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Page 2 of 10 Florida Department of State Minority Appointment Reporting Form for Calendar Year 2013 (Section 760 80, Florida Statutes - Form due NLT December 1, 2014) Return to: Department of State, The R. A. Gray Building, Room 316, 500 South Bronough Street, Tallahassee, FL 32399-0250 17 Appointing Authority:" Indian River County Board of County Commissioners Contact Person: Doris E. Roy Address: 1801 27th Street Phone: 772-2 1408 City/State/Zip: Vero Beach, FI 32960-3388 Entity (Name of Board, Commission, Council, or Committee): Beach & Shore Preservation Advisory Committee Does this entity have multiple appointing authorities? Yes ❑ No C The entity's total membership as of 12/31/13, regardless of appointing authority: 11 (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 12/31/13".) Appointed by Total Race Race Authority* in Membership % 2013, only as of 12/31/13 African-American Appointed Total Gender Gender by Authority' Membership as % in 2013, only of 12/31/13 Male 10 91 Asian -American Female 1 9 Hispanic -American 1 9 Not Known Native -American Total 0 Caucasian 10 91 Appointed by Total Disability Not Known Disability Authority' Membership % in 2013, only as of 12/31/13 Total 0 Physically Disabled 0 0 0 'Figures are to reflect appointments made only by this Appointing Authority. Please complete all sections. Entity (Name of Board, Commission, Council, or Committee): Board of Zoning Adjustments Does this entity have multiple appointing authorities? Yes ❑ No IN The entity's total membership as of 12/31/13, regardless of appointing authority: 5 (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 12/31/13".) Appointed by Total Race Race Authority in Membership % 2013, only as of 12/31/13 African-American Appointed Total Gender Gender by Authority' Membership as % in 2013, only of 12/31/13 Male 1 2 Asian -American Female Hispanic -American Not Known Native -American Total 0 Caucasian 1 2 Disability AAuthoeyby Toea lipy Not Known beshl % in 2013, only as of 12/31/13 Total 0 Physically Disabled 0 0 0 *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 17