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LTC 207-2010 Board and Committee Attendance Reportsm MIAMIBEACH OFFICE OF THE CITY MANAGER 2OIO ~UL 26 AI~I I ~ ~7 No. LTC # 207_201 Q LETTER ~~~~Ila~~t3l~~if®N To: Mayor Matti Herrera Bower and Members of the City Commission FROM: Jorge M. Gonzalez, City Manager DATE: July 26,.2010 SUBJECT: Board and Committee Attendance Reports Attached for your perusal are the attendance reports submitted to the City Clerk's Office for the second quarter of 2010. 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J I"' ~ Q W Q = Z N ~ ~ d ~ Q -~ .C Q ~ m = ~ ~ cC z O ~ V cn r N M d' ~ ~O 1~ 00 Q~ O r N M d' t~ Cfl N Sri .O ~ ~ ~' O ~~z a~ ~a'z Page 1 of 1 Martinez, Maria From: Lopez, Gus Sent: Monday, June 07, 2010 4:39 PM To: Martinez, Maria Subject: Re: Quarterly Attendance Zero for debarment committee. From: Martinez, Maria To: Parekh, Anna; Leyva, Dennis; Oldenburg, John; Stohl, Antoinette; Cruz, Jose; Carreno, Charles; Rosenfeld, Leslie; Usaga, Ingrid; Ruiz, Maria; Hawayek, Barbara; Velazquez, Jenny; Lopez, Gus; Mooney, Thomas; Knecht, Duane; Farmer, Gary; Wakefield, Rebecca; Smith, Kevin; Leonard, Clifton; Walker, Patricia; Pinder, Odessa; Rodriguez, Nannette; Bowman, Richard; Alberto, Jose; Ortiz, Wanda; Fontani, Diana; Inguanzo, Ramiro; Alvarez, Yesenia; Lamazares, Mercedes; Noriega, Carlos; Reeder, Tricia; Winick, Graham; Walker, Patricia; Frances, Saul; Roque, Grisette; Botero, Lisa; Vargas, Ellen Cc: Prieto, Silvia Sent: Mon Jun 07 16:31:52 2010 Subject: Quarterly Attendance The second quarterly attendance report for 2010 is due as soon as you have your June meeting but no later than Friday, July 2, 2010. Please make sure to continue using the same form so that we can have the attendance for the entire year on the same form. You must complete the form even if your committee has not met. We appreciate your cooperation. Thanks, Maria MIAMIE~EA~F~ Maria E. Martinez, Assistant City Clerk CITY CLERK'S OFFICE 1700 Convention Center Drive, Miami Beach, FL 33139 Phone: 305-673-7000 ext. 6250 / Fax: 305-673-7254 / www.miamibeachfl.aov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. 06/08/2010 s~ASnoa~ 0 L OZ 'L aaa a Q s~osnaaa Q c QIOZ'Z w~N d o- s~psnoa~ I a O l OZ '9 ~~O s~psnoa~ OLOZ'L daS s~osnaa~ OLOZ `E 6ntl s~osnoa~ 0 LOZ'9 I^f O p s~osnoab N ~ OLOZ'L u^f O V ~ s~osnoa~ O N ~ OIOZ'ti~oW c s~osnoa~ N OLOZ'9adtl C ~ SIASnAa~ Q O L OZ 'Z a~W T S~pSnAa~ i U OLOZ'Z Nad Q ~ W ~ s~gsnoa~ CD OLOZ'S motif w I Q ~ ~ ~ ~ r r N N t~ ` 7i Ca.-- ~-. .~-. ~ C?- ~-. ~~ ~L ~~ C ~' ~ ~ (a- (~- zC. A^. C?- ~- N 4- n- ~- ~.. ~ w E Q ~ o ~? 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W = U ~ o- Q Z W O ~ Q O c~ W ~ cn ~ Z o.. cn ¢ ~ f- cn Q w > Z ~ ~ O r N M ef' tp ~p ti O O O !" r !" N l M T d' T ~C1 T .~ U Q ~ ~ `''' ~ Q ~ N O ~ ~Z ¢~Q Q ~ Z c z c c 0 ~ o O N ~- W Om~ ~ o~ w NO U~>~ Qa~ 0 w~a ~ ~ a z o ~ 0 > 0 I z , ~ I 0 " I a -I -I m ~ I a a a a a ~~ a a a a a ~~ a a a a a a s ¢ a a a a ~I ¢ a a a ¢ = ~ ~ ~ ~ ~ I z z z z z w a z ~, ~ ~ N ~ as as ~ ~ o ~ ~ ~ ~ ~ ~ ~ ~ C9 w a .