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management of the entity, have any relationships as defined in Section 105 . 08, Indian <br /> River County Code, with any County Commissioner or County employee. <br /> _ The entity submittingthis sworn statement or one or more e of the officers, directors, <br /> executives, partners, shareholders, employees, members, or agents who are active in <br /> management of the entity have the following relationships with a County <br /> Commissioner or County employee : <br /> Name of Affiliate Name of County Commissioner Relationship <br /> or Entity or employee <br /> (signature) <br /> (date) <br /> STATE OF <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me this day of <br /> prod who is personally known to me or who has <br /> produceedd <br /> identification . as <br /> NOTARY PUBLIC <br /> sign : <br /> print : <br /> State of Florida at Large <br /> My Commissioner Expires : <br /> (Seal) <br /> DISCLOSURE OF RELATIONSHIPS <br /> SS-2 <br />