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106 Philip Levine Item FORM 813 MEMORANDUM OF VOTING CONFLICT FOR COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS LAST NAME—FIRST NAME--MIDDLE NAME NAME OF BOARD,COUNCIL.,COMMISSION,AUTHORITY,OR COMMITTEE LEViNE, Philip Miami Beach City Commission MAILING ADDRESS THE BOARD,COUNCIL.,COMMISSION,AUTHORITY OR COMMITTEE ON 1425 North View Drive WHICH I SERVE IS A UNIT OF: CITY COUNTY bd CITY 0 COUNTY 0 OTHER LOCALAGENCY Miami Beach Miami-Dade NAME OF POLITICAL SUBDIVISION: City of Miami Beach,Florida DATE ON WHICH VOTE OCCURRED MY POSITION IS: June 11th,2014 d ELECTIVE 0 APPOINTIVE WHO MUST FILE FORM 813 c, rya This form is for use by any person serving at the county, city, or other local level of govemment on an appointed or e7ectedYeard,ycouncil, commission,authority,or committee. It applies to members of advisory and non-advisory bodies who are presented wifh a NWg conflict of interest under Section 112.3143, Florida Statutes. Your responsibilities under the law when faced with voting on a measure in which you have a conflict of interest will vary gr6itly depending on whether you hold an elective or appointive position. For this reason, please pay close attention to the instructions;on this fomibefore completing and filing the form. y INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES A person holding elective or appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which would Inure to his or her special private gain or loss. Each elected or appointed local officer also MUST ABSTAIN from knowingly voting on a measure which would inure to the special gain or loss of a principal (other than a goverment agency) by whom he or she is retained (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 relative;or to the special private gain or loss of a business associate.Commissioners of community redevelopment agencies(CRAs)under 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 from voting in that capacity. For purposes of this law, a "relative" includes only the officer's 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 carrying on a business enterprise with the officer 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). ELECTED OFFICERS: In addition to 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 WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and filing this form with the person responsible for recording the minutes of the meeting,who should incorporate the form in the minutes. APPOINTED OFFICERS: Although you must abstain from voting in the situations described above, you are not prohibited by Section 112.3143 from otherwise participating in these matters. However, you must disclose the nature of the conflict before making any attempt to influence the decision, whether orally or in writing and whether made by you or at 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 must 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 page 2) CE FORM 813-EFF 1112013 PAGE 1 Adopted by reference in Rule 34-7.010(1)(0,F.A.C. APPOINTED OFFICERS (continued) q. • 'The fcrrn must to read ptiti"idly at trie rerxt mzitstjrp,;r,,,tz-r th=- form is�Ied. IF YOU ATTE-.%r:PT'70 IM-WENCE THE DEZIVISION EXCEEPT BY Kr'NiE `�z bonatu-_ra of v r conflict in"fie Yo 13 Must Cr_1,Tjp,rtz_ the f;:�,.,rn artd file;1 15 d ays after*r'*vote ci.—ars t'e_.perscia responsible for tn'-2 Mvry tres of die to the ot':errn4.rv. iun' :dftlfc -,t t-c read publk�y st the no-J-ft metifirt;aft-3r tbia f orn. �a fled. ,cncy, t7Z.10rrn MI.' DISCLOSURE OF LOCAL OFFICER'S INTEREST F-1,hili ne 11111 14 p L=Vlne j L; hu-n-Lity-d�.6-:)so"that A n,,ensw(e•--atne or w3l come,befai,e rr-,v agenc vilhidi(dieck.Ghn w mmrn) inoloe W t-,Iv _Zpu1,kjI ptivato�,iv/fn 07�Crs, **(see p.2, attached) inurErj',to the species-pain:,r h.