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FORM 8B MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL , AND OTHER LOCAL PUBLIC OFFICERS
AST NAME- FIRST NAME- MIDDLE NAME NAME OF BOARD, COUNCIL. COMMISSION , AUTHORITY, OR COMMITTEE
Davis Wesley �Q �� •
4AILING ADDRESS THE BOARD , COUNCIL, C MMISSION, AUTHORITY OR COMMITTEE ON
1801 27th Street ,
WHICH I SERVE IS A UNIT OF:
; ITYCOUNTY ❑ CITY RCOUNTY O OTHER LOCAL AGENCY
Vero Beach Indian River NAME OF POLITICAL SUBDIVISION:
)ATE ON WHICH VOTE OCCURRED MY POSITION IS :
May 17 -, 201 .1 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 . 357 , 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.
ti• ` , Tha, forl'n 'Irriust 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
DISCLOSURE OF LOCAL OFFICER 'S INTEREST
I , Wesley S . Davis hereby disclose that on May 17 , 20 , 1 1
( a) A measure came or will come before my agency which (check one )
C
tired to my special private gain or loss ; �+
ed 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 :
_ May. _ 1 7 , 2011
Date Filed Signature
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 $ 109000 .
CE FORM 813 - EFF. 1 /2000 1 . b PAGE 2