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DISCLOSURE OF RELATIONSHIPS
<br />1. This sworn statement is submitted by (firm name): Ranger Construction Industries, Inc.
<br />whose business address is: 1645 N Congress Avenue, West Palm Beach, FL 32960
<br />2. My name is F. Scott Fowler and
<br />my relationship to the entity named above is vice President
<br />3. I understand that as defined in Section 105.o8, Indian River County Code, the term
<br />"affiliate" includes those officers, directors, executives, partners, shareholders,
<br />employees, members, and agents who are active in the management of the
<br />entity.
<br />4. I understand that the relationship with a County Commissioner or County employee
<br />that must be disclosed as follows:
<br />Self (current county employee or commissioner), father, mother, son, daughter, brother,
<br />sister, uncle, aunt, first cousin, nephew, niece, husband, wife, father-in-law, mother-in-law,
<br />daughter-in-law, son-in-law, brother-in-law, sister-in-law, stepfather, stepmother, stepson,
<br />stepdaughter, stepbrother, stepsister, half brother, half sister, grandparent, or grandchild.
<br />5. Based on information and belief, the statement, which I have marked below, is true in relation
<br />to the entity submitting this sworn statement. [Please select either a. or b.]
<br />a. © Neither the entity submitting this sworn statement, nor any officers, directors,
<br />executives, partners, shareholders, employees, members, or agents who are active in
<br />management of the entity, have any relationships as defined in section 105.o8, Indian River
<br />County Code, with any County Commissioner or County employee; or,
<br />b. The entity submitting this sworn statement, or one or more of the officers,
<br />directors, executives, partners, shareholders, employees, members, or agents, who are active
<br />in management of the entity have the following relationships with a County Commissioner or
<br />County employee:
<br />Name of Affiliate of entity Name of County Commissioner or employee Relationship
<br />6. I hereby swear, under penalty of perjury, the information provided on this form is true.
<br />A
<br />Disclosure of Relationships -1
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