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<br />- <br /> <br />J <br /> <br />./ <br /> <br /> <br />FORM 8B MEMORANDUM OF VOTING CONFLICT FOR <br />COUNTY MUNICIPAL AND OTHER LOCAL PUBLIC OFFICERS <br /> <br />LAST NAME-FIRST NAME-MIDDLE NAME <br />- bE.L Rm f\} S. <br />MA2G ADDRESS \ C. \ S <br />CITY <br />:; rJrJ <br /> <br />o APPOINTIVE <br /> <br />This form is for use by any person serving at the county, city, or other local level 0: <br />commission, authority, or committee, It applies equally to members of advisory ar <br />conflict of interest under Section 112.3143, Florida Statutes. <br /> <br />WHO MUST FILE FORIV' OD <br /> <br />yY\~ - ~ <br />~ IOC. <br />Ffl~~ <br />v"A-'.-A1t~ ~ <br /> <br />ted board, council, <br />3nted with a voting <br /> <br />Your responsibilities under the law when faced with voting on a measure in which ~ <br />on whether you hold an elective or appointive position, For this reason, please p. <br />completing the reverse side and filing the form, <br /> <br />I greatly depending <br />:>n this form before <br /> <br />INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES <br /> <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 /> <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 /> <br />ELECTED OFFICERS: <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 AITEMPT 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. 1/2000 <br /> <br />PAGE 1 <br />