HomeMy WebLinkAbout2011-053 FORM 8B MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL , AND OTHER LOCAL PUBLIC OFFICERS
LAST NAME-FIRST NAME-MIDDLE NAME NAME OF BOARD , COUNCIL , COMMISSION, AUTHORITY , OR COMMITTEE
Davis Wesley S . IRC Board of County Commissioners
MAILING ADDRESS THE BOARD, COUNCIL , COMMISSION, AUTHORITY OR COMMITTEE ON
1801 27th Street , Building A WHICH I SERVE IS A UNIT OF�:
CITY COUNTY O CITY b COUNTY O OTHER LOCAL AGENCY
Vero Beach , Indian River NAME OF POLITICAL SUBDIVISION :
DATE ON WHICH VOTE OCCURRED MY POSITION I5:
March -i1 , 2011 ELECTIVE O APPOINTIVE
WHO MUST FILE FORM 86
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 , 31431 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 ) .
x t * * k # t # * * * * * t + t
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 BB - EFF . 1 /2000 PAGE 1
1- //�^ i i
Iq A , /r
ae i -
F-ORM 813 MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL , AND OTHER LOCAL PUBLIC OFFICERS
LAST NAME-FIRST NAME-MIDDLE NAME NAME OF BOARD , COUNCIL , COMMISSION , AUTHORITY , OR COMMITTEE
Davis Wesley S . IRC Board of County Commissioners
THE BOARD , COUNCIL , COMMISSION , AUTHORITY OR COMMITTEE ON
MAILING ADDRESS
WHICH I SERVE IS A UNIT OF :
1801 27th Street , Building A
❑ CITY ,K7 COUNTY ❑ OTHER LOCAL AGENCY
CITY COUNTY
Vero Beach ,
Indian River NAME OF POLITICAL SUBDIVISION :
DATE ON WHICH VOTE OCCURRED MY POSITION IS :
March -;i1 2011 ELECTIVE IDAPPOINTIVE
WHO MUST FILE FORM 86
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 . 31431 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 .
ENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE
IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLU
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 )
PAGE 1
CE FORM 813 - EFF . 112000
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 .
i
DISCLOSURE OF LOCAL OFFICER 'S INTEREST
11 Wesley S . Davis hereby disclose that on March 1 , 20 1 1
( a ) A measure came or will come before my agency which (check one )
inured to my special private gain or loss ;
inured to the special gain or loss of my business associate ,
X inured to the special gain or loss of my relative , brother , Brian Davis-
inured
avisinured 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 :
Relative , Brian Davis , brother , owns and operates a septic tank business
and may or may not benefit from the decision .
March 1 , 2 01 1
Date Filed §rgnature Wesley S . Davi s
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 .
CE FORM 813 - EFF . 1 /2000 PAGE 2
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 .
i
DISCLOSURE OF LOCAL OFFICER 'S INTEREST
11 Wesley S . Davis hereby disclose that on March 1 , 20 1 1
( a ) A measure came or will come before my agency which (check one )
inured to my special private gain or loss ;
inured to the special gain or loss of my business associate ,
X inured to the special gain or loss of my relative , brother , Brian Davis-
inured
avisinured 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 :
Relative , Brian Davis , brother , owns and operates a septic tank business
and may or may not benefit from the decision .
March 1 , 2 01 1
Date Filed §rgnature Wesley S . Davi s
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 .
CE FORM 813 - EFF . 1 /2000 PAGE 2
1- //�^ i i
Iq A , /r
ae i -
F-ORM 813 MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL , AND OTHER LOCAL PUBLIC OFFICERS
LAST NAME-FIRST NAME-MIDDLE NAME NAME OF BOARD , COUNCIL , COMMISSION , AUTHORITY , OR COMMITTEE
Davis Wesley S . IRC Board of County Commissioners
THE BOARD , COUNCIL , COMMISSION , AUTHORITY OR COMMITTEE ON
MAILING ADDRESS
WHICH I SERVE IS A UNIT OF :
1801 27th Street , Building A
❑ CITY ,K7 COUNTY ❑ OTHER LOCAL AGENCY
CITY COUNTY
Vero Beach ,
Indian River NAME OF POLITICAL SUBDIVISION :
DATE ON WHICH VOTE OCCURRED MY POSITION IS :
March -;i1 2011 ELECTIVE IDAPPOINTIVE
WHO MUST FILE FORM 86
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 . 31431 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 .
ENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE
IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLU
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 )
PAGE 1
CE FORM 813 - EFF . 112000