HomeMy Public PortalAbout11) I.R.S. Form 8038-G.pdfWEISS SEROTA HELFMAN
PASTOHIZA COLE & BONISKE, P.I..
MITCHELL BIERMAN, P.A.
NINA L. BONISKE, P.A.
MITCHELL J. BURNSTEIN, P.A.
JAMIE ALAN COLE, P.A.
STEPHEN J. HELFMAN, P.A.
GILBERTO PASTORIZA, P.A.
MICHAEL S. POPOK. P.A.
JOSEPH H. SEROTA, P.A.
SUSAN L. TREVARTHEN, P.A.
RICHARD JAY WEISS, P.A.
DAVID M. WOLPIN, P.A.
DANIEL L. ABBOTT
LILLIAN M. ARANGO
GARY L. BROWN
JONATHAN M. COHEN
IGNACIO G. DEL VALLE
JEFFREY D. DECARLO
ALAN K. FERTEL
CHAD S. FRIEDMAN
ALAN L. GABRIEL
DOUGLAS R. GONZALES
EDWARD G. GUEDES
JOSEPH HERNANDEZ
ROGER 5. KOBERT
JOSHUA D. KRUT
MATTHEW H. MANDEL
JOHN J. QUICK
ANTHONY L. RECTO
BRETT J. SCHNEIDER
CLIFFORD A. SCHULMAN
MARC SOLOMON
LAURA K. WENDELL
JAMES E. WHITE
ATTORNEYS AT LAW
A PROFESSIONAL LIMITED LIABILITY COMPANY
INCLUDING PROFESSIONAL ASSOCIATIONS
MIAMI-DADE OFFICE
2525 PONCE DE LEON BOULEVARD
SUITE 700
CORAL GABLES, FLORIDA 33134
TELEPHONE 305-854-0800
FACSIMILE 305-854-2323
WWW.WSH-LAW.COM
BROWARD OFFICE
200 EAST BROWARD BOULEVARD • SUITE 1900
FORT LAUDERDALE, FLORIDA 33301
TELEPHONE 954-763-4242 • FACSIMILE 954-764-7770
Internal Revenue Service Center
Ogden, UT 84201
*OF COUNSEL.
January 7, 2014
SONJA C. DARBY
BROOKE P. DOLARA
RAQUEL ELEJABARRIETA•
DANIEL A. ESPINO
ERIC P. HOCKMAN
KELLY RAINS JESSON
KAREN LIEBERMAN•
JUSTIN D. LUGER
JOHANNA M. LUNDGREN
MIA R. MARTIN
ALEIDA MARTINEZ MOLINA•
KATHRYN M. MEHAFFEY
ROBERT A. MEYERS•
MATTHEW PEARL
MARC C. PUGLIESE•
CARLOS M. RODRIGUEZ•
GAIL D. SEROTA•
ALISON F. SMITH*
ANTHONY C. SOROKA
EDUARDO M. SOTO
PABLO A. TAMAYO
JOANNA G. THOMSON
PETER D. WALDMAN•
ALICIA H. WELCH
SAMUEL I. ZESKIND
Certified Mail
Return Receipt Requested
7012 0470 0001 3402 7996
Re: $6,575,000 Village of Key Biscayne Florida Stormwater Utility
Refunding and Improvement Revenue Bonds, Series 2013
Dear Sir or Madam:
Enclosed please find Form 8038-G, Information Return for Tax -Exempt
Governmental Obligations, for the above referenced bond issue.
If you have any questions regarding the foregoing, please do not hesitate to
contact us.
Sincerely,
/ed
K:\DOGS\01031096136G0128.DOCX
Enclosure as noted.
Cc: Jeff DeCarlo, Esq.
Liddia Dunkleberger,
Paralegal
2402 7996
rtr'
CERTIFIED MAIL. RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
For delivery intormation visit our webstte arwww.usps.com
Postage
Certified Fee
1-9
O Return Receipt Fee
(Endorsement Required)
7012 0470
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees
ohee.0S.G.
Postmark
Here
Sent To
Street, Apt. No.;
or PO Box No.
City, State, ZIP+4
PS Form 3800,: August 2006
SeeRevere for Instructions
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
133 Print your name and address on the reverse
so that we can return the card to you.
