Ordinance 2009-323 - Laserfiche WebLink

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Information Return for Tax-Exempt Governmental Obligations ~ Under Internal Revenue Code section 149(e) OMB No. 1545.0720 ~ See separate Instructions. Caution: Ifthe issue price is under $100,000, use Form B03B.GC. Authorit If Amended Return. check here ~ 0 2 Issuer's employer identification number 65 i 0784647 Room/suite 4 Report number 3 01 Form 8038-G (Rev. November 2000) 3 Number and street (or P.O. box if mail is not delivered to street address) 18070 Collins Avenue 5 City, town, or post office, state, and ZIP code SUNNY ISLES BEACH, FLORIDA 33160 6 Date of issue 06/08/2009 7 Name of issue 8 CUSIP number Promisso Note None 9 Name and title of officer or legal representative whom the IRS may call for more information 10 Telephone number of officer or legal representative Doug Haag, Assistant City Manager - Finance ( 305 ) 792-1775 T e of Issue (check a licable box(es) and enter the issue rice) See instructions and attach schedule 11 0 Education 11 12 0 Health and hospital 12 13 0 Transportation . 13 14 0 Public safety. 14 15 0 Environment (including sewage bonds) 15 16 0 Housing . 16 17 0 Utilities . . . . . . . . . . . . . . . . . 17 18 ~ Other. Describe ~ VARIOUS CAPITAL EXPENDITURES 18 20,000,000 19 If obligations are TANs or RANs, check box ~ 0 If obligations are BANs, check box ~ 0 20 If obli ations are in the form of a lease or installment sale, check box ~ 0 Descri tion of Obli ations. Com Jete for the entire issue for which this form is bein (d) Weighted average maturity (c) Stated redemption price at maturity (e) Yield (b) Issue price (a) Final maturity date 4.03 % 20,000,000 12.5 underwriters' discount 21 22 23 24 25 26 27 28 29 30 20,000,000 24 25 26 27 28 20,000,000 years years 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 Enter the last date on which the refunded bonds will be called Enter the date(s) the refunded bonds were issued ~ Miscellaneous Enter the amount of the state volume cap allocated to the issue under section 141 (b)(5) Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract (see instructions) Enter the final maturity date of the guaranteed investment contract ~ Pooled financings: a Proceeds of this issue that are to be used to make loans to other governmental units 37a If this issue is a loan made from the proceeds of another tax-exempt issue, check box ~ 0 and enter the name of the issuer ~ and the date of the issue ~ If the issuer has designated the issue under section 265(b)(3)(B)(i)(lll) (small issuer exception), check box - ~ III If the issuer has elected to pay a penalty in lieu of arbitrage rebate. check box ~ 0 If the issuer has identified a hed e, check box ~ 0 Under penalties or perjury. I declare that I have examined this return and accompanying schedules and statements. and to the best of my knowledge and/):ey re true, correct, a d complete. ~ Signa re of issuer's authorized representative 06/08/~a~~9 31 32 33 34 35 36a b 37 b 38 39 40 Sign Here ~ Norman S. Edelcup, Mayor r Type or print name and title Cat. No. 63773S Form 8038-G (Rev. 11.2000) For Paperwork Re uction Act Notice, see page 2 of the Instructions. *