-Gs of rr...y business ass,:cz61=-, inure:to oe spw_a..,wgpin c,-)cis of my reiau-,* Inure to Vie cain v of by v.,TM_ft4ii I ani r4l&z,.ed: Lw (nur&_4 to eie stein. -nin or 1-wz-)I is the pawft,v.Ib!;irflaTy,of stbing cqgariizzalJon or s-,rtysAiary of a pdr,."ips� h9s:rvzinc-d me. (b)Th©niessure tefbxa my agency ar?j'he assure V*rry lr.*ereGl&i the rnessure 15 as f grit apartner r r')Ifle awn sblp oll R • a-1 Modia F-armers. LLC. 1,waz rccocil,�,made avrarb that,ShMiola is an a.d.vertisIng clieni in Row-jal lMedia Panners' PC,:!Shopping Brand'Frogmm which indude's prim, -adv4rt-s rnjq In thlue RoVal C rlhhean CrWses, Lked,. Ma<,pZ1neS.'0 brand Wing on P-wt S1h,_pp!ng;,`�aps.dlgQ.11 listing on, Portz Shopping websfte and app, asad brand videf. on in-slale,,ocrn t-levision.'I did no; -e this Infora-fatuon'on April 23, 20 ,vj,.nen I placed an ftern regandi I r e,di prcposed donstion of;locks by Shin­*Ia to the Citi,for placement,cn,public-propexty- At that time, hovi-ev-sr. rvo formal action lxas taken by the Citt,%Commlss'ion vohe, han to reach out'G Shinols and come back,to the Girt'Commission-.vilh :a PfO1,10S31, The subject measure Mlid `:;ame before the City C,orI-,m15-sfon an Jivie 11 1,:rte -,tras a m fn I-s te da,i ma- e r w h f ch only referred (i.e. tra,,-sm-itted) Shino--a's.prcposed donston of clocks to the Ci,:y, "fici placement on public prcper�j, f 07.1d"isvi SS.'en by the Citqi's Land Use end Deve.,oprne nt Ccm rnk 'k-fte e OLU DC), P--o.discu ssid,on was.hseld at the City Commission rmaeting, nor-.vas any other action taken by Chy Commissicn 1,w?,h regard tc Shinoizi cir jis pro LI ipsed donation), q9lev tear,`o r0ler t�-,p matter to the LUDC for If rther discz_sseon_ (cont'd on pq 2,attached) If d'3:�-oaura c Information wl:wld violate,cionfiderdel'ay of pr"-_Vjp_ge;XNS�Hlll LN law Yar.rU-;0_,s 93vem:,nq a public '31nee". who'iE;31!xr an zetorrw!, 1113y corrv4y:% hl Uie*:dw;um. of t1*,i:;recfiDn by t�-_,do-Ying ft nkiturr,of tin it.,^';cztin wCb a vmy as to proAde t-ie p&,,c W'tt rx::ca of onflia. ZY -4 1 j %Jb,�R-P�RIOOS S_-'Cl-'�C6 DA STAT1.:7—_R §1112.317, A FAILURE TO MAXE MfY RE-CURED NIC710E'. U. ION F R1 CONSTITUT,ff G�R-t�l IND P,6 M E MORE: CF THE FOULO`NING: AMPEACHMEN-r � 7C AY BE PUNISHED BY ONE OR L�s i 1 �,! V 'M T, 7DEIM0 S.% D, OR A. REMOWU �i F,v FIGE OR El FLOYMEN TION, REDUCTION 11-1 LARY CIVIL PENN;77 Y NOT T 0 F-Y. F_F D-S 1 1 D.C r;o. C;E P, ea-E FF. I I 2-co I 13 Ajup,ied by referen ca fr.PJA a:1-41 i(_x I Xfi.Fsvl. • 0 FORM 813 MEMORANDUM OF VOTING CONFLICT FOR COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS LAST NAME-FIRST NAME-MIDDLE NAME NAME OF BOARD,COUNCIL,COMMISSION,AUTHORITY,OR COMM rrEE LEVINE, Philip Miami Beach City Commission MAILING ADDRESS THE BOARD,COUNCIL,COMMISSION,AUTHORITY OR COMMITTEE ON 1425 North View Drive WHICH I SERVE ISA UNIT OF. CITY COUNTY B'CITY DCOUNTY D OTHER LOCALAGENCY Miami Beach Miami-Dade NAME OF POLITICAL SUBDIVISION: DATE ON WHICH VOTE OCCURRED City of Miami Beach, Florida June 11th, 2014 ELECTIVE D APPOINTIVE CONTINUED PAGE 2 Notwithstanding, and acting on the advice of the City Attorney, I was advised to err on the side of caution; abstain from participating and voting on the referral item; and file the subject voting conflict ** It is my belief that any special benefit or gain, either to me or to my company, based upon either the 4123114 or 6111114 measure, or resulting from a donation of Shinola clocks to the City, is remote and, at best, speculative. However, in the interest of full transparency and disclosure, I have checked off the above box. cv !,. zn Q N ;,