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FORM 8B MEMORANDUM OF VOTING CONFLICT FOR
BOUNTY MUNICIPAL AND OTHER LOCAL PUBLIC OFFICERS
LAST NAME—FIRST NAME— MIDDLE NAME NAME OF BOARD, COUNCIL, COMMISSION, AUTHORITY, OR COMMITTEE
Davis , Wesley S . County Commission
MAILING ADDRESS THE BOARD, COUNCIL , COMMISSION, AUTHORITY OR COMMITTEE ON
WHICH I SERVE IS A UNIT OF:
JT 40 25th Street COUNTY ❑ CITY MCOUNTY ❑ OTHER LOCAL AGENCY
Vero Beach Indian River NAME OF POLITICAL SUBDIVISION:
DATE ON WHICH VOTE OCCURRED
MY POSITION IS: _y
7_]_._1 9 2005 ELECTIVE ❑ APPOINTIVE
WHO MUST FILE FORM 813
This form is for use by any person serving at the county, city , or other local level of government on an appointed or elected
board , council ,
commission , authority , or committee . It applies equally to members of advisory and non -advisory bodies who are presented with
a voting
conflict of interest under Section 112 . 3143, Florida Statutes.
Your responsibilities under the law when faced with voting on a measure in which you have a conflict of interest will vary greatly
depending
on whether you hold an elective or appointive position . For this reason , please pay close attention to the instructions on
this form before
completing the reverse side and filing the form .
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112 . 3143 , FLORIDA STATUTES
A person holding elective or appointive county , municipal , or other local public office MUST ABSTAIN from voting on a
measure which
inures to his or her special private gain or loss . Each elected or appointed local officer also is prohibited from knowingly
voting on a mea -
sure which inures to the special gain or loss of a principal (other than a government agency) by whom he or she is retained
(including the
parent organization or subsidiary of a corporate principal by which he or she is retained) ; to the special private gain or loss
of a relative ; or
to the special private gain or loss of a business associate . Commissioners of community redevelopment agencies under Sec. 163 .356
or
163 . 3571 F . S . , and officers of independent special tax districts elected on a one-acre , one -vote basis are not prohibited from
voting in that
capacity .
For purposes of this law , a " relative " includes only the officer's father, mother, son , daughter, husband , wife , brother,
sister, father-in-law,
mother-in -law , son -in -law , and daughter-in-law. A " business associate " means any person or entity engaged in or carrying on
a business
enterprise with the officer as a partner , joint venturer, coowner of property , or corporate shareholder (where the shares of the
corporation
are not listed on any national or regional stock exchange ) .
ELECTED OFFICERS :
In addition to abstaining from voting in the situations described above , you must disclose the conflict:
PRIOR TO THE VOTE BEING TAKEN by publicly stating to the assembly the nature of your interest in the measure on which
you
are abstaining from voting ; and
WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and filing this form with the person responsible for recording the min -
utes of the meeting , who should incorporate the form in the minutes.
APPOINTED OFFICERS :
Although you must abstain from voting in the situations described above , you otherwise may participate in these matters. However,
you
must disclose the nature of the conflict before making any attempt to influence the decision , whether orally or in writing and whether
made
by you or at your direction .
IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE
TAKEN :
• You must complete and file this form ( before making any attempt to influence the decision ) with the person responsible for recording
the
minutes of the meeting , who will incorporate the form in the minutes. (Continued on other side )
CE FORM 813 - EFF . 1 /2000 PAGE 1
APPOINTED OFFICERS ( continued )
• A copy of the form must be provided immediately to the other members of the agency .
• The form must be read publicly at the next meeting after the form is filed .
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING :
• You must disclose orally the nature of your conflict in the measure before participating .
• You must complete the form and file it within 15 days after the vote occurs with the person responsible for recording the minutes
of the
meeting , who must incorporate the form in the minutes. A copy of the form must be provided immediately to the other members of
the
agency , and the form must be read publicly at the next meeting after the form is filed .
DISCLOSURE OF LOCAL OFFICER' S INTEREST ^�
Wes l ey S . Davi s hereby disclose that on Aril 1 9
April , 20
(a ) A measure came or will come before my agency which (check one )
inured to my special private gain or loss;
X inured to the special gain or loss of my business associate ,
inured to the special gain or loss of my relative , !
inured to the special gain or loss of _ by
whom I am retained ; or
inured to the special gain or loss of which
is the parent organization or subsidiary of a principal which has retained me .
(b) The measure before my agency and the nature of my conflicting interest in the measure is as follows :
April 19 , 2005
Date Filed gna ure ^
NOTICE : UNDER PROVISIONS OF FLORIDA STATUTES § 112 . 317, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE
CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING : IMPEACHMENT ,
REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION , REDUCTION IN SALARY , REPRIMAND , OR A
CIVIL PENALTY NOT TO EXCEED $ 10 , 000 .
RECEIVED AT IRC-BCC MEETING
CE FORM SB - EFF. 12000 PAGE 2
DATE/ 1/ ITEM #
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