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APPOINTED OFFICERS ( continued ) • A copy of the form must be provided immediately to the other members of the agency . • The form must be read publicly at the next meeting after the form is filed . IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING : • You must disclose orally the nature of your conflict in the measure before participating . • You must complete the form and file it within 15 days after the vote occurs with the person responsible for recording the minutes of the meeting , who must incorporate the form in the minutes . A copy of the form must be provided immediately to the other members of the agency , and the form must be read publicly at the next meeting after the form is filed . DISCLOSURE OF LOCAL OFFICER' S INTEREST I , Bob Solari hereby disclose that on October 18 2011 ( a ) Ameasure came or will come before my agency which (check one) //inured to my special private gain or loss; inured to the special gain or loss of my business associate , inured to the special gain or loss of my relative , inured to the special gain or loss of by whom I am retained ; or inured to the special gain or loss of which is the parent organization or subsidiary of a principal which has retained me . (b) The measure before my agency and the nature of my conflicting interest in the measure is as follows: �ssc�c. P .o,-e � � -• Silt. �o�--��/ �.�.e � ��j Q. � .ev ,a.� �- /G" )C,� � i►-r .ee��► �-K-� � tic « � jr� e 4 z'�� c,► p Date Filed Signature NOTICE : UNDER PROVISIONS OF FLORIDA STATUTES § 112 . 317 , A FAILURE TO MAKE ANY REQUIRED DISCLOSURE CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING : IMPEACHMENT , REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION , REDUCTION IN SALARY , REPRIMAND , OR A CIVIL PENALTY NOT TO EXCEED $ 101000 . PAGE 2 CE FORM 8B - EFF . 1 /2000