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Page 4 of 9 Florida Department of State Minority Appointment Reporting Form for Calendar Year 2016 (Section 760.80, Florida Statutes — Form due NLT December 1, 2017) 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, A 32960-3388 Entity (Name of Board, Commission, council, or committee): Construction Board of Adjustments and Appeals Does this entity have multiple appointing authorities? Yes ❑ No FWJ The entity's total membership as of 12/31116, 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 12/31/16".) Appointed by Total Race Appointed Total Gentler Race Authority* in Membership % Gender by Authority' Membership as % 2016, only as of 12/31/16 in 2016, only of 12/31116 African-American Male 2 6 100 Asian -American Female Asian -American Female Hispanic -American Not Known Native -American Total 2 Caucasian 2 6 100 Appointed by Disability Authority' Total Disability Membership % in 2016, only as of 12131!16 Not Known Physically 0 0 0 Total 2 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 ❑® No ❑ The entity's total membership as of 12131/16, 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 12/31/16'.) Appointed by Total Race Appointed Total Gender Race Authority" in Membership % Gender by Authority` Membership as % 2016, only as of 12/31/16 in 2016, only of 12/31116 African-American 1 4 Male 16 73 Asian -American Female 6 27 Hispanic -American Not Known Native -American Total 0 21 96 Appointed by Caucasian Disability Authority* Total Disability Membership % in 2016, only as of 12/31/16 Not Known Physically 0 0 0 Total 0 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. 0812017) 39