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FORM 8B MEMORANDUM OF VOTING CONFLICT FOR
<br /> COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
<br /> LAST NAME—FIRST NAME— IDDLE NAME NAME OF BOARD,COUNCIL,COMMISSION,AUTHORITY,OR COMMITTEE
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<br /> M ING ADDRESS THE BOARD,COUNCIL,COMMISSIO AUTHORITY OR OoMMITTEE ON
<br /> / 0 T O C L1 jr4�f�, Ave WHHIICH I SERVE IS A UNIT OF
<br /> CITY / W COUNTY 'CITY ❑COUNTY ❑OTHER LOCAL AGENCY
<br /> NAME OF POLITICAL SUBDIVISION:
<br /> DATE ON H VOTE OCCURRED
<br /> MY POSITION IS
<br /> ❑ ELECTIVE ❑ APPOINTIVE
<br /> WHO MUST FILE FORM 8B
<br /> 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,
<br /> commission, authority, or committee. It applies to members of advisory and non-advisory bodies who are presented with a voting conflict of
<br /> interest under Section 112.3143, Florida Statutes.
<br /> Your responsibilities under the law when faced with voting on a measure in which you have a conflict of interest will vary greatly depending
<br /> on whether you hold an elective or appointive position. For this reason, please pay close attention to the instructions on this form before
<br /> completing and filing the form.
<br /> INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
<br /> A person holding elective or appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which
<br /> would inure to his or her special private gain or loss. Each elected or appointed local officer also MUST ABSTAIN from knowingly voting on
<br /> a measure which would inure to the special gain or loss of a principal (other than a government agency) by whom he or she is retained
<br /> (including the parent, subsidiary, or sibling organization of a principal by which he or she is retained); to the special private gain or loss of a
<br /> relative; or to the special private gain or loss of a business associate. Commissioners of community redevelopment agencies(CRAs)under
<br /> 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
<br /> from voting in that capacity.
<br /> For purposes of this law, a "relative" includes only the officer's father, mother, son, daughter, husband, wife, brother, sister, father-in-law,
<br /> 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
<br /> enterprise with the officer as a partner, joint venturer, coowner of property, or corporate shareholder (where the shares of the corporation
<br /> are not listed on any national or regional stock exchange).
<br /> . . . . . . . . . . . . . . . .
<br /> ELECTED OFFICERS:
<br /> In addition to abstaining from voting in the situations described above, you must disclose the conflict:
<br /> PRIOR TO THE VOTE BEING TAKEN by publicly stating to the assembly the nature of your interest in the measure on which you are
<br /> abstaining from voting; and
<br /> WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and filing this form with the person responsible for recording the
<br /> minutes of the meeting, who should incorporate the form in the minutes.
<br /> . . . . . . . . . . . . . .
<br /> APPOINTED OFFICERS:
<br /> Although you must abstain from voting in the situations described above, you are not prohibited by Section 112.3143 from otherwise
<br /> participating in these matters. However, you must disclose the nature of the conflict before making any attempt to influence the decision,
<br /> whether orally or in writing and whether made by you or at your direction.
<br /> IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE
<br /> TAKEN:
<br /> • You must complete and file this form (before making any attempt to influence the decision)with the person responsible for recording the
<br /> minutes of the meeting, who will incorporate the form in the minutes. (Continued on page 2)
<br /> CE FORM 8B-EFF 11/2013 PAGE 1
<br /> Adopted by reference in Rule 34-7 010(1)(f), FA.0
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