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Tab 9 Tax Exemption
Form 8038 -G Information Return for Tax - Exempt Governmental Obligations (Rev. September 2011) ► Under Internal Revenue Code section 149(e) OMB No. 1545 -0720 11 See separate instructions. Department of the Treasury Internal Revenue Service Caution: If the issue price is under $100,000, use Form 8038 -GC. EFFmVM Heoor"tma Authority If Amended R eturn - rhPrk hPra ► I 1 1 Issuer's name 2 Issuer's employer identification number (EIN) Monroe County, Florida 59- 6000749 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 Steven E. Miller, Esq., Bond Counsel 813/281 -2222 4 Number and street (or P.O. box if mail is not delivered to street address) 5 Report number (For IRS Use Only) c/o Nabor Giblin & N ickers o n, P.A., 2502 North Rocky Point Drive _. �7Rrrdsuite 1060 ._.... 3 f 6 City, town, or post office, state, and ZIP code 7 Date of issue Tampa, Florida 33607 Octob 21, 2014 8 Name of issue Monroe County, Florida Infrastructure Sales Surtax Improvement 9 CUSIP number and Refunding Revenue Bond, Series 2014 N/A 10a Name and title of officer or other employee of the issuer whom the IRS may call for more information (see 10b Telephone number of officer or other instructions) employee shown on 10a Kevin Madok, Sr. Director of Strategic Planning 305/2924 u Type of Issue (enter the issue price). See the instructions and attach sch edule.. 11 Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Health and hospital . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Transportation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Public safety . . . . . . . . 15 Environment (including sewage bonds) . . . . . . . . . . . . . . . . . . . . 16 Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Utilities . . . . . . . . . . . . . . . . 18 Other. Describe ► Genera Go vernmen t Capital Imp rovements and Refund Outstanding Bonds 19 If obligations are TANS or RANs, check only box 19a . . . . . . . . . . . . . ► ❑ If obligations are BANs, check only box 19b . . . . . . ► ❑ 20 If obligations are in the form of a lease or installment sale, check box . . . . . . ► ❑ 11 12 13 14 15 16 17 18 31,885,000' 00 M. Description of Obligations. Complete for the entire issue for which this form is being filed. (a) Final maturity date (b) Issue price (c) Stated redemption price at maturity (d) weighted average maturity (e) Yield 21 411/2024 31,885,000 $ 31,885,000 5.9059 years 2.3601 ©fi Uses of Proceeds of Mond 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 96,127 81 25 Proceeds used for credit enhancement . . . . . . . . . . . . 25 mm 0 00 26 Proceeds allocated to reasonably required reserve or replacement fund 26 _ _ 0 00 27 Proceeds used to currently refund prior issues . . . . . . . . 27 _7,097,100 79 28 Proceeds used to advance refund prior issues . . . . . 28 0 00 29 Total (add lines 24 through 28) . . . . . . . . . . . . . . . . . . . . . . 30 Nonrefunding proceeds of the issue (subtract line 29 from line 23 and enter amount here) . . 22 0 00 23 31,885,000 00 _ 7,193,308 60 3 24,691,6911 40 LEDZE Description of Refunded Bonds. Complete this part only for refunding bon 31 Enter the remaining weighted average maturity of the bonds to be currently refunded .. . . . ► 2.0036 y ea rs 32 Enter the remaining weighted average maturity of the bonds to be advance refunded . ► N/A years 33 Enter the last date on which the refunded bonds will be called (MM /DD/YYYY) . . . . . . ► 11/ 20/2014 34 Enter the date(s) the refunded bonds were issued ► (MM/DD/YYYY) 3/26/2003 For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 637735 Form 80W -G (Rev. 9 -2011) Form 8038 -G (Rev. 9 -2011) Paoe Miscellaneous v 35 Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) . . . . 35 36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract (GIC) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . 3 6a 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 . . . . . . . . . . . . . . . . . . . . . . . . 3 . 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 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)()(II) (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 Po- 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 , . . . . . „ . ► ❑ 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 ► ❑ and enter the amount of reimbursement . . . . . . . . . ► b Enter the date the official intent was adopted ► -- - 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! rey 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 proc—sffiA return, to t*wr9bs Mat t have authorize¢ %Prove. / 10121/2 Sylvia Murphy, Ma BOCC of issue utt rdzed represe4ative oate Type or print name and title PrIntlType preparers name Pre is sign r date PTIN Paid L If_ Che� ❑ f S teven E. Miller, Esq, 10121f14 eployed P01 236498 Preparer — - __ Use Only Firms name ► Nabors, Giblin & Nicker5on, P.R. �Firrm's EIN ► 59- 2427540 Firm's address ► 2502 North Rocky Point Drive, Suite 1060, Tampa, Florida 33607 Phone no. 8131281 -2222 Form 8038 -G (Rev. 9 -2011)