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«/04/ 07 <br /> 4 . A . I . 200 y ! � A <br /> FORM 813 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 COMMITTEE <br /> DAVIS WESLEY S . BOARD OF COUNTY COMMISSIONERS <br /> MAILING ADDRESS THE BOARD, COUNCIL, COMMISSION. AUTHORITY OR COMMITTEE ON <br /> 1801 27th Street , Building A WHICH I SERVE IS A UNIT OF: <br /> CITY COUNTY ❑ CITY OUNTY ❑ OTHER LOCAL AGENCY <br /> Vero Beach Indian River NAME OF POLITICAL SUBDIVISION: <br /> DATE ON WHICH VOTE OCCURRED <br /> MY POSITION IS: <br /> December 4 2007 (X 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 /> 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 /> 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 /> - - - - - - ' - - -- . .__ _ _ PAGEt <br />