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Page 6 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 (Note, This figure is the denominator to be used in calculating percentages below; the numerator for calculating the Entity (Name of Board, Commission, Council, or Committee): MPO Bicycle Advisory Committee Does this entity have multiple appointing authorities? Yes ■❑ No ❑ The entity's total membership as of 12131/15, 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 12/31115 in 2015, only of 12/31/15 African-American Male 5 83 Asian -American Female 1 17 Hispanic -American Not Known Native -American Total Appointed by Total Disability Disability Authority' Membership % Caucasian 6 100 1 in 2015, only as of 12/31/15 Not Known Disabled 'Figures are to reflect appointments made only by this Appointing Authority. Please complete all sections. Physically 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): Planning & Zoning Commission Does this entity have multiple appointing authorities? Yes ❑ No W The entity's total membership as of 12/31/15, regardless of appointing authority: 7 (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 Male 1 7 100 Asian -American Female Hispanic -American Not Known Native -American Total 1 Caucasian 1 7 100 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. Return to: Department of State, The R. A. Gray Building, Room 316, 500 South aronough Street, Tallahassee, FL 32399-0250 DS -DE 143 (rev. 8/2016) P14