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Page 7 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): Public Safety Council for Criminal Justice, Mental Health and Substance Abuse Does this entity have multiple appointing authorities? Yes W No ❑ The entity's total membership as of 12/31116, regardless of appointing authority: 20 (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 12131/16".) 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 5 Male 1 11 55 Asian -American Female 9 45 Hispanic -American Not Known Native -American Total 1 Caucasian 1 19 95 Appointed by Disability Authority' Total Disability Membership % in 2016, only as of 12/31/16 Not Known Physically 0 0 0 Total 1 Disabled _--- 'Figures are to reflect appointments made only by this Appointing Authority. Please complete all sections. Entity (Name of Board, Commission, Council, or Committee): Transportation Disadvantaged Local Coordinating Board Does this entity have multiple appointing authorities? Yes 0 No ❑ 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 12/31/16 in 2016, only of 12131/16 African-American 1 43 Male 6 43 Asian -American Female 8 57 Hispanic -American Nat Known Native -American Total 13 57 Appointed by Total Disability Caucasian Disability Authority` Membership % in 2016, only as of 12131/16 Not Known Physically 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 Bronough Street, Tallahassee, FL 32399-0250 DS -DE 143 (rev. 08/2017) 42