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Page 4 of 9 Florida Department of State Minority Appointment Reporting Form for Calendar Year 2017 (Section 760.80, Florida Statutes — Form due NLT December 1, 2018) 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, FL 32960-3388 Entity (Name of Board, Commission, Council, or Committee): Community Development Block Grant Citizen Advisory Task Force Does this entity have multiple appointing authorities? Yes ❑ No Q The entity's total membership as of 12131117, regardless of appointing authority: 4 (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 12/31/17".) Appointed by Total Race Appointed Total Gender Race Authority' in Membership % Gender by Authority' Membership as % 2017, only as of 12/31/17 in 2017, only of 12/31117 African-American 4 100% Male 4 100% Asian -American Female Hispanic -American Not Known Native -American Total 0 by Total Disability Disability Authority' Membership % CaucasianAppointed in 2017, only as of 12/31117 Not Known 0 Physically 0 0 Total Disabled *Figures are to reflect appointments made only by this Appointing Authority. Please complete all sections. Entity (Name of Board. Commission, Council. or Committee): Construction Board of Adjustment and Appeals Does this entity have multiple appointing authorities? Yes ❑ No 9 The entity's total membership as of 12131/17, regardless of appointing authority: 7 (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 12/31/17".) Appointed by Total Race Race Authohty`in Membership % Appointed Total Gender Gender by Authority Membership as % 2017, only as of 12131117 in 2017, only of/2/31117 African-American Male 6 86% Asian -American 1 14% Female 1 1 14% Hispanic -American Not Known Native -American Total 1 Appointed by Total Disability o Disability Authority` Membership Ja Caucasian 1 6 86% in 2017, only as of 12/31/17 Not Known 1 Physically 0 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. 0912018) 101