RI Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
c:Pn-trK S -'�'
A. Signature
X
❑ Agent
0 Addressee
D. Is delivery ress dtfferpnt frgm; Item 1? 0 Yes
If YES, ent riff 11v Ed r' t 'o' , 0 No
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JAN 21. ?014
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3. Service 14 7 }
ertiffed 11A911- b Express Nlaii
❑ Registered .. Retum Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery? (Extra Fee)
0 Yes
2, Article Number
(Transfer from service label) 70 !2 0'170 —(x)0/— -17(i4°2--
S5
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540
Form 8038—G
(Rev. September 2011)
Department of the Treasury
Internal Revenue Service
Information Return for Tax -Exempt Governmental Obligations
Part I
Reportinu Authori
► Under Internal Revenue Code section 149(e)
P. See separate instructions.
Caution: if the issue price is under $100,000, use Form 8038 -GC.
OMB No. 1545-0720
If Amended Return, check here ►
1 Issuer's name
Village of Key Biscayne, Florida
2 Issuer's employer identification number (EIN)
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 Mcintrye Street
Room/suite
201
5 Report number (For IRS Use Only)
13
6 City, town, or post office, state, and ZIP code
Key Biscayne, Florida 33149
7 Date of issue
01/07/2014
8 Name of issue
Stormwater Utility Refunding and Improvement Revenue Bonds, Series 2013
9 CUSIP number
N.A.
10a Name and title of officer or other employee of the issuer whom the IRS may call for more information (see
instructions)
John C. Gilbert, Village Manager
10b Telephone number of officer or other
employee shown on 10a
(305) 365.5506
Part 11
Type 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 ►
11
12
13
14
15
6,575,000
16
17
18
19 If obligations are TANs or RANs, check only box 19a P. ■
If obligations are BANs, check only box 19b ► 1
20 If obligations are in the form of a lease or installment sale, check box ► ■
Part III Description of Obligations. Complete for the entire issue for which this form is being filed.
21
(a) Final maturity date
(b) Issue price
(c) Stated redemption
price at maturity
(d) Weighted
average maturity
(e) Yield
10/01/2030
$ 6,575,000
$ 6,575,000
9.492 years
3.3504
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))
24 Proceeds used for bond issuance costs (including underwriters' discount) . .
24
75,000
22
0
23
6,575,000
29
3,245,000
25 Proceeds used for credit enhancement
25
0
26 Proceeds allocated to reasonably required reserve or replacement fund
26
0
27 Proceeds used to currently refund prior issues
27
3,170,000
28 Proceeds used to advance refund prior issues
28
0
29 Total (add lines 24 through 28)
30 Nonrefunding proceeds of the issue (subtract line 29 from line 23 and enter amount here) . .
30
3,330,000
Part V
31
32
33
34 Enter the date(s) the refunded bonds were issued IN. (MM/DD/YYYY)
For Paperwork Reduction Act Notice, see separate instructions.
Description of Refunded Bonds. Complete this part only for refunding bonds.
Enter the remaining weighted average maturity of the bonds to be currently refunded . ►
Enter the remaining weighted average maturity of the bonds to be advance refunded . 10 -
Enter the last date on which the refunded bonds will be called (MM/DD/YYYY) ►
07/18/2011
3.483
01/07/2014
years
years
Cat. No. 63773S Form 8038-G (Rev. 9-2011)
Form 8038-G (Rev. 9-2011)
Page 2
Part VI
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 ►
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
If this issue is a loan made from the proceeds of another tax-exempt issue, check box ► ❑ and enter the following information:
Enter the date of the master pool obligation ►
Enter the EIN of the issuer of the master pool obligation ►
Enter the name of the issuer of the master pool obligation ►
If the issuer has designated the issue under section 265(b)(3)(B)(i)(III) (small issuer exception), check box ► ❑
If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box ► ❑
If the issuer has identified a hedge, check here ► ❑ and enter the following information:
Name of hedge provider
Type of hedge ►
Term of hedge ►
38a
b
c
d
39
40
41a
b
c
d
35
N.A.
36a
37
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 ►
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 10 -
Signature
and
Consent
Paid
Preparer
Use Only
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
p oc= s is return, to person that I have authorized above.
Print/Type preparers name
Jeffrey DeCarlo
19
3Ii4
thorized representative Date
Franklin Caplan, Mayor
Type or print name and title
Prepay 's sisi ature
P totR"aA
Firm's name ► Weiss Serota Helfman ole & Boniske, P.L,
Date
/7/2-‘)/Y
Check 0 if
self-employed
PTIN
P01491813
Firm's EIN ► 20.8112403
Firm's address ► 2525 Ponce de Leon Blvd., Suite 700, Coral Gables, FL 33134
Phone no. 305.854.0800
Form 8038-G (Rev. 9-2011)