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<br /> FORM 8B MEMORANDUM OF VOTING CONFLICT FOR
<br /> COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
<br /> LAST NAME—FIRST NAME—MIDDLE NAME NAME OF BOARD,COUNCIL,COMMISSION,AUTHORITY,OR COM ITTEE
<br /> MAILING ADDRESS THE BOARD,COUNCIL,COMMISSION,AUTHORITI OR COMMITTEE ON
<br /> 3?,(1 7 1A'O-r-'C (�/ _ WHICH I SERVE IS A UNIT OF:
<br /> CITY [�L�TT'� �`COcUNTLp -14 NAM OF POLITICA SUBDIIVIJSIwON: �+ �.❑/OTHER LO�CA�LjA�G,ENCY
<br /> DATE ON WHICH VOTE OCC Rip � �•-C-,, ,//,�L + SIT n,V ? l\LZ��+iEAdE i
<br /> ' MY POSITION IS:
<br /> b/jV` 7/ ELECTIVE ❑ APPOINTIVE
<br /> WHO MUST FILE FORM 8B
<br /> This form is for use by any person serving at the county, city, or other local level of government on an appointed or elected board, council,
<br /> commission, authority, or committee. It applies equally to members of advisory and non-advisory bodies who are presented with a voting
<br /> conflict of interest under Section 112.3143, Florida Statutes.
<br /> Your responsibilities under the law when faced with voting on a measure in which you have a conflict of interest will vary greatly depending
<br /> on whether you hold an elective or appointive position. For this reason, please pay close attention to the instructions on this form before
<br /> completing the reverse side and filing the form.
<br /> INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
<br /> A person holding elective or appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which
<br /> inures to his or her special private gain or loss. Each elected or appointed local officer also is prohibited from knowingly voting on a mea-
<br /> sure which inures to the special gain or loss of a principal (other than a government agency) by whom he or she is retained(including the
<br /> parent organization or subsidiary of a corporate principal by which he or she is retained); to the special private gain or loss of a relative; or
<br /> to the special private gain or loss of a business associate. Commissioners of community redevelopment agencies under Sec. 163.356 or
<br /> 163.357, F.S., and officers of independent special tax districts elected on a one-acre, one-vote basis are not prohibited from voting in that
<br /> capacity.
<br /> For purposes of this law, a "relative" includes only the officer's father, mother, son, daughter, husband, wife, brother, sister, father-in-law,
<br /> mother-in-law, son-in-law, and daughter-in-law. A"business associate" means any person or entity engaged in or carrying on a business
<br /> enterprise with the officer as a partner,joint venturer, coowner of property, or corporate shareholder(where the shares of the corporation
<br /> are not listed on any national or regional stock exchange).
<br /> 4 t f f • t t ♦ • f k Y • t f
<br /> ELECTED OFFICERS:
<br /> In addition to abstaining from voting in the situations described above, you must disclose the conflict:
<br /> PRIOR TO THE VOTE BEING TAKEN by publicly stating to the assembly the nature of your interest in the measure on which you
<br /> are abstaining from voting; and
<br /> WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and filing this form with the person responsible for recording the min-
<br /> utes of the meeting,who should incorporate the form in the minutes.
<br /> f f f t 4 f ♦ ♦ f 4 f • f f f
<br /> APPOINTED OFFICERS:
<br /> Although you must abstain from voting in the situations described above, you otherwise may participate in these matters. However, you
<br /> must disclose the nature of the conflict before making any attempt to influence the decision, whether orally or in writing and whether made
<br /> by you or at your direction.
<br /> IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE
<br /> TAKEN:
<br /> • You must complete and file this form(before making any attempt to influence the decision)with the person responsible for recording the
<br /> minutes of the meeting,who will incorporate the form in the minutes. (Continued on other side)
<br /> CE FORM 8B-EFF. 1/2000 PAGE 1
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