Fort Walton Beach Council minutes — 08-13-13-regular — reading text

side) APPOINTED OFFICERS ( continued) A copy of the form must be provided immediately to the other members of the agency. The form must be reatl publicly at the next meeting after the form Is fled. 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 must complete the form and file H 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 forth must be provided immediately to the other members of the agency, and the form must be reatl publicly at the next meeting after the form is fled. DISCLOSURE OF LOCAL OFFICER' S INTEREST John Mead August 13 20 13 hereby disclose that on a) A measure came or will come before my agency which ( check one) inured to my special private gain or lass; inured to the special gain or loss of my business associate,_ inured to the special gain or loss of my relative, _ by inured to the special gain or loss of__ whom I am retained; or which inured to the special gain or loss of 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; Item 13. 1, Ord 1878, Rezoning of 204 Alconese Avenue The client is a perspective purchaser for the property. ignature Date File 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. PAGE CE FORM 8B EFF. 112000  COUNTY, MUNICIPAL AND OTHER LOCAL PUBLIC OFFICERS LAST NAME —FIRST NAME— MIDDLE NAME N0.NE OF BOARD. COUNCIL COMMISSION. AUTHORITY OR COMMITTEE Z41 Linstew Drive y" ICN I NERVE IS A UNIT OF V CRY aCOUNTY oC DITMFort Walton Beach OafToosa N`r PLSutDWa"YN Beach 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 equally to members of advisory and rwnadvisory 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 greally 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 ( ling 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 government 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 or loss of a relative; or to the special private gain or loss of a business associate. Commissioners of community redevelopment agencies under Sac. 163. 356 or 163. 357, F.S., and officers of independent special tax districts elected on a one -acre, one -vote bass are not prohibited from voting in that capacity. For purposes of this law, a " relative" includes only the officer' s father, mother, son, daugnmi%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 Me 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 fling this form with the person responsible for recording the min- utes 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 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 be provided immediately to the other members of the agency. The farm must be read publicly at the next meeting after the form is fled. 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 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 minutes. A copy of the form must be provided immediately to the other members of the agency, and the form must be read publicly at the next meeting after the form is filed. DISCLOSURE OF LOCAL OFFICER' S INTEREST August 13 2013 I, John Mead hereby disclose that on 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, _ — by inured to the special gain or loss of _ - -' wham I am retained; or which inured to the special gain or loss of _— 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: Item 15. 1, Consideration of a Five -Lot Single Family Subdivision Plat for Alconrse Place The client is a perspective purchaser for the property. Signature Date Filed - 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 NOTTO EXCEED $ 10, 000. PAGE 2 CE FORM BB - EFF. 12000