#148 Sabrina Cohen 11/17/2020fu/a /a s
FORM 8B 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
Sabrina Cohen Disability Access Committee
MAILING ADDRESS THE BOARD, COUNCIL, COMMISSION, AUTHORITY OR COMMITTEE ON
1800 Purdy Ave apt 2406 WHICH I SERVE IS A UNIT OF:
CITY COUNTY s CITY □COUNTY O OTHER LOCAL AGENCY
Miami Beach Dade NAME OF POLITICAL SUBDIVISION:
DATE ON WHICH VOTE OCCURRED MY POSITION IS:
O ELECTIVE Gß APPOINTIVE
z o < -
WHO MUST FILE FORM 8B
This form is for use by any person serving at the county, city, or other local level of government on an appointed or elected board, council,
commission, authority, or committee. It applies to members of advisory and non-advisory bodies who are presented with a voting 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 greatly depending
on whether you hold an elective or appointive position. For this reason, please pay close attention to the instructions on this form before
completing and filing the form.
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 government 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 TH E DECISION PRIOR TO THE MEETING AT WHICH TH E 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 8B - EFF. 11/2013
Adopted by reference in Rule 34-7.010(1)), F.A.C.
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A P P O IN T E D O F F IC E R S (c o n ti n u e d )
• A copy of the fo rm m ust be provided immediately to the other members of the agency.
• The form m ust be read publicly at the next m eeting after the fo rm is filed.
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
• You must disclose orally the nature of your conflict in the measure before participating.
• You m ust com plete the fo rm and file it within 15 days after the vote occurs with the person responsible for recording the minutes of the
m eeting, who m ust incorporate the fo rm in the m inutes. A copy of the fo rm must be provided immediately to the other members of the
agency, and the fo rm m ust be read publicly at the next m eeting after the form is filed.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
1,@baoen hereb y disclose th at on 20 :
(a) A m easure cam e or will com e befo re m y agency which (check one or m ore)
inure d to m y special private gain or loss;
inured to the special gain or loss of m y business associate, _
inured to the special gain or loss of m y relative, _
X inur e d to th e sp ecial gain or loss or Sabrina Cohen Foundation.by
whom I am retained; or
inured to the special gain or loss of , which
is the parent subsidiary , or sibling organization or subsidiary of a principal which has retained m e.
(b) The m easure before m y agency and the nature of m y conflicting interest in the m easure is as follows:
If disclosure of specific info rm ation would violate confidentiality or privilege pursuant to law or rules govern ing attorn eys, a public offi cer,
who is also an attorn ey, m ay com ply with the disclosure require m ents of this section by disclosing the nature of the interest in such a way
as to provide the public with notice of the conflict.
11/2/20
Date Filed Signat
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. 11/2013
Adopted by reference in Rule 34-7.010(1)(f), FAC.
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