~ z o ` c ~ ~ m ~ += m ~ ~ w Y L ~ s C L J U m m U U r N M 'V' O ~O 1` 00 01 O r N M ~ Ln O m as c a~ a a~ c=~~ t~J1 N G O ~ LZz ¢aQ~ Qo:zz Page 1 of 2 %~ Martinez, Maria From: Leonard, Clifton Sent: Tuesday, June 29, 2010 11:01 AM To: Martinez, Maria Subject: RE: Quarterly Attendance Report. Attachments: BI Jan-June10.doc The Health Advisory Committee has not met since 2005. We have attached the BI-Annual report. There is a remote possibility that the committee will actually met in July-August. It seems that Mt. Sinai needs to have a meeting to satisfy an IRS requirement regarding community assessments. Mt. Sinai is now pushing for a meeting. Can you provide me with the contact/addresses of the current members? MIAMIBE~-CFI Clifton Leonard, Risk Manager Human Resources and Risk Management Department 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305-673-7014 /Fax: 305-673-7023 / www.miamibeachfl.aov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. From: Martinez, Maria Sent: Tuesday, June 29, 2010 10:18 AM To: Leonard, Clifton Subject: RE: Quarterly Attendance Report. Thanks, MIAMIEA~I-M Maria E. Martinez, Assistant City Clerk CITY CLERK'S OFFICE 1700 Convention Center Drive, Miami Beach, FL 33139 Phone: 305-673-7000 ext. 6250 / Fax: 305-673-7254 / vuww.miamibeachfl.gov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. From: Leonard, Clifton Sent: Tuesday, June 29, 2010 10:03 AM To: Martinez, Maria Subject: RE: Quarterly Attendance Report. 06/29/2010 Page 2 of 2 Attached are reports for the Safety Committee MIAMI BEACH Clifton Leonard, Risk Manager Human Resources and Risk Management Department 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305-673-7014 /Fax: 305-673-7023 / www.miamibeachfl.aov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. From: Martinez, Maria Sent: Tuesday, June 29, 2010 9:45 AM To: Parekh, Anna; Cruz, Jose; Christiansen, Sailyn; Usaga, Ingrid; Bernstein, Lynn; Leonard, Clifton; Leonard, Clifton; Alberto, Jose; Medina, Tathy; Fontani, Diana; Inguanzo, Ramiro; Alvarez, Yesenia; Hirsh, Katia; Velazquez, Jianina; Carreno, Charles; Lipner, Shari Cc: Prieto, Silvia Subject: Quarterly Attendance Report. I am sure most of you had the June meeting by now. Please provide the quarterly attendance report as soon as possible. We need to submit, via LTC, to the Mayor's Office. If your board has not met this quarter, please send me an a-mail on that. Thanks, Maria MIAM1113E1~#l~i-B Maria E. Martinez, Assistant City Clerk CITY CLERK'S OFFICE 1700 Convention Center Drive, Miami Beach, FL 33139 Phone: 305-673-7000 ext. 6250 / Fax: 305-673-7254 / www.miamibeachfl.oov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. 06/29/2010 ;~ 0 T N ~ ~ ~ ~~m o~~ 0 wvo ~ i = U~~ za0 a ~°~ ~ 'c = w ~~ F- N ~ a~a z ~ m 0 ~ > 0 I z ~ O I - I a~ Z~~l o- a a a a a ~~ a a a a a a .^I a Q a a a a a Iz~~l ~ ~ ~ ~ z ~ ~~z~~l ~ z z IZ~ I ~ ~ ~ ~ Z z ~ ~ w Z O w H ~ ~ a ~ a ~ a Q a ~ ~ w ~ ~ W N W Z .J Z Z W W ~ ~ a U ~ ~ ~ Z ~ J ~ Q LL J d G.. 2 H Z J t~ r N M 'd' t1~ ~p ~ pp O O l r !