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Home My WebLink Aboutclsb_form8bconflict_jfair_20230210 (2) ........ ....... I':ORM 8B MEMORNNIPUNA OF VOTING C0114FLIG1 ��F 0[R,ER S COUN I Y, MLJN1Cff)A1,,,, ANI') 10THER 1-10CAL, P(MLIC OFf�'IC[- k,',r N,AW --IP',[ NAr,11F 4AIDI-I)l F ON111, �Ik.......... .,3, .......... I�V,_V111 I I SID S, d I()r 'Zo V(GITY T CAL S,i,FMVIK;f /?Z, 11. /W/4 i,4_ V� "j,, " ✓" ......,1, �.... FLECINVE L id APPCWTTRA J .......... VVIii0i MlS"I" FILE FORM &B iTiiis form is for use by arry person serving at the county, city,or ofllo(��Jl IeVrA rer Jf cJoverrimenl ori an appolinied or elected board,cxjndl, ciornmisson,arithorly,oi, (,:crnnriftee. IIt appalls.,,tc)�nicirnlx,,rj of advisory and noJrJ_.:@(,lvisc)ry bridieswho are presenled wdlil a voting conflk.,,t of irli Under SoiAron If 2 3143, Florida Stall-des. Your responsibilities under the liaw when faced witli voting or)a measure in which you have an con flier interest vivill'vary greatly depending on whether yclu hoki on elective or appointive position,. For this reaiso,n, please pay close atterition to the instructions i this form before completing and filing the form, ——-------- - INSTRUCTIONS FOR COMPLIANCE WITH SECTION 111 ,3143, FLORIDA STATUTES A person Ili elective or appointive county, municipal, or other local public office MUST ABSTAIN from voting on as measure which would inure to his or her special private gain or loss,Each elected or appointed local officer also MUSTABS-i from knowingly voting on 3 Mili which would Inuare to the special gain or loss of a principal (other than a government agency) by whorn he or she is retained (including the,parent,subsidiary,or sibling organization of as principal by which he or she is retained)„to the slpeciiaal private gain or loss of is relative;or to the speclaI private gain or loss of a business associate,Commissioners of community redevelopment agencles(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 capaci 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 corporafion are riot listed on Piny national or regionalsk>ck exchange). ELECTED OFFICERS,: In additbri to abstaining,frorn voting in tile situations described above,you must disclose the conflict: PRIOR TO THE VOTE BEING TAKEN by publicly slating to the assorribly the nature of your interest in the measure on which you are, abstaining from voting;and WITHIN 15 DAYS AFTER THE VOTE OCCURS by complefing and filing this form Wrorl the person responsible for recording the nninUtes of the meeting,who should incorporale!the form In the minutes. APPOINTED OFFICERS: Although you must abstain firorn voting in the situalions described above, yon are not prohibited by Section 112,3143 from otherwise participatIng in,these matters However, you nrust disclose the nature of file conflict before rnaking any attempt to influence the decision, whe,therorally or inn writing arrewhether iTiade,by you oratyOUrcire ction. IF YOU INTEND TO MAKE ANY AITEMPT TO INFLUENCE THE DECISION PlPIICIR TO THI_:�MEETING A]"WHICH THE VOTE WII-L.BE TAKEN" � 'Axi mull complete and file this f0iml(tieforemaking airy attempt lo influence the docision)with the person responsible foo, necording the rrinutes of rhe rineeting,who will incorporate the fornr in Ore rninuirs. (Continued ly-i page 2) 11'— --I --- .......... .......... Cfl`F0RAA8B EFF iV20 1'3 PArE 1 Adopred iv iefeience in Rule 34-7 01 V 1)ef),RA C' APPOINTED OFFICERS (confiniti,vled) A copy of Ifie Crrrniii rriu st be p:lovjdres 1 vi-wr.riusate ly k)we rayl ie a lnnrr tx:a a.,of th4;�.r tr.�iramy. The lrai nm rr'uu l!be wart prut.11'py all tho P'n a t rnee0.ng eafteCHie fo tw is fik-,,d, if' Y011 t fatly N('t„t'T�IEMlil NNFLC.1Elwitsi''TFIh I'll(.`C1SIC iJ i:.;ytahll`11-0)'DiS,,l f�.,;;�,[r,rp�lAT II fl' Ir11.f 'III`�[t,'f: "a^"OU rilust disclose om liy the ru.wtuuue of you i, coili''li h in the p efolioe pas licfi Olnt'j. Yonauaeat comp I(2.�tetLir„^form,and fiIee”it within '105 u.aym, ettoI the vm;ote uu,r.aaus Witlh;flee pli.I ;respo,Is bl,for recoI-(iirig tirc mInIate.,a()I ii onuee°ting,who nmcust inem porarate the fc,muu.n in the A copy urf thee forrr'r;must be prrro-aue ed irumm I I [leer er her mw;curiae ns melfthe agency,and the form must be me,,,id p.au Milia ly at the next n°ucerfing a;atte� We form is,filed, SCL OSUR OF' LOCAL OMCEWS INTEREST do y t w hereby disclose thet on �., .°._ .__._ _ 2tw y' r� _... .____ , (r-a)A measure came or wulll conmee(before nmy agency which(checlk one or amore) inuered to my special private[,lain or loss; _....... inured to the special lgtrijira or Ica,s"s Gaf gamy business associate .............. inured to the, special gain)or le.ass of rrry reiative3_.._. .. _ w._ ______.._.__..._..__._....__ _............ ...... inured to the spry oaai gain or loss of Z&2eat!5� 1 ....f. ? :. .._. , ...... _. _ by Whom I anm retained;or inured to the special grain or loss of which is the parent subsidiary,or sil organization or subsidiary of a princip'eai which has retained rne. (b)The cmeascare before my agency and the nature of my conflicting interest in the measure is as follows: Vit s rp,?yti' 1 `I` 7 ,f w (`t -fV 2I1$e°w0 ar 6 lVe% If disciosure of specific information would violate confidentiality or pri0legwe pursuant to law or rules governing attorneys, a public officer, who is<afso an attorney, may cornp:aly with the disclosure requirements of this section L)y disclosing the nature of the interest in such a way as to provide,the pubic with notice ref the conflict. y"a lr'm � . . _ ., fD w fi1r„a future ...._.-_ __.... ..... ........... ......m........__ ..... NOTICE: UNDER PROVISlONS OF FLORIDA STATI.JTES §112317, A FAIL.URF 1"0 MAKE=. ANY NSFWRE.Ct E)ISCL SURE" c I C:ONSTITU"FE.S GROUNDS FOR AND MAY BE PUNISHED BY CINE” OR MORE OF THE:: FOOL(VVING� IMPEACHMENT, R[HmCLVAI_OR SUSPENSION FROM OFF-ICE (DR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A ClV6p...PENAL I'Y NOT TO EXCEED$10,000, CE pWOtrCv1 lsra,f',6 F 1 I1r^"fl1",°. PAGE Ad(gq,Ae d Cryr err c.verr r ins Rule 34 1 tt10(1)(11),r,A,G