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Agency Name: Indian River County Sheriffs Office <br />RELATED PARTIES QUESTIONNAIRE <br />This form must be completed and signed by the Executive Director or an agency official who is authorized <br />to enter into contractual agreements. Attach additional pages if needed. <br />1. Are there currently any family relationships that exist between the board of directors, the agency's YES/NO <br />principal officers, the agency's employees, and any independent contractors? I NO <br />If yes, describe any and all family relationships that exist. <br />2. Are you aware of any interests, direct or indirect, that exist with the current board of directors, the current <br />agency principal officers, the current agency employees, or any current independent contractors in the following <br />area? <br />YES/NO <br />(a) Sale, purchase, exchange, or leasing of property? NO <br />(b) Receiving or furnishing of goods, services, or facilities? NO <br />(c) Transfer or receipt of compensation, fringe benefits, or income or assets? NO <br />(d) Maintenance of bank balances as compensating balances for the benefit of another? NO <br />Lu any avove, aescrwe any ana au interests mat you are aware of at trns time. <br />3. Are any current board of directors, current agency's principal officers, current agency's employees, <br />or any current independent contractors indebted to the agency? <br />If yes, describe the nature of the debt. <br />YES/NO <br />NO <br />230 <br />Page 32 <br />