Fort Walton Beach Council minutes — 05-08-12 regular — reading text

orally the nature of your conflict in the measure before participating. You must complete the forth 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 minutes. A copy of the form must be provided immediately to the other members of the agency, and the forth must be mad publicly at the next meeting after the form is filed. DISCLOSURE OF LOCAL OFFICER' S INTEREST C. H. Bull ] tigdon 7, hereby dedose that on 8 20 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 gain or loss of my business associate, inured to the special gain or loss of my relative, inured to the special gain or loss of by whom I am retained; or inured to the special gain or loss of _ which is the parent organization 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: Motion: That the NWF Fairgrounds serves a public purpose and to accept the late filing as overlooked, and accept the offer to extend the lease under the existing terms and conditions. I abstained from the vote as I am the manager of the fairgrounds. Ss eRre Gt; r -ate 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 BB - EFF. 12000 PAGE 2