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Page 5 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, FI 32960-3388 Entity (Name of Board, Commission, Council, or Committee): Environmental Control Hearing Board Does this entity have multiple appointing authorities? Yes ❑ No 0 The entity's total membership as of 12/31116, 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 12/31/16".) 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 12/31/16 African-American Male 5 100 Asian -American Hispanic -American Native -American Caucasian Not Known _ Total 0 Female Not Known Total 5 5 Disability 0 Appointed by Total Disability Authority' Membership In 2016, only as of 12/31116 Physically 0 0 0 Disabled _ 'Figures are to reflect appointments made only by this Appointing Authority. Please complete all sections. Entity (Name of Board, Commission. Council, or Committee): MPO Citizens Advisory Committee Does this entity have multiple appointing authorities? Yes 9 No ❑ o� The entity's total membership as of 12/31/16, regardless of appointing authority: 14 (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 12/31116 in 2016, only of 12/31/16 African-American 1 Male 11 79 Asian -American Female 3 21 Hispanic -American _ Native -American _ Caucasian 13 Not Known Total Appointed by Total Disability Disability Authority' Membership % in 2016, only as of 12/31116 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) 40