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Oct <br /> FORM 8B MEMORANDUM OF VOTING CONE ao <br /> LLASTNA9ME-FIRSTUNTY, MUNICIPAL , AND OTHER LOCAL PUBLICCT FOR <br /> NAME-MIDDLE NAME OFFICERS <br /> We . NAME OF BOARD, COUNCIL , COMMISSION, AUTHORITY, OR COMMITTEE <br /> ley S <br /> RESS Mi ssionTHE BOARD, COUNCIL , COMMISSION, AUTHORITY OR COMMITTEE ON <br /> 27th Street Buildin wHICHISERVEISAUNITOF: <br /> COUNTY ❑ CITY COUNTY ❑ OTHER LOCAL AGENCY <br /> Beach Indian River NAME OF POLITICAL SUBDIVISION: <br /> DATE ON WHICH VOTE OCCURRED <br /> November 10 , 2009 MY POSITION IS: � Ip EX <br /> ELECTIVE O APPOINTIVE <br /> WHO MUST FILE FORM 813 <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 , <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 <br /> form before <br /> completing the reverse side and filing the form. <br /> FINSTRUCTIONS FOR COMPLIANCE WITH SECTION 112 . 3143 , FLORIDA STATUTES <br /> Aperson holding elective or appointive county, municipal, or other local public office MUST ABSTAIN from voting on a meas7amea- <br /> sure <br /> ich <br /> his or her special private gain or loss. Each elected or appointed local officer also is prohibited from knowingly voting owhich inures <br /> 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 <br /> 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 <br /> 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, <br /> 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 /> 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, <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 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 8B - EFF . 1 /2000 <br /> PAGE 1 <br />