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Cultural Council of Indian River County <br /> Summer Cultural Camp <br /> Children's Services Advisory Committee - Indian River County <br /> SWORN STATEMENT UNDER SECTION 105 . 08 , <br /> INDIAN RIVER COUNTY CODE, ON DISCLOSURE OF RELATIONSHIPS <br /> THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC <br /> OR OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS , <br /> 1 . This sworn statement is submitted with RFP No . 5054 for <br /> Summer Cultural Camp <br /> 2 . This sworn statement is submitted by : <br /> Cultural Council of Indian River County <br /> whose business address is : <br /> 214514 th Avenue , Suite 11 , Vero Beach , Florida 32960 and <br /> ( if applicable ) <br /> its Federal Employer Identification Number ( FEIN ) is <br /> 59 -3299133 <br /> 3 . My name is <br /> Mary Jayne Kelly <br /> and my relationship to the entity named above is <br /> Executive Director <br /> 4 . 1 understand that an " affiliate" as defined in Section 105 . 08 , Indian River <br /> County Code , means : <br /> The term " affiliate" includes those officers , directors , executives , partners , <br /> shareholders , employees , members , and agents who are active in the <br /> management of the entity. <br /> 5 . 1 understand that the relationship with a County Commissioner or County <br /> employee that must be disclosed as follows : <br /> a �- <br />