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FO <br /> RM 8B MEMORANDUM OF VOTING CONFLICT' FO <br /> COUNTY MUNICIPAL AN ® OTHER LOCAL PUBLIC OFFICERS <br /> NAME—MIDDLE NAME <br /> E <br /> F BOARD, COUNCIL, COMMISSION. AUTHORITY, OR COMMITTEEle S . rd of County Commission <br /> rARD, COUNCIL , COMMISSION , AUTHORITY OR COMMITTEE ON <br /> Street SERVE IS A UNIT OF:COUNTY XIX COUNTY ❑ OTHER LOCAL AGENCY <br /> Indian River NAME OF POLITICAL SUBDIVISION: <br /> DATE ON WHICH VOTE OCCURRED <br /> march 29 _ 2005 MY POSITION IS: <br /> Ex 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 <br />, council,mmission , authority , or committee . It applies equally to members of advisory and non-advisory bodies who are presented with a <br /> voting <br /> nflict of interest Linder Section 112 . 3143 , Florida Statutes . <br /> ur 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 <br /> form before <br /> completing the reverse side and filing the form . <br /> FINSTRUCTIONS FOR COMPLIANCE WITH SECTION 112 . 3143 , FLORIDA STATUTES <br /> personhi�olding elective or appointive county , municipal , or other local public office MUST ABSTAIN from voting on a measure <br /> which <br /> is or her special private gain or loss . Each elected or appointed local officer also is prohibited from knowingly voting on a <br /> 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 <br /> ( 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 <br /> of a relative ; or <br /> to the special private gain or loss of a business associate . Commissioners of community redevelopment agencies under Sec. 163 . <br />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 <br /> 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 on <br />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 <br />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 recordingthe min - <br /> utes of the meeting , who should incorporate the form in the minutes. <br /> * * * * <br /> APPOINTED OFFICERS : <br /> Although YOU must abstain from voting in the situations described above , you otherwise may participate in these matters . However, <br /> you <br /> must disclose the nature of the conflict before making any attempt to influence the decision , whether orally or in writing and whether <br />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 /> CE FORM 86 - EFF. 1 /2000 <br /> PAGE 1 <br />