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Home My Public Portal About5) I.R.S. Form 8038-G.pdfWEISS SEROTA HELFMAN COLE & BIERMAN AT THE CROSSROADS OF BUSINESS, GOVERNMENT & THE LAW Internal Revenue Service Center Ogden, UT 84201 October 12, 2016 Certified Mail Return Receipt Requested 7012 0470 0001 3402 8238 Re: $5,668,151.79 Village of Key Biscayne, Florida Stormwater Utility Refunding & Improvement Revenue Bonds, Series 2016 Dear Sir or Madam: Enclosed please find Form 8038-G, Infoiination 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, >4),-.44oLD'-el Liddia Dunkleberger, Paralegal /ed K:\DOGS\0103\ 096\3AU7015.DOCX Enclosure as noted. cc: Jeff DeCarlo, Esq. 2525 Ponce De Leon Blvd., Ste. 700, Coral Gables, FL 33134 1305.854.0800 1 www.wsh-law.com U.S. Postal Service,. CERTIFIED MAILTM RECEIPT fil tin ru D rn rR D D D D D R.1 D (Domestic Mall Only; No Insurance Coverage Provided) For delivery information visit our website at www.usps.com® Postage Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees b143 . 0 POsimar Here Sent To Street, Apt. No.; or PO Box No. City, State, ZIP+4 PS Form 3800, August 2006 See Reverse for Instructions SENDER: COMPLETE THIS SECTION • Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. • Print yoi ,r name and address on the reverse so that can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: l it Ati- 4 A4 e a.l,Q_ Svc, cp Q rr1/4%, v - boo/ Article Number Transfer from service label) orm 3811, July 2013 COMPLETE THIS SECTION ON DELIVERY A. Signature X B. Received by (Printed Name) ❑ Ar,ent ❑ Iriresse C. Date.pf D. Is delivery address different from item 1? 0 Yes If YESS,.eofeL,delfvery address below: 0 No RECEIVED NO V 0 3 2016 3. S- ice ertifi ❑ Regis ❑ Insured Mail vD' rlori r Vail Exprdss'" turhtecef t f r Merchandise 0 Collect on Delivery 4. Restricted Delivery? (Extra Fee) 70 /c o4 W) co/ .3 o..z fair Domestic Return Receipt 0 Yes Form 8038-G (Rev'. September 2011) Department of the Treasury Internal Revenue Service Information Return for Tax -Exempt Governmental Obligations ► Under Internal Revenue Code section 149(e) ► See separate instructions. Caution: If the Issue price is under $100,000, use Form 8038 -GC. OMB No. 1545-0720 Part I Reporting Authority if Amended Return, check here ► 0 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 Mclntrye Street Room/suite 201 5 Report number (For IRS Use Only) 13 -'-_- 0 City, town, or post office, state, and ZIP code Key Biscayne, Florida 33149 7 Date of Issue 10/07/2016 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 II 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 5,668,151 79 16 17 18 19 If obligations are TANs or RANs, check only box 19a ► ■ If obligations are RANs, check only box 19b ► ■ 20 If obligations are in the form of a lease or installment sale, check box I. ■ Part 111 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 $ 5,668,151.79 $ 5,668,151.79 7.875 years 2.3500 Part IV Uses of Proceeds of Bond Issue (including underwriters' discount) 22 Proceeds used for accrued interest 23 ssue price of entire issue (enter amount from line 21, column (b)) 24 Proceeds used for bond issuance costs (including underwriters' discount) . . 24 20,000 22 0 23 5,668,151 79 5,668,151 79 -" 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 5,648,151 79 --- 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) . . 29 30 0 escription of Refunded Bonds. Complete this part only for refunding bonds. 31 Enter the remaining weighted average maturity of the bonds to be currently refunded . . . . ► 8.038 32 Enter the remaining weighted average maturity of the bonds to be advance refunded . . . ► 33 Enter the last date on which the refunded bonds will be called (MM/DD/YYYY) ► 10/07/2016 34 Enter the date(s) the refunded bonds were issued ► (MM/DD/YYYY) For Paperwork Reduction Act Notice, see separate instructions. 01/07/2014 years years Cat. No. 63773S Form 8038-G (Rev. 9-2011) Form B038 -G (Rev. 9-2011) Page 2 Ener 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 IN - 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 ► 0 and enter the following information: b Enter the date of the master pool obligation ► c Enter the EIN of the issuer of the master pool obligation ► d Enter the name of the issuer of the master pool obligation ► 39 If the issuer has designated the issue under section 265(b)(3)(B)(i)(Ill) (small issuer exception), check box - ► 0 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 ► 0 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 ► 0 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 ► 0 45a If some portion of the proceeds was used to reimburse expenditures, check here ► 0 and enter the amount of reimbursement 10 - • Enter the date the official intent was adopted ► 35 N.A. 36a 37 Signature and Consent 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 retum information, as necessary to process thia,rgirum, to the person that I have authorized above. ' Signature issu authori d represen ative /77/ '« Mayra P. Lindsay, Mayor D to Type or print name and title Paid Preparer Use Only Print/Type preparer's name Jeffrey DeCarlo Firm's name ► Weiss Serota Helfman Ce Bierman, P.L. Preparr s n,ture C Date /o %,Zo/(v. Check ❑ if self-employed Firm's EIN ► PTIN P01491813 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)