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FORM 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 Boa d of County Commissioners
MAILING ADDRESS THE BOARD, COUNCIL, COMMISSION , AUTHORITY OR COMMITTEE ON
WHICH I SERVE IS A UNIT OF:
27th Street Bldg . A ❑ CIN XINCOUNTY ❑ OTHER LOCAL AGENCY
CITY COUNTY
NAME OF POLITICAL SUBDIVISION:
Vero Beach Indian River
DATE ON WHICH VOTE OCCURRED MY POSITION IS:
November 8 2011 >�X 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 . 31439 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 )
PAGE 1
r` G F(1RKA RR _ F: ;:;= i i9nno
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
DISCLOSURE OF LOCAL OFFICER ' S INTEREST
Wesley S . Davis hereby disclose that on November 8 20 1 1
(a) A measure came or will come before my agency which (check one)
inured to my special private gain or loss ;
XX inured to the special gain or loss of my business associate , Rick Baker
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:
November 8 , 2011
Date Filed Signature Wesley Davis
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 a PAGE 2