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I • P, , <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 COMMITTEE <br /> Davis Wesley S . IRC Board of Cnijnt. � rnMM1qc; 1nn __ <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 13CITY COUNTY ❑ OTHER LOCAL AGENCY <br /> Vero Beach Indian River NAME OF POLITICAL SUBDIVISION: <br /> DATE ON WHICH VOTE OCCURRED <br /> I MY POSITION IS: <br /> I November 3 , 2009 0 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 <br /> or elected board , council , <br /> commission , authority, or committee . It applies equally to members of advisory and non - advisory bodies who are presented <br /> 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 <br /> greatly depending <br /> on whether you hold an elective or appointive position . For this reason , please pay close attention to the instructions <br /> 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 <br /> a measure which <br /> inures to his or her special private gain or loss . Each elected or appointed local officer also is prohibited from <br />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 <br /> retained (including the <br /> parent organization or subsidiary of a corporate principal by which he or she is retained) ; to the special private gain <br /> 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. <br /> 163 . 356 or <br /> 163 . 3571 F . S . , and officers of independent special tax districts elected on a one- acre , one-vote basis are not prohibited <br /> 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, <br /> 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 <br /> on a business <br /> enterprise with the officer as a partner, joint venturer, coowner of property , or corporate shareholder (where the shares <br /> of the corporation <br /> are not listed on any national or regional stock exchange) . <br /> , t f R f f , • , f Y • • , , Y <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 <br /> 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. <br /> However, you <br /> must disclose the nature of the conflict before making any attempt to influence the decision , whether orally or in writing <br /> and whether made y <br /> by you or at your direction . <br /> IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECI 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 <br />for recording the <br /> minutes of the meeting , who will incorporate the form in the minutes. (Continued on other side) <br /> CE FORM BEI - EFF. 112000 PAGE 1 <br />