~ N T M r ef' T Lp T CC T a~ N c ~O ~~ca ~ ~ O Q a Z Q QaZ s~bsnbaa 0 L OZ `1r L aad c s~psnaa~ Q OLOZ'6 ^~N a~ a~ p- s~psn~a~ u o_ 0 L OZ 'Z L ~~O s~psnaaa 0 L OZ `tr' L daS s~psn~aa OLOZ'OL End s~psn~ab OLOZ'£L I^r O ~ s~psnoa~ N ~ OLOZ'8 u~f 0 U N ~ s~psnoa~ w ~ OLOZ'L L ~nW ~ s~psnoab Q N ~ OLOZ'£L adlt c ~ s~osnaa~ Q 0 LOZ '6 apW Z ~ ¢ s~psnoa~ 0 V m 0 L OZ '6 gad Q O W a s~psn~aa W > ~ • oLOZ'ZL uor _ w Q-- ~~-- Oc- ~. 4.- Q- Or- . 1 M L!'. an ~ ~' cam- ~ ~?" 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'd "C~ N C~ i ~~ ~, ~ bn ~ ~ ~~ ~a ~ .a~~ ~~ ~ ~~~~~ ~ ~ o ~ ~ ~ ~ U ~azUU daaZr~~C z R c C 0 ~ o O N LL W W I- W Z ~ H ~ ~ F_- '~ w~~ ~~~ VU~ awF- z ~ Q ~ ~ a ^Z I ~ i 0 ~ ~ a Z ~ , 0 a d a s a a a a a a <t a a a ,_I L a a a a a a a a a ¢ ¢ ¢ <[ ~ L I ~ c G ~I a Z a a ¢ a a a ¢ ¢ Z ¢ c ~ W W a z = W ~ o w a z >- ~ w z ~ z ~ m a ~ a o ~ w Q o v ~ w a a ~ ~ ~ o ~ ~ ~ ~ a ~ m w ~ Z Q ~ V ~ W Z N Q W J ~ Z Z F- to W W Y W N ~ ~ o J a J J Y ~ 2 O . ~ ~ ~ ~ W C9 O r N M d' tC~ tD 1~ 0p O r N r r r .~ 0 ~ +~ cC ~ +' 0 ~~z ~a~ a 1'~ 0 N ~I W w U W °z Page 1 of 2 Martinez, Maria From: Cesar, Randy Sent: Wednesday, April 21, 2010 10:35 AM To: Martinez, Maria Cc: Mooney, Thomas Subject: RE: 1st Board and Committee Quarterly Attendance Report 2010 Hi Maria, As per our conversation this morning, ~'he Single-Family Residential Review P el has not convened in 2010. Executive staff does not expect die panel to convene in the foreseeable uture. Thanks. Randy MIAMI ~E1~CF1 Randy Cesar, Office Associate IV/Boards Administrator PLANNING DEPARTMENT 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305-673-7000 x6586 /Fax: 305-673-7559 / www.miamibeachfl.gov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. From: Mooney, Thomas Sent: Tuesday, April 13, 2010 2:42 PM To: Cesar, Randy Subject: Fw: 1st Board and Committee Quarterly Attendance Report 2010 See below. From: Martinez, Maria To: Parekh, Anna; Oldenburg, John; Velazquez, Jianina; Toledo, John; Smith, Kevin; Leonard, Clifton; Winick, Graham; Mooney, Thomas; Beckmann, Fred; Walker, Patricia; Botero, Lisa Sent: Tue Apr 13 14:37:03 2010 Subject: 1st Board and Committee Quarterly Attendance Report 2010 The deadline was on April 5, 2010. Please submit your report immediately. We are missing the following committees: Affordable Housing Advisory Committee Beautification Committee Convention Center Advisory Committee Disability Access Committee Golf Advisory Committee Health Advisory Committee 06/29/2010 Page 2 of 2 Parks and Recreational Facilities Board Production Industry Council Safety CommitteelSingle-Family Residential Review Panel Sustainability Committee Transparency Reliability and Accountability Committee If your committee did not meet, please send me an a-mail stating it. Thanks, Maria MIAMI~EA~Ii Maria E. Martinez, Assistant City Clerk CITY CLERK'S OFFICE 1700 Convention Center Drive, Miami Beach, FL 33139 Phone: 305-673-7000 ext. 6250 / Fax: 305-673-7254 / vvww.miamibeachfl.aov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. 