 -GC. 1► Go to www.ire.gov/F8038G for instructions and the latest information. OMB No. 1545-0720 If Amended Return, check here ► ❑ ype of Issue (enter the issue price). See the instructions and attach schedule. 11 Education 12 Health and hospital 13 Transportation 14 Public safety . . . . . . . . . . . . . . . . . . . . 15 Environment (including sewage bonds) 16 Housing 17 Utilities 18 Other. Describe ► various capital improvements 19a If bonds are TANs or RANs, check only box 19a ►rl b If bonds are BANs, check only box 19b , . _ ► ❑ 20 If bonds are in the form of a lease or installment sale, check box ► El Part III Description of Bonds. Complete for the entire issue for which this form is being filed. 11 12 13 14 15 16 17 18 11,238,000 00 (a) Final maturity date (b} Issue price (c) Stated redemption price at maturity (d) Weighted average maturity 21 10/01/2032 ;i9 11,238,000 $ 11,238,000 4.7474 years Part IV Uses of Proceeds of Bond Issue (including underwriters' discount) 22 Proceeds used for accrued interest 23 Issue price of entire issue (enter amount from line 21, column (b)) 23 11,238,000 24 Proceeds used for bond issuance costs (including underwriters' discount) 24 25 Proceeds used for credit enhancement 26 Proceeds allocated to reasonably required reserve or replacement fund 27 Proceeds used to refund prior tax-exempt bonds. Complete Part V . 28 Proceeds used to refund prior taxable bonds. Complete Part V . . 29 Total (add lines 24 through 28) 11,238,000 30 Nonrefunding proceeds of the issue (subtract line 29 from line 23 and enter amount here) . . 30 Part V (e) Yield 25 26 39,965 0 0 27 11,198,034 28 Description of Refunded Bonds. Complete this part only for refunding bonds. 31 Enter the remaining weighted average maturity of the tax-exempt bonds to be refunded . . . ► 4.7179 years 32 Enter the remaining weighted average maturity of the taxable bonds to be refunded . . . . ► years 33 Enter the last date on which the refunded tax-exempt bonds will be called (MM/DD/YYYY) . . ► 01/15/2021 34 Enter the date(s) the refunded bonds were issued ► (MM/DD/YYYY) 08/01/2011 For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 63773S Form 8038-G (Rev. 5-2018) 0 40 00 00 60 00 29 22 0 1.2351 % 00 00 00 0 00 Signature and Consent Signature of issuer's authorized repr Form 8038-G (Rev. 9-2018) M Miscellaneous 35 Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) . 36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract (GIC). See instructions b Enter the final maturity date of the GIC ► (MM/DD/YYYY) c Enter the name of the GIC provider ► 37 Pooled financings: Enter the amount of the proceeds of this issue that are to be used to make loans to other governmental units 38a If this issue is a loan made from the proceeds of another tax-exempt issue, check box ► ❑ and enter the following information: b Enter the date of the master pool bond ► (MM/DD/YYYY) c Enter the EIN of the issuer of the master pool bond P. d Enter the name of the issuer of the master pool bond 39 If the issuer has designated the issue under section 265(b)(3)(B)(i)(IIl) (small issuer exception), check box 40 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box 41a If the issuer has identified a hedge, check here ► ❑ and enter the following information: b Name of hedge provider ► c Type of hedge ► d Term of hedge ► 42 If the issuer has superintegrated the hedge, check box ► ❑ 43 If the issuer has established written procedures to ensure that all nonqualified bonds of this issue are remediated according to the requirements under the Code and Regulations (see instructions), check box 10- 44 if the issuer has established written procedures to monitor the requirements of section 148, check box ► 45a If some portion of the proceeds was used to reimburse expenditures, check here ► 0 and enter the amount of reimbursement ► b Enter the date the official intent was adopted ► (MM/DD/YYYY) Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true correct, and complete. I further declare that I consent to the IRS's disclosure of the issuer's return information, as necessary to process thi eturn • the •erson that I have authorized above. Page 2 alive Paid Preparer Use Only Print/Type preparer's name Jeffrey DeCarlo Preps, Firm's name ► Weiss Serota Hellman C &isiennan, P.L. 2) Date Michael Davey, Mayor Type or print name and title tvt Date Check ❑ if self-employed PTIN Firm's address ► 2525 Ponce de Leon Blvd., Suite 700, Coral Gables, FL 33134 Firm's EIN ► P01491813 20-8112403 Phone no. 305.854-0800 Form 8038-G (Rev, 9=2018)