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85 Deede Weithorn 4/14/2010 R7CD ' _ ._ ..: ' ..i . -FORM 8B- :MEMORANDUM OF VOTLNG CONFLICT" FOR .COUNTY, 1111UN1'CIPAL, AND~OTH.ER LOCAL PUBLIC OFFICERS LAST NAME-FIRST NAME-MSDDLE NAME ' : NAME OF BOARD,'000NCIL, COMMISSION, AUTHORITY, OR COMMITTEE. MAILING ADDRESS ' ' , ~ ©Q /~- , W ~ - '- V - ,1 ~ ~~. /'fir 'W ~ v THE BOARD, COUNCIL, COMMISSION, AUTHORITY OR COMMITTEE ON WHICH I SERVE lS_A UNIT OR ; ~ "' - ' ' ~ COU NT Y ~ ' U COUNTY ^ OTHER LOCAL AGENCY CITY . CITY NAME OF POLITICAL SUBDIVISION. " " DATE ON WHICH VOTE OCCURRED - - .. .'.: .. " ~ ~ _ : ~` ~ .~ .".' MY POSITION IS: ` ' ~, ~ ELECTIVE L] .APPOINTIVE '•' ~ . ,. ~, . ,~ : z - .,, .A WHO MUSTFILE FORM' 8B t -This form.is :for use by any person serving at the county; city,.. or other :local-level of government on an appointed .br elected board, council,. commission,:'authority; o~ committee. It applies equally to members of advisory a.nd non-advisory bodies who are presented with a voting. - conflict of interest under Section 112.3143,'Florida Statutes. Your responsibilities.under the lawwrhen faced with voting. on a measure in which you have a conflict of,interest wiU vary greatly dependirig on wtaether qou ;hold:ari elective or appointive. position: For'this.reasdn; 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 ~ - Aperson holding, elective, or. appointive county, municipal; `or other local. public office MUST,~ABSTAIN from voting on a measure which ' ,.. ~ - - - inures to tiffs or.tie~°s ecial rivate ain or loss.'Each elected or a ~oinfed local officer.also is rohibited from Knowin I ~ votin on a urea- P P 9 PP P 9Y 9,• ` ~ `sure-which inures to the specialgain or loss of.a principal (other than a government agency) by~whom he or she is retained (inclu'ding 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 indepehdent special tax districts elected on a one-acre, one-vote basis are not prohibited from voting in'that - capacity.: ' .. ~ ~ . ,, `t _ . y ' ' For• purposes of-this law, a "relative" includes only'the officer's father, mother, song?daughter, husband, :wife, brother, sister, father-in=law, ' M. mother-in-law; son-in-law,.and daughter-in-law. A "business associate" meahs any'person or entity engaged ,iri.or carryirig.on a~business ~~enterprise,with the officer as a~partner, joirit venturer, coowrier,of property, or corporate shareholder (where the shares of the corporation 'are, not listedon any hatorial or regional stock exchange)... '' ' ELECTED OFFICERS: . ~ . • ;' " . In addition tb~.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 ~~ . ~ Y . ' . t . ,., ;`' `""`.~ `' -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 miriutes. . " 'APPOINTED OFFICERS: ~. ~ : ~ . Although you must.atistain from voting in the situations described above, you otheivvise may participate in these matters. However, you must disclose the'nature of the conflict before'making.any attempt to~influence the decision, whether orally br in writing and whether made', 'by you'orat 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 mu'st`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) ' ~/. . . ~~.- g' Cow ~, I ~~ ..~. . . `., ,- APPOINTED OFFICERS (continued) • A copy of the form must beprovided immediately to-the other members of the agericy. • The form must, be read ,publicly at the next meeting after the. form is filed. ~ .. IF YOU MAKE NO ATTEMPTTO INFLUENCE THE DECISION EXCEPT:BY DISCGJSSION AT-THE MEETING: ,,.., • You must disclose orally the nature~of your cohflict in the measure before participatingf °~ ~ , .. ~ `.i~' ; t ?`°; „ ~,'; • You must complete the form and fle if within 15 days after. the vote occurs with the person responsible for recorcJing 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^ =~ ,.. ~ , .. DISCLOSURE OF LOCAL OFFICER'S INTEREST °' ' R .~ °' ; ~:. ` I -- --------~-Q , 'l .L i ~e~`~"~ ---~!"~_T~~~__~___, hereby disclose that on ~ f~l_ 1 ~"'t ~ ~ ~~_ , ~, (a) A measure carne or will come before my agency which (check one} ___ inured to my special private gain or`loss;` ~ ` . __ inured to the special gairi or loss of my business associate, ____ inured to the special-gain or toss of my relative, ___ , --- -r._~_.,__ _ _ _ _~ .inured to the special gain or loss of__m ~ ~ `Y ^ ~Q~~ whom I am retained;'or _ , ~_ inured fo the special gain or loss of ___ _~~_____, which is the parent organization:oryubsidiary. 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: ~. . oc~e ~ ~tke~ h a~.lt, s ~~ ~ a. _ . C~~e~~ of ~. r ~P c N-, ~. C.~e ~;p~ der) ~l ~~I ~:v 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 $10,000. ~ - CE FORM 8B - EFF. 1/2000 .PAGE 2 - ~_