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Page 4 of 8 Florida Department of State Minority Appointment Reporting Form for Calendar Year 2015 (Section 760.80, Florida Statutes — Form due NLT December 1, 2016) Appointing Authority:* Indian River County Board of County Commission Contact Person: Doris E. Roy Address. 1801 27th Street Phone: 772-226-1408 City/state/zip: Vero Beach, FI 32960-3388 Entity (Name of Board, commission, council, or Committee): Construction Board of Adjustments & Appeals Does this entity have multiple appointing authorities? Yes ❑ No W The entity's total membership as of 12/31/15, regardless of appointing authority: 6 (Note. This figure is the denominator to be used in calculating percentages below; the numerator for calculating the percentages is the number in the second column, i.e., "Total membership as of 12/31/15" ) Appointed by Total Race Appointed Total Gender Race Authority' in Membership % Gender by Authority' Membership as % 2015, only as of 12/31/15 in 2015, only of 12/31/15 African-American Male 1 6 100 Asian -American Female Hispanic -American Not Known Native -American Total 1 Caucasian 1 6 100 Appointed by Total Disability Disability Authority' Membership % in 2015, only as of 12/31/15 Not Known 1 Physically 0 0 0 Total Disabled *Figures are to reflect appointments made only by this Appointing Authority. Please complete all sections. Entity (Name of Board, Commission, Council, or Committee): Economic Development Council Does this entity have multiple appointing authorities? Yes W No ❑ The entity's total membership as of 12/31/15, regardless of appointing authority: 22 (Note This figure is the denominator to be used in calculating percentages below; the numerator for calculating the percentages is the number in the second column, i.e., "Total membership as of 12/31/15" ) Appointed by Total Race Appointed Total Gender Race Authority' in Membership % Gender by Authority' Membership as % 2015, only as of 12/31115 in 2015, only of 12/31/15 African-American 1 4 Male 2 16 73 Asian -American Female 6 27 Hispanic -American Not Known Native -American Total 2 Caucasian 2 21 96 Appointed by Total Disability Disability AuthoMy' Membership % in 2015, only as of 12/31/15 Not Known 2 Physically 0 0 0 Total Disabled *Figures are to reflect appointments made only by this Appointing Authority. Please complete all sections. Return to: Department of State, The R. A. Gray Building, Room 316, 500 South Bronough Street, Tallahassee, FL 32399-0250 DS -DE 143 (rev 8/2016) P12