56 Simon Cruz 06/27/01 R7E
5~ I~_ 6
FORM 8B MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER lOCAL PUBLIC OFFICERS
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MY POSITION IS:
;{ ELECTIVE G APPQI:'>OTI\E
WHO MUST FILE FORM 88
This iorm is ior use by any person serving at the county, city, or other local level oi government on an appointed or elected board,
c.:ouncil, commission. authority, or committee. It applies equally to members of advisory and non-advisory bodies who are presented
with a voting connict of interest under Section 112.3143, Florida Statutes,
Your, :sponsibilities under the law when faced with a measure in which you have a connict of interest will vary gr<atly depending
on whether you hold an el<ctive or appointive position. For this reason, 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
ELECTED OFFICERS:
A person holding elective county, municipal, or other local public office MUST ABSTAIN from voting on a measure which inures
to his special private gain, Each local officer also is prohibited from knowingly voting on a measure which inures to the special
gain of a principal (other than a government agency) by whom he is retained.
In either case, you should 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
\VITHIN 15 DAYS AFTER THE VOTE OCCURS ~y cumpleting and filing this form with the person responsible for recording
the minutes of the meeting, who should incorporate the form in the minutes.
APPOI:"iTED OFFICERS:
A person holding appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which
inures to his special private gain. Each local officer also is prohibited from knowingly vOting on a measure which inures to the
special gain of a principal (other than a government agency) by whom h< is retained,
A person holding an appointive local office otherwise may participate in a matter in which he has a conflict of interest, but must
disclose (he nature of the conflict before making any attempt to influence the decision by oral or ,\.'riuen communication, whether
made by the officer or at his direction.
IF YOU INTEND TO MAKE ANY ATTE\IPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH
fHE VOTE WILL BE TAKEN:
, You should complete and file this form (before making any attempt to innuence the decision) with the person responsible for
r<cording the minutes of the meeting, who will incorporate the form in the minutes.
, A copy of the form should b< provided immediately to the other members of the agency.
. The form should be read publicly at the meeting prior to consideration of the matter in which you have a connict of interest.
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IF YOU MAKE NO ATIEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You should disclose orally rhe nalure of your contlict in rhe measure before participating.
. You should complete Ihe form and file it Within 15 days after the vote occurs with the person responsible for recording the minutes
of the meeting, who should incorporate rhe form in the minutes.
I.
(! DISCLOSURf Of LOCAL OffICE~JNTEREST
~ ( ...... "'- .. oJ<...-- , hereby disclose thaI on ( 1 u vl e.- 2. '1
2001
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(a) A measure came or will come before my agency which (check one)
_ inured to my special privare gain; or
~ inured ro rhe special gain of
. by whom I am retained.
(b) The measure before my agency and Ihe nature of my interest in the measure is as follows:
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TlCE: UNDER PROVISIONS OF FLORIDA STATUTES ~1l2.317 (19g5), A FAILURE TO MAKE ANY REQUIRED
,CLOSURE CONSTITUTES GROUNDS FOR AND MAYBE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
'EACHMENT. REMOVAL OR SUSPENSION FROM OfFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
.ARY. REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED S5,OOO.
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