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• <br /> • <br /> FORM 8B MEMORANDUM OF -VOTING CONFLICT FOR , <br /> COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS <br /> 1.157 NAmi: FIRST NA.SII MIIIUI FNAMF NAME OF ROARU.COUNCIL,COMMISSION.AUTHORITY.OR COMMI I IEE <br /> `T1 el/ • U CZAAWISC;e-. 1`� G pis&ac^^ <br /> .}� eSiaS owl■v' • I HF.AItO.COUNCIL,COM MLSSIUN.AUTHOIII41 IV OK COmbliTTEE ON <br /> 1AII G AnPRESS <br /> WHICH I SERVE IS A UNIT OF: <br /> -4 0 'TLV c G:4_4 A-(/e. ItdU— 2 51l <br /> itc CrlY 0 COUNTY 0 <br /> Ot H <br /> ER otAI AGENCY <br /> COUNTY <br /> S,A yNke‘n 'Cs ks Bea ck, Ia,AAA-bask- <br /> NAME 01,POLITICAL SIIaDIVLIIONI <br /> C t rU <br /> 11A 1'E ON wflI('H CUIIie cct'RRR) MY PO. ION IS: q, <br /> JaN` ZZ t 1G Q F [LE['I ❑ APPOINTIVE • <br /> • <br /> 1 I 1 /` <br /> -WHO MUST FILE FORM BB - - <br /> - <br /> This form is for use by any person serving at the county, city, or other local level of government un an appointed or elected board, <br /> council, commission, authority, or committee. It applies equally to members of advisory and non-advisory bodies who are presented • <br /> with a voting conflict of interest-under Section 112.3143, Florida Statutes. .. <br /> Your responsibilities under the law when faced with a nteasurctin 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 <br /> before completing the reverse side and filing the form. <br /> • <br /> INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES <br /> ELECTED OFFICERS: <br /> • <br /> A person holding elective county, municipal, or other local public office-MUST ABSTAIN from voting on a measure which inures <br /> to his special private gain. Each local officer also is prohibited from`knowingly voting on a measure which inures to the special <br /> gain of a principal (other than a government agency) by whom he is retained. <br /> In either case, you should disclose thc conflict: <br /> PRIOR TO THE VOTE BEING TAKEN by publicly stating to the assembly the nature of your interest in the measure on <br /> which you 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 <br /> thc minutes of the meeting, who should incorporate the form in the minutes. <br /> APPOINTED OFFICERS: <br /> A person holding appointive county, municipal, or other local public office MUST ABSTAIN front voting on a measure which <br /> inures to his special private gain. Each local officer also is prohibited from knowingly voting on a measure which inures to the <br /> special gain of a principal (other than a government agency) by whom he is retained. <br /> A person holding an appointive local office otherwise may participate in a matter in which he has a conflict of interest, hut must <br /> disclose the nature of the conflict before making any attempt to influence the decision by oral or written communication, whether <br /> made by the officer or at his direction. <br /> IF YOU INTEND TO MAKE ANY .ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH <br /> THE VOTE WII.I. BE TAKEN: <br /> • You should complete and file this form (before making any attempt to influence the decision) with the person responsible for <br /> recording the minutes of the meeting, who will incorporate thc form in the minutes. <br /> • A copy of the form should be provided immediately to the other members of the agency. <br /> • The form should be read publicly at the meeting prior to consideration of the matter in which you have a conflict of interest. <br /> RAG I <br /> Cl FOR.M..R-I-91 <br />