05 Mark Sinnreich - Health Care Facilities -February 29, 2012 SUPPLEMENTAL ABSTENTION AND DISCLOSURE REQUIREMENT
DISCLOSURE MEMORANDUM
PURSUANT TO SEC. 2-458 (b), MIAMI BEACH CITY CODE
TYPE OF MEETING: f--rC,-t6-kj
DATE OF MEETING: Z�Z� �� Z AGENDA ITEM#:
NAME OF PUBLIC OFFICER DISCLOSING: I'I v1 f`' ►✓1 el
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:
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SIG. ATURE OF PUBLIC OFFICER
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DATE
This form should be filed within 15 days of the vote.
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