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<br />Form 8038-G Information Return for Tax-Exempt Governmental Obligations
<br /> ~ Under Internal Revenue Code section 149(e) OMS No, 1545-0720
<br />(Rev. November 2000) ~ See separate Instructions.
<br />Department of the Treasury Caution: If the issue price is under $100,000, use Form 803B-GC.
<br />Intemal Revenue Service
<br />I Part II Reporting Authority If Amended Return, check here ~ 0
<br />1 Issuer's name 2 Issuer's employer identification number
<br />City of Sunny Isles Beach, Florida 65-0784647
<br />3 Number and street (or P.O. box if mail is not delivered to street address) Room/suite 4 Report number
<br />18070 Collins Avenue 3 2010-1
<br />s City, town, or post office, state, and ZIP code 6 Date of issue
<br />Sunny Isles Beach, Florida 33160 03/24/2010
<br />7 Name of issue 8 CUSIP number
<br />Capital Improvement Revenue Bonds, Series 2010 N.A.
<br />9 Name and tille of officer or legal representative whom the IRS may call for more information 10 Telephone number of officer or legal representati'v'e
<br />Rick Conner, City Manaqer 305-792-1775
<br />I Part III Type of Issue (check applicable box(es) and enter the issue price) See instructions and attach schedule
<br />11 o Education. , , , . , , . . . . , . . , . . , . , , , , . . , . . . . , . . . , . , , . . . . , , . . . . . . . . , . , . , . . , , , , , , . 11
<br />12 o Health and hospital. . . . . . . , , . , , , . , , , , , , , , , , . . , . , , . . , , . . , . . . , . , . . , , . , , . . . . , , , , , 12
<br />13 o Transportation ............................................................. . 13
<br />14 o Public safety. . . , , , . . . . , . , , . . , , . . . . . , , . . . , . . . . . , , . , . , . , . , , , , . . , . . . , . . . . , . , . , , 14
<br />15 GJ Environment (including sewage bonds) . . , , , . . . , . . , . . , . , , , , . . . . , . . . , , , . , , . . . , , , , , . , 15 15 000 000
<br />16 o Housing, . .. . , . , .. , , , . . . , . , , . . , . . , . .. ., . , . , . , , , .. . , .. .. . . . . , . , " . , , ., .. . , , , 16
<br />17 o Utilities, , . . . , . , , , , , . , . . , . , . , , . . . . . . , . . , , , , . . . . . , , . . . . . . , . , , , , , . , . . . . . . , , , , , 17
<br />18 o Other. Describe ~ 18
<br />19 If obligations are TANs or RANs, check box ~ 0 If obligations are BANs, check box, , , , , , ~D
<br />20 If obligations are in the form of a lease or installment sale, check box ................ . ~D
<br />I Part 1111 Description of Obligations. (Complete for the entire issue for which this form is being filed.)
<br /> (a) Final maturity date (b) Issue price (e) Stated redemption (d) Weighted (e) Yield
<br /> price at maturity average maturity
<br />21 03/24/2025 $ 15,000 000 $ 15,000,000 8 . 6 years 4.22 %
<br />!PartlVI Uses of Proceeds of Bond Issue (including underwriters' discount)
<br />22 Proceeds used for accrued interest, . . , , , , . . , . , . , , . , . . . , , . . . . . . . . . . . , . . , . . . , . . . . , . , . . 22 0
<br />23 Issue price of entire issue (enter amount from line 21, column (b)) . , , . , , , . , . , , . . , , , , , , , , , , . , 23 15 000 000
<br />24 Proceeds used for bond issuance costs (including underwriters' discount) 24 15 000
<br />25 Proceeds used for credit enhancement, , , , . . , . , . , , , , . , . , , . , . . . . . . 25 n
<br />26 Proceeds allocated to reasonably required reserve or replacement fund . , 26 n
<br />27 Proceeds used to currently refund prior issues , , , , , , . . , , , , , . , . . . , . , 27 0
<br />28 Proceeds used to advance refund prior issues , , , , , , . , , , , , , , , . . . , . , 28 0
<br />29 Total (add lines 24 through 28) . . . , . , , , , , . . , . , , , , . , . , , , , . . . . . . . . . , , . . , , . , , , . , . . . , , , . 29 15,000.00
<br />30 Nonrefunding proceeds of the issue (subtract line 29 from line 23 and enter amount here) , , , . , . , . 30 14,985,000.00
<br />I Part V I Description of Refunded Bonds (Complete this part only for refunding bonds.)
<br />
<br />31 Enter the remaining weighted average maturity of the bonds to be currently refunded, . , . , , , . . ,. ~
<br />32 Enter the remaining weighted average maturity of the bonds to be advance refunded, , , , . , , . . " ~
<br />33 Enter the last date on which the refunded bonds will be called , . . . . , , . . , , . , , , , , , , . . , , , . , .. ~
<br />34 Enter the date(s) the refunded bonds were issued ~
<br />
<br />years
<br />years
<br />
<br />I Part VII Miscellaneous
<br />35 Enter the amount of the state volume cap allocated to the issue under section 141 (b)(5) ........ . 35 0
<br />36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract (see instructions) ,... 36a 0
<br /> b Enter the final maturity date of the guaranteed investment contract ~
<br />37 Pooled financings: a Proceeds of this issue that are to be used to make loans to other governmental units , . , , , , , , , , , 37a 0
<br />
<br />b If this issue is a loan made from the proceeds of another tax-exempt issue, check box ~ Dand enter the name of the
<br />issuer ~ and the date of the issue ~
<br />If the issuer has designated the issue under section 265(b)(3)(B)(i)(lIl) (small issuer exception), check box " , , , . , . , , , , ~ 0
<br />If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box, , , . , , , , , , , , , , . , . . . , , . , , , , . , , , . , , , ~ 0
<br />If the issuer has identified a hedge, check box , . . . . , . , , , . . . . , , , , . . , . . . . , , . . . , , , . . . . , , . , , , . . , . . , , , , , , , , , . ~ 0
<br />Under penalties of perjury, I declare that have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief,
<br />tire ~. orrect;;;a. nd c mplete,
<br />Norman S. Edelcup
<br />~ ~ Mayor
<br />,. Sign ure of issuer's auth rized repre ,. Type or print name and title
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<br />Sign
<br />Here
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<br />
<br />For Paperwork
<br />STF FED6403F
<br />
<br />ISA
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<br />Form 8038-G (Rev. 11-2000)
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