58 Alvaro Lopez-Villarta MBGERS 4/12/05
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WHO.MUST.FILE FORM 8A
This form is for use by any person serving at the State level of governmeht on an appointed or elected board, council, commission, autho~-
ity, or committee. It applies equally to members of advisory and;non-advisory bodies who'are presehted with a voting conflict of interest
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Your responsibilities under the daw when faced.vvith voting on a measure in which you have a conflict of interest will vary greatly depending.
on whether you hold. an elective or appoihtive position: for this reason, please pay close attention to the, instructions on this form before
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completing the reverse side and fll g`the`form "~ ~ '~ ~ ~~ ~ ~ ~ + ,
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F®R Sl`/~TE C,F~ICER
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LAST NAME-FIRST NAME-MIDDLE NAME
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NAME OF BO D, CQUN IL COMMI ION, AUTHORITY~~OMMITTEE-
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NAME. OF STATE AGEN a
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" .POSITION IS' `' ~ ELECTIVE•
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L7ATE ON WHICH-VOTE OCCURRED u' ~' ~
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-~ " '~~' ~1NSTRUCTIONS FOR COMPLIANCE-W1TH'SECTION 112.31.43, FLORIDA STATUTES ;
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.ELECTED OFFICERS:'' ~ ~ ~S' ~ -
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As a person h'olding~elec4ve state office, you`'may vote orr a~measul-e which hures.to your special-private gain or loss : o the special .gain
' or loss of`a prlnclpal by. whom. you are retaihed (including the parent organization. or subsidiary of a corporate principal by which.you are '
retained); to,the.special •private gain or loss. of a relative;,or to the special private gain or loss of a business associate: However, if you vote
- on such a measure you must complete this- form-and' file the form within 15 days after the vote occurs with ahe person responsible for
recording the minutes of the meeting, who must incorpo~ate„the form in the minutes. "' " ' - '
For purposes of this law„a "relative"includes only your father, rnother, son, daughter,. husband, wife, brother, sister,. father-in-law, mother- _
in-law;'son-irnlaw,.and daughter-in-law: A "business associate"means any person or entity engaged:in or carrying on a business enter-
prise with you as a partner; joint venturer,. coowner of property, or corporate shareholder (where the shares of the corporation are not listed ~ . n s.
' on any'natiohal or regidhal stock exchange).
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APROINTED OFFICERS: '
P g pporntlve state office, ou ma vote o
Aaln o eo sn, f adI rihci alb .whom ou are retainedy includih a measure which inures to your special private gain or loss; to-the special _
,., 9 ..-._.. a P. _ P Y Y ( rig the parent organization or subsidiary of a corporate principal by which you
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are retained); to the special private gain or loss of a relative; o'r to the 'special private gain or loss of a business associate. However; you -
must disclose the nature ofthe conflict before voting or before making any attemptto influence the decision by oral, or written communica= '
' lion, whether made by you or at your direction.
' For parposes of this law, a "relative" includes only your father, mother, `son, daughter, husbahd, wife, brother, sister,. father-in-law, mother- '
rn-law; son-in-law,`~and daughter-in-law. A "business associate" means any person or entity engaged in or carrying on a bu$ihess enter- ,
' prise with you~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)..,
IF-YOU' INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION.PRIOR TO THE MEETING AT WHICH THE VOTE WILL SE
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TAKEN: .. ~ ,. ..
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You must complete. and file this form.: (before making any attempt. to influence the decisioh) with the. person responsible, for recording'the
.' . minufes.of the meeting, .who will incorporate the. form in the minutes.. ~ ~ " ' '
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A'copy of"the form' must be provided immediately;fo the other members of the agency. , ,
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The'form must be_read publicly of the next meeting after the form is filed. ~',
IF•YOU MAKE~NO ATTEMFT,TO INFLUENCE.THE DECISION.EXCEPT l3Y-DISCUSSION OR VOTE AT THE MEETING: '
• You must disclose orallythe nature of your conflict in the measure before participating..
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• 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.