06/29/2010 0 r 0 N ~ ~ O N W u. a~ m H ~ ~ ~ ~ V ~U~ ~, _ w . C7 ZOO ¢ c~ ~•~_ z ~ i- ~~~ a ¢ z c.> ~ 0 > I 0 z ~I O N _I c c c c c c c m ~ ~I m E m E m E m E m E m E a E ° ° ° ° ° ° ° z z z z z z z ~~ a a a a ¢ a ¢ a~ a a a a ¢ a ¢ ¢ a a a a ¢ ¢ LLI a a a a a Z a ~I a z a z a z a z a z a z a z w z ~ ~ ~ w Q d Z fq J ~ O. ~ ~ ~ N J ~ ~ J s ,~; ~ ,o .~ C9 C W r N M d' to ~p ti O O O r r r N r M r d' r ~ r CC r ~ ~ ~ N ~~ FW ~, 'o O z z O ~ N / ~ W LL ~ m O ~VW a =w n~J,J L Li (~ a V o~S ~ Q o~ o~= z ,~ i-- Q~ N a ~~ i Z -- a ~ d ~ 0 > 0 I z n O l Q m a ¢ a a a a a a a a a a a ~~ a a ¢ a a a a a a a a a a a`~ a Z a a a a ¢ a a a o. a s s l a Z a a a a a a ¢ a a a a ~I a Z a ¢ a. a a a a a a n a . ~I a Z a n. a a a a a a a n a . w a °' = z F- . ~, 'a c . ~ ~ a ~ .~ ~, 0 ~ O O v w R ~ L ~ N O + ', i ~ cn a a o ~ ~ ~ in in ~ w ~ = N d = N R ~ O ~ ~ ~ ~ ~, d ~ ~ ~C O. ~ ~ ~ y N O t a N O ~ d N i t4 O ~ ~ ~ R d -~ a v o u. ii ~ ~ ~ a in i= ~ ~ r N M ~ ~ CO 1~ 00 01 O r N M !" ~ ~" T. -~ C O Q "~ ~ (6 ~ ~ O S2 ~ Z ¢aa Q ~ Z O LL O a w w U Z Q 0 Z W H a N .di ~+ ,~ O U O a~ d L a c O tU O r O N W m W V W c~ H Z a ~ as 0 ~ o z f ~ O I -I ~I ~ a a a a a a a ~~ a a a a •~ a a a~1 a a a a a a a s L ~ a a a a a a a ~ u~.. a a a a a z a a z ~ ~ a a a a a z a a z w ~ H ~ ~ ~ ~ d ~ Y i ~ i. ~ ~ N ~ ~ = ~ C ti Q ii 2 Y Y O t~ W Z ~ ~ '~ 'C ,~ ~ N L r N M ~ LCD ~p ti O O O r r r N r M r d' r O r CC r O N ~ ~ 0 .~ ~ z ~a~ ~P-.~' 4 U ,?; o •i r p 0 N .~ ~ 'Q m ~ CC O G ~ ~, W U w>o W U t7 Q ~~ L '~' Z ~ `~ W , ~_/Ny I"' `~ L7. a~~ w¢ m~ ~~ m 0 > 0 I z ~~ O -i ~'i c c ~~ _ ~ c c c ~ E ~ C~ E E E ~ ~ O O Z O O O O O O Z Z Z Z Z Z Z L „~ ~ L ~ ~ ~'~ a a o~ a a a a a z o L Q a a a a a z a a a ~. ~.. L. L. ~ ~. _ ~. V o n o :~ o :~ o ;o o :~ o n o :o o :o I z o z m Z ~ z ~ z o z o z m Z_~ ~ E E E E E ~ E ~ LLI a a a o. a a z z ~I a ¢ a a a a z z W ,, a~ ~ ~ ~a LL Z ~ 'N ~ ~ ~ ~ d ~ V W -~ cq ~ ~ to Y ~ Q Q I ca c ~ N Q J Z ._ ~ L ~ ~ _ '~ ;Y ~C , y •~ ~= J C7 2 (~ Q ~ ~~ r N M 'CF ~ t0 ti O O O r r r N r M r d' T ~ T CD r N +, .~ 0 G1. +~ cd ~ ~ O ~z a~ daz L O ~ r 00 LY1 N ~ ~' ~ O ow ~. N m ~~w a woo ~ ~ w V C7 V .c ~ a ~~ X70-2 H Qua ~~ ~z ~~ ~ i ~. 0 ~ ~ 0 z ~, 0 ~ , ;INS a a a a a a a a Q~NI a a a a a a a n. t ~ ~~ a a a n. a a a a ~, ~I N~ a a a a a a a w ~ a ~ . z _ ~ ~ ~ ~ L Q~ Q ~ O ~ 3 ~ u. °-,' ~ o cis ~ ~ a w c w ~ °' a _ z '= o Y N ~ = O ~ C = L Y a L ~ ~ i N O ~ ~ ~ O ~ C C7 ~ 1~ ~ ~ (7 ~ U r N M d' ~ CO ti O M O r N M 'd' ~ CO r r r r r r r b .~ 0 t~, v-5.,, +~ ~ ~ O ~~z ~a~ P-. 7 FORM 8B MElVIORANDUIIII O'F VOTING CONFLICT FOR COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS LAST NAME-FIRST NAME-MEDDLE NAME LEI-f+'-IR^~ , Jt"~=-F. +'`'!. NAME OF BOARD, COUNCIL, COMMISSION, AUTHORITY, OR COMMITTEE vIJ-7v~l,.l G ~a~VCn~77oJ ,~},i7r-/o,~r7y MAILING ADDRESS 0 d ~,' A ~ /%~ ~ ~ vGr THE BOARD, COUNCIL, COMMISSION, AUTHORITY OR COMMITTEE ON WHICH I SERVE IS A UNIT OF: , ~ CITY COUNTY ~ CITY ^ COUNTY ^ OTHER LOCAL AGENCY -°'1 ~!~ rl / /,~C L}G b~j r- ~ 1't lr3"r ! • ~.