02 - Philip Levine Item R9D 2/12/2014 Commission Meetingf '
SUPPLEMENTAL ABSTENTION AND DISCLOSURE REQUIREMENT
DISCLOSURE MEMORANDUM
PURSUANT TO SEC. 2-458 (b),MIAMI BEACH CITY CODE
TYPE OF MEETING: L /r F f-1 A/b
DATE OF MEETING: oa�/a��� AGENDA ITEM#:
NAME OF PUBL I C OFFICER DISCLOSING:
DISCLOSURE OF THE EXISTENCE OF ANY "FAMILY AND/OR BUSINESS
RELATIONSHIP" (as defined in attached Ordinance) OF WHICH THE PUBLIC
OFFICER IS AWARE, WITH ANY PERSON OR BUSINESS ENTITY WHO IS
DIRECTLY BENEFITED BY THE SUBJECT VOTE OF THE AGENCY ON
WHICH THE PUBLIC OFFICER SERVES:
Oa us aG72,v6 .
,ate.Gvs rl!L Vv&o dms d of pw G'ooiysvG��vG..T y�
ff'bEit?» /1.mil•
SIGN F PUBLIC OFFICER
J"
DATE
This form should be filed within 15 days of the vote. FEB 15 2014
FXLER\CLER\FORMS\SUPPLEMENTAL ABSTENTION AND DISCLOSRE REQUIREMENTFORM I.doc