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Page 3 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) Appointing Authority:• Indian River County Board of County Commissioners Contact Person: Doris E. Roy Phone: 772-226-1408 Address: 1801 27th Street City/State/Zip: Vero Beach, FI 32960-3388 Return to: Department of State, The R. A. Gray Building, Room 316, 500 South Bronough Street, Tallahassee, FL 32399-0250 18 Entity (Name of Board, Commission, Council, or Committee): Children's Services Advisory Committee Does this entity have multiple appointing authorities? Yes • No ❑ The entity's total membership as of 12/31/13, regardless of appointing authority: 13 (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 2 7 54 Asian -American Female 2 6 46 Hispanic -American Not Known Native -American Total 4 Caucasian 4 13 100 Appointed by Total Disability Not Known Disability Authority" Membership in 2013, only as of 12/31/13 Total 4 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): Citizens Oversight Committee Does this entity have multiple appointing authorities? Yes • No ❑ The entity's total membership as of 12/31/13, regardless of appointing authority: 6 This (Note: 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 3 50 Asian -American Female 2 33 Hispanic -American 1 17 Not Known Native -American Total 0 Caucasian 4 67 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. Return to: Department of State, The R. A. Gray Building, Room 316, 500 South Bronough Street, Tallahassee, FL 32399-0250 18