~-+'~, NAME OF POLITICAL SUBDIVISION: HI ~ DATE ON W CH VOTE 9000RRED ' . •~ / ~U / rit 0 0 9 MY POSITION !S: ^ ELECTIVE ~ APPOINTIVE ' WHO MUST FILE FORM 8B - This form is for use by any person serving of the county, city, or other local level of government on an appointed or elected board, council, commission, authority, or committee. It applies equally 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 faded 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 the reverse side 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 inures to his or her special private gain or loss. Each elected or appointed local officer also is prohibited from'knowingly voting on a mea- sure which inures to the special gain or loss of a principal (other than a govemment agency) by whom he or she is retained (including the parent organization or subsidiary of a corporate principal by which he or she is retained); to the special private gain ar loss of a rotative; or to the special private gain or loss of a business associate. Commissioners of community redevelopment agencies under Sec. 163.356 ar 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. ~ . Far purposes of this law, a "relative".includes only the officer's father, mother, sori, daughter, husband, wife, brother, sister, father-in-taw, mother-in-law, son-in-Jaw, 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 QP;YS AFTER THE VOTE OCCURS by completing and filing this form with the person responsible for recording the min- utes of the meeting, who should incorporate the farm in the minutes. APPOINTED OFFICERS: Although you must abstain from voting in the situations described above, you otherwise may participate 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 other side) APPOINTED OFFICERS (continued) • A•copy of.the form must 6e provided immediately to the other members of the agency, • The form must be read publicly at}Ihe next meeting after the form 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 iri the measure before participating. • You must complete the form 'and file it within 15 days after the vote occurs with the person responsible for recording the minutes of the meeting, who must Incorporate the form In the minufes, A copy of the form must be provided Immediately to the other members of the agency, and the form musf be read publicly at the next meeting after the form is filed, DISCLOSURE OF LOCAL OFFICER`S INTEREST '~- `~~~~~ ~~`~"'`i"~ _-_ ,hereby disclose that on U . ~,__.__~ ~ 3--__..- , 20 0 9 (a)'A measure came or will come before my agency which (check one) .__ inured to my special private gain or loss; inured to the special gala or loss of my business associate, ~_ _, inured to the special ga(n or loss of my relative, M; _ ~~ -~ inured to the special gain or loss of~ Tl`~ .CG~e. r~C ~' ~~~ ~ -~ __.__ _~ , by whom I am retained; or -'-- -' _._ ~ inured fo the special`gain or loss of -----.._ ~., which is the parent~organizatien or subsidiary of a principal which has retained me. (b} The measure before my agency and the nature of•my conflicting Interest in the measure Is as follows; . ~ 5' . ~ o., ~: .