CE FORM 8A - EFF. 1/2000
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.' " . WHO MUST FILE FORM 8A ' ; ~'
This form is :for use by any person servingat the State level of government on en appointed or elected :board,-council, commission, author-
ity, or.committee. It applies equally to members of advisory and`rion-advisory bodies wlid are presented with-a voting conflict of interest .
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Your responsibllltles 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 ahd^fil g'the'form ~•~ - ~ * % ~' , • ~•-' , •` '~ ~ •- ~. _ ~ ;
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' - - =1NSTRUCTION'S.f=OR COMPLI~-NCE~WfTH SECTION 112,3143, FLORIDA.STATU.TES ~'
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P
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ELECTEQOFFIC ~ `~~~ `
As a person holding~electlve state office ybu'may vote'on a~measure which inures to your special-private ga~in~or loss•;to the special gain ''
or loss of a prinapal by~whom you are~retained {including the parent organization or subsidiary of a corporate principal by which you are. •`
retained); to the special'private gain or loss of a Yelative; onto-the special private gain or loss of a business associate. However, if you vote -
- on such. a measure you` must complete this' form and'file the form within 15 days after the vote occurs with the person .responsible for
- recording the minutes of the meeting, who must incorpor"ate,the form in the minutes. '
" Forpurposes of•this law, a."relative" includes only your father, mother, song 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 enter-
prise with you as a partner;"joint venturer, coowner of property, or corporate shareholder (where the shares of the corporation are not listed
`on any national oc regional stock exchange).
~. ~ ~ *.
' APPOINTED OFFICERS:' - ~ ..
As a person holding appointive state office, you. may vote on a measure which inures to your special private gain or loss; to the special
' gain o~ loss of a principal by whom you are retained (including the parent organ¢a#ion or subsidiary of a corporate principal by which you
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' -are retained); to•the special private gain or loss of a relative;-or to the special private gain or loss of a business assocate~However,-you ~ ~ `
must disclose the nature of the conflict before voting or before making any attempt to influence the decision by oral or written communica- .
ton, whether made by.you oret your direction.
For purposes of this law, a ".relative" includes only you"r 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 carry' ing on a business enter- ,
prise with you;,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).; - `
'IF-YOU INTEND TO MAKE ANY ATTEMPT TQ INFLUENCE THE DECISION PRIOR TO TWE MEETING AT.WHICH THE VOTE WILL BE •
TAKEN: ~ ~`' ~"''€~ ~ ~ .
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•: You must complete and file thls:form (before making any attempt to influence the decision) with the person,responsible,foi recording'the
minutes of the meeting,=who well incorporate the form in the minutes.. ` '
A copy of~the form`'must'be'pro"vided immediately.fo~the other members of the agency. ` ` `
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y_,; ,,,
' Ttie form must be"read publiclyat the nett meeting. after the form is filed. ' ~ '. ,~ ;
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IF{YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION OR VOTE 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.
CE FORM 8A - EFF. 1/2000 - • ' r .
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`. -F'~R S1°ATE C~FFlCEFt ~~ ~~-~; ~~ ~~:~ 3:~ . _...
4LASTNAME-FIRST NAME-MIDDLE NAME `,'` ~* '
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L~JPi~.Z: ~ JLL.-A~•T"lam fi'~ 1... ' ~--c'~ .. - 'NAME OF BOyt2D CQUN IL COMMI~ION, AUTHORITY ~OMMITTEE
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P~JCUJrI
MAILING ADDRESS ,
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NAME,OF STATE AGENCS~
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~ ~ MY;POSITION IS: ' ` ` ~ ELECTIVE .
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DATE ON WHICN:`VOTE OCCURRED' ~_ ~ "
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DISC OSURE OF STATE OFFICER'S-INTEREST
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___________ _________ __ __ ,hereby disclose that on _____ '
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(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, _________________ _
___ 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 arid the nature of my conflicting interest in the measure is as follows:
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Date•Filed - -•~- -
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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 8A - EFF. 1/2000 •~ PAGE 2