|
t
<br /> Father, mother , son , daughter , brother, sister , uncle , aunt , first cousin ,
<br /> nephew, niece , husband , wife , father- in- law , mother- in - law, daughter-
<br /> in - law, son- in - law, brother- in - law, sister- in - law, stepfather , stepmother ,
<br /> stepson , stepdaughter , stepbrother , stepsister , half brother , half sister ,
<br /> grandparent , or grandchild .
<br /> 6 . Based on information and belief, the statement which I have marked below is
<br /> true in relation to the entity submitting this sworn statement . [ Please indicate
<br /> which statement applies . ]
<br /> X Neither the entity submitting this sworn statement, nor any officers ,
<br /> directors , executives , partners , shareholders , employees , members , or
<br /> agents who are active in management of the entity , have any relationships
<br /> as defined in section 105 . 08 , Indian River County Code , with any County
<br /> Commissioner or County employee .
<br /> The entity submitting this sworn statement, or one or more of the officers ,
<br /> directors , executives , partners , shareholders , employees , members , or
<br /> agents , who are active in management of the entity have the following
<br /> relationships with a County Commissioner or County employee :
<br /> Name of Affiliate Name of County Commissioner Relationship
<br /> or entity or employee
<br /> XIII
<br />
|