-7~ ~ ~`r ~ TN~`~ v" o v T 7~1'~'"; `~~°~d ~ ,.,f't~'q-b'~ ~i U D~CS G`~ v'-~S o r" . Date Filed -' Signature ~-~---~-"' NOTICE: UNDER PROVISIONS OF FLCJRIDA STATUTES §192.317, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE CONSTITUTES GROUNDS FOR AND MAY, BE PUNISHED BY ONE OR MORE OF TWE 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. 1/200D • PAGE 2 Fo1QIVl 8B lUlElU1oRANDUM U•~ VOTrNC CoNFL1CT ~o~ • ~COIUNTY, NIUN~G~~'AL, A,ND oTFIER t~C3C,~L PUBIC o~F~CE~S LASTNAME---FIRST NAMIe-M~DDt,E NAME / NAME Or` BOARD, COUNCIL, COMMISSION, AUTHORITY, OR GDMMiTTEE L, L~y~7sa~-/ ~ L•7~r vrs ~ i~~t,.s ~~ Cv~ ve~v ~-r~.~ ,9,~ry~u.2.~ ~-Y MAILiNO ADDRESS ~7 •-~, 7HD aOAFtD, COUNCIL, COMMISSION, ALrfHORiTY.OR COMMITTEE pN ,,,,7j tl ~ e ~ ~l, .~Ja ~C~i WHICH !SERVE IS A UNIT OF; . CITY COUNTY CITY ^ COUNT,Y ^ OTHER LOCAL AGENCY M ~ ~ r7/ ~ is %~•G ~-/ ~ .~ g .-~, l,~%~ ~.; , NAME OF POLITICAL SUBpIV151pN: • DATE ON WHICH VOTE OCCURRED ;t MY PpSITION is: ^ ELECTIVE ~" APPDINTIVE ' 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 stetted board, count!!, commission, suthoriiy, ar committee. It applies equally to members of advlsnry and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143, Flaride Statutes. Your responsibilliles under the law when faced with voting on. a messure In which you have•a conflict of )nterest will vary greatly depending on whether you hold an slect(ve or•appointive position. For this reason, please pay close attention to the instruction's on this form before completing the reverse side and filing the form. • .INSTRUCTIONS FOR COMPLIANCE WITH SEC7lON 112.3'!43, FLORIDA STATUTES A parson holding elective or appointive county, rnuniclpat, or other local public office MUST, ABSTAIN from voting an a measure which Inures to his or her speclal private gain or loss. Each elected or appointed loos! officer also is prohibited from knowingly voting on a mea- sure which Inures to the specla-•gain Dr loss of a principal (other than a government agency) by whom ha or she is retained (lncluding.the parent organlzatian or subsidiary of a corporate prlnclpal by which he.or she is retained); to the special prlvate gain or lass of a relative; tir to the speclal prlvate gain or loss of a business associate. Commissloners~ of commUnlty •redevalopment agencies under Sac. 163.35';. or 163.357, F.S., and offioers of independent special tax •districts elected on a one-acre; one-votg basis are not prohibited from vofang in that Capacity. For purposes of this law, a "relative".includes only the officer's fathar,'rnother, sort, daughter, husband, wife, brother, sister, father-In-law, mother-in-few, son-In-law, and daughter-in-law. A "business associate" means any person or entity er-gaged in or'catrying on a business enterprise with the •off)cer as a.partner; Joint venturer, cbowner of property, or~cgrporate "shareholder (where the shares of the carporailan are not Elated on any national or regional stock exchange). ~ ,' ELECTED OFFICERS:. In addltlon to abstaining