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Fort Walton Beach Council minutes — 04-25-06 regular minutes — reading text

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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 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 arelative" includes only the officer' s father, mother, son, daughter, husband, wife, brother, sister, father- in- law, mother-in- law, son- in- law, anddaughter- in- law. A abusiness associate" means any person or entity engaged in or canying 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 min- utes of the meeting, who shouid incorporate the form in the minutes. APPOINTED OFFICERS: However, Although you must abstain from voting in the situations described above, you otherwise may participate in these matters. you mustdisclose 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. BE IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL TAKEN: the You must complete and file this form ( before making any attempt to influence the decision) with the person responsible for recording minutes of the who will incorporate the form in the minutes. ( Continued on other side) meeting, APPOINTED OFFICERS ( continued) A copy of the form must be provided immediately to the other members of the agency. The form must be read publicly at the 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 in the measure before participating. 1 if 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 I, Robert Campbell hereby disclose that on April 21) 0.. 20 -- 6_: a) A measure came or will come before my agency which ( check one) X 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 staff make a recommendation to Council ( on award of the Banking Services RFP). 25 L )~ Date Filed I~ I J 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 PENALTV NOT TO EXCEED $ 10, 000. CE FORM 88 - EFF. 112000 PAGE 2

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