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sL y.g.(L1 <br />FORM 8B MEMORANDUM OF VOTING CONFLICT FOR <br />COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS <br />LAST NAME—FIRST NAME—MIDDLE NAME <br />Oa,V\S_ \tje-S _ 5 <br />NAME OF BOARD, COUNCIL, COMMISSION, AUTHORITY, OR COMMITTEE <br />�a^C <br />CO � <br />TrN6cl1Q.:we- °ad6sed Of �n M <br />MAILING ADDRESS <br />1 S O\ L ^ "Ty _ v1 ` v' (c_MtC 7� <br />1� <br />THE BOARD, COUNCIL, COMMISSION, AUTHOR OR COMMITTEE ON <br />WHICH I SERVE ISA UNIT OF: <br />❑ CITY%cowry ❑ OTHER LOCAL AGENCY <br />CIN <br />` rtl (1 _ - 1 <br />COUNTY <br />.-Xt.\ 8\ <br />NAME OF`\G!1 POLITICAL SUBDIVISION: <br />-�lU 2‘�� �� <br />DATE ON WHICH VOTE OCCURRED <br />\ i 81 1LI <br />MY POSITION IS: <br />y ELECTIVE 0 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 govemment on an appointed or elected board, council, <br />commission, authority, or committee. It applies to members of advisory and non -advisory bodies who are presented with a voting conflict of <br />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 form before <br />completing 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 a measure which <br />would inure to his or her special private gain or loss. Each elected or appointed local officer also MUST ABSTAIN from knowingly voting on <br />a measure which would inure to the special gain or loss of a principal (other than a government agency) by whom he or she is retained <br />(including the parent, subsidiary, or sibling organization of a principal by which he or she is retained); to the special private gain or loss of a <br />relative; or to the special private gain or loss of a business associate. Commissioners of community redevelopment agencies (CRAs) under <br />Sec. 163.356 or 163.357, 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 capacity. <br />For purposes of this law, a "relative" includes only the officer's father, mother, son, daughter, husband, wife, brother, 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 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 are <br />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 <br />minutes 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 are not prohibited by Section 112.3143 from otherwise <br />participating in these matters. However, you must disclose the nature of the conflict before making any attempt to influence the decision, <br />whether orally or in writing and whether made 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 page 2) <br />CE FORM 8B - EFF. 11/2013 <br />Adopted by reference in Rule 34-7.010(1)(f), F.A.C. <br />PAGE 1 <br />