from voting in the situations described above, yeu.must disclose the~conflict: PRIOR TO THE VOT;* BEING TAKEN by publicly stating'to the assembiy the nature of your interest in the measure on which you • are abstaining from voting; •and' WITHIN 15 PAYS AFTER THE VOTE OCCURS by cnmplet(ng and filing this foml with the person responsible fnr recording the min- utes of the meeting; who should incorporate the form in the minutes. , APPOINTED OFFECERS: Although you must abstain from voting In the sltuatlons described above, you otherwise may participate in these matters. However, you . must disclose the nature of the confllcE before making any attempt to Influence the decision, whether orally or in writing acid whether made by you or at your direction, ~ ~ .. IF YQU INTEND TD MAKE ANY ATTEMPT TD INFLLfENGE THE DECISION PRIDR TO THE MEETING AT WHICH THE V07E WILL BE TAKEN: .. ~ . You must complete and file this form (before making any attempt to influence the decision) wltn the person responsible far recording the minutes of the meeting, who will incorporate the form in the minutes. (Continued on other side) _- APpOiNTi~D OFFICERS (continued) • . ... __ _ • •'A•cepy of the form must tie provlded (mmediafely to the other members of the agonoy, • • The form must ba read publicly~at ~he next mee(Ing after fhe Form Is flied. IF YOU MAKE NO ATTEMPT TD INFLUENCE THE,bEC(SION EXCEPT BY DISGUSSION AT THE MEETING: •• You must disclose orally the nature of your coniflct iri the measure beforo paRfcipating. • You must complete the form'and file (t within i5 days after the vote occurs with ttie parson responsible for recording the minutes of the meeting, who must Incorporate the farm In the minutes, A copy of the form must be provlded Immediately t~ the otFrer members of the agency, and the form must be read publicly at the next meeting after the form is filed, ~ , DiSCLOSUhE OF LOCAL C~FF'1CLR'S INTEREST • --.-_. ,hereby disclose that on ~ ---~-•.~~.,~..___.~~ 20 ~ U {a)'A measure camp ar will come before my agency which (check one) Inured to my special private gain or lass; _ (nured to the special gait or foss of my bus[ness essocfate, ,~_,,,_ ,_,,.. (nured to the special gain or toss of my relaflve, _,,; ~.___.__..-------____._.____.. -' ..~ Inured fo the special gain or loss of ,_`~` C_C<y+L r~C L-'' /,Lp~-Z ~ ~`-. .. ^--~~ • --------_._.,.._~ ._~ by whom I am retained; or ~ -"'-~--~-~~-~--~- .~_ ~ inured;a the special gain or loss of ' • (s the parent~organization or subsidiary of a principal which has retained me. ~~ ~~ ~~-' which (b) The measure, before my agency and the nature •of'my confi(cting interest in the measure !s as follows: __-.~ •~~311 Date Filed -- --.-__ _ . • Signature -_-...._____.._..._.__._.~. NOTICE: UNDER PROVjSIONS OF FLORIDA STATUTES §112.317, A FAILURE TO MAKE AtVY REQUIRED DlSCL05URE CONSTITUTES GF20UNbS FOR AND MAY. BE PUNISHED BY ONE OR MORE OF T}'iE FOLLOWtNa: )MPEAGHMENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A ClV(L PENALTY NOT TO EXCEED $10,000: CE FORM 8B ~ EFF, 1l2DDD PAGE2