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<br /> F-ORM 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 . IRC Board of County Commissioners
<br /> THE BOARD , COUNCIL , COMMISSION , AUTHORITY OR COMMITTEE ON
<br /> MAILING ADDRESS
<br /> WHICH I SERVE IS A UNIT OF :
<br /> 1801 27th Street , Building A
<br /> ❑ CITY ,K7 COUNTY ❑ OTHER LOCAL AGENCY
<br /> CITY COUNTY
<br /> Vero Beach ,
<br /> Indian River NAME OF POLITICAL SUBDIVISION :
<br /> DATE ON WHICH VOTE OCCURRED MY POSITION IS :
<br /> March -;i1 2011 ELECTIVE IDAPPOINTIVE
<br /> WHO MUST FILE FORM 86
<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
<br /> 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 /> INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112 . 31431 FLORIDA STATUTES
<br /> A person holding elective or appointive county , municipal , or other local public office MUST ABSTAIN from voting on a
<br /> 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
<br /> 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
<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 . 356
<br /> or
<br /> 163 . 3571 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
<br />corporation
<br /> are not listed on any national or regional stock exchange ) .
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<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 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
<br /> made
<br /> by you or at your direction .
<br /> ENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE
<br /> IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLU
<br /> TAKEN :
<br /> • You must complete and file this form (before making any attempt to influence the decision ) with the person responsible for recording
<br /> the
<br /> minutes of the meeting , who will incorporate the form in the minutes . ( Continued on other side )
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<br /> CE FORM 813 - EFF . 112000
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