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<br />I <br /> <br />FORM 8B MEMORANDUM OF VOTING CONFLICT FOR <br />COUNTY MUNICIPAL AND OTHER LOCAL PUBLIC OFFICERS <br /> <br /> <br />LAST NAME-FIRST NAME-MIDDLE NAME <br />\ <br /> <br />o APPOINTIVE <br /> <br />WHO MUST FILE FORM 88 <br /> <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 /> <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. olease oay close attention to the instructions on this form before <br />completing the reverse side and filing the form. <br /> <br />INSTRUCTIONS FOR COMPLIANCE \f\j <br /> <br />A person holding elective or appointive county, municipal, or 0 <br />inures to his or her special private gain or loss Each elected or <br />sure which inures to the special gain or loss of a principal (othe <br />parent organization or subsidiary of a corporate principal by whi, <br />to the special private gain or loss of a business associate. Corr <br />163.357, F.S., and officers of independent special tax districts E <br />capacity. <br /> <br />For purposes of this law, a "relative" includes only the officer's <br />mother-in-law, son-in-law, and daughter-in-law. A "business as~ <br />enterprise with the officer as a partner, joint venturer, coowner <br />are not listed on any national or regional stock exchange). <br /> <br />ELECTED OFFICERS: <br /> <br />CoYMn ~ - <br />~~~ <br />/lQ'j~~~ <br />~~ <br />~~~AA . <br />11(7~ 4;l~) <br /> <br />UTES <br /> <br />a measure which <br />I voting on a mea- <br />ined (including the <br />ISS of a relative; or <br />~r Sec. 163.356 or <br />from voting in that <br /> <br />ister, father-in-law, <br />ling on a business <br />, of the corporation <br /> <br />In addition to abstaining from voting in the situations described above, you must disclose the conflict: <br /> <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 /> <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 /> <br />APPOINTED OFFICERS: <br /> <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 /> <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 /> <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 /> <br />CE FORM 8B - EFF. 112000 <br /> <br />PAGE 1 <br />