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Okaloosa County BOCC — September 24, 2015 — Agenda Packet — reading text
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1.j.a
Local Event Marketing Funding
Payment Request (Deadline: September 30)
EVENT INFORMATION:
Event Name:
Event Dates: From: To:
To receive payment for Local Event Marketing Funding, please submit the following:
1. Invoice from your organization to Okaloosa County.
2. Proof of Performance (e.g. itemized vendor invoice, tear sheet, online screen shot, run schedule, website analytics report)
Attachment: I. j. TDD Manual (4780 : TDD Manual Update (Charlotte Dunworth))
showing out-of-market audience and Emerald Coast logo and/or web link.
3. Proof of Payment (e.g. front and back of cleared check, credit card receipt).
4. Verification of Room Nights (e.g. lodging report, registration roster, visitor surveys, ticket sales).
AUTHORIZED USES REQUESTED FOR PAYMENT:
Only as approved in the Funding Application. Amount
TOTAL (May not exceed the Total Funding Approved as noted on the application.) $
MARKETING & PROMOTIONAL ACTIVITIES:
Describe the Event’s actual out-of-market marketing, advertising, and promotions.
LODGING OCCUPANCY:
Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Day 8 Day 9 Day 10 Total
0
Attach documentation for the Room Nights (e.g. lodging report, registration roster, visitor surveys, ticket sales).
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VISITOR INFORMATION:
Daily Out-of-Market (Lodging) Visitors for Event
Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Day 8 Day 9 Day 10 Total
0
Describe how Out-of-Market (lodging) Visitors was determined.
Attachment: I. j. TDD Manual (4780 : TDD Manual Update (Charlotte Dunworth))
Daily Local (Non-Lodging) Attendees for Event
Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Day 8 Day 9 Day 10 Total
0
Describe how Local (Non-Lodging) Attendees was determined.
If Tier 1 funding level, evidence of at least 100 room nights submitted? YES NO
If Tier 2 funding level, evidence of at least 5,000 room nights submitted? YES NO
If Tier 2 funding level, evidence of ticket sales/registration tied to room nights submitted? YES NO
If Tier 3 funding level, evidence of at least 10,000 room nights submitted? YES NO
If Tier 3 funding level, evidence of ticket sales/registration tied to room nights submitted? YES NO
If Tier 3 funding level, evidence of two-night minimum lodging stay submitted? YES NO
Upon completing this payment request in its entirety, please read the following statement and affix your signature.
I am submitting this payment request on behalf of my organization’s event and certify the above information is
true and accurate to the best of my knowledge. I have read, fully understand, and agree to be bound by Okaloosa
County’s Local Event Marketing Funding policy.
Signature of Applicant Date
Printed Name of Applicant
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1.j.a
Voting Conflict Form
FORM 8B MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
LAST NAME—FIRST NAME—MIDDLE NAME NAME OF BOARD, COUNCIL, COMMISSION, AUTHORITY, OR COMMITTEE
MAILING ADDRESS THE BOARD, COUNCIL, COMMISSION, AUTHORITY OR COMMITTEE ON
WHICH I SERVE IS A UNIT OF:
CITY COUNTY OTHER LOCAL AGENCY
CITY COUNTY
NAME OF POLITICAL SUBDIVISION:
DATE ON WHICH VOTE OCCURRED
MY POSITION IS:
ELECTIVE APPOINTIVE
Attachment: I. j. TDD Manual (4780 : TDD Manual Update (Charlotte Dunworth))
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 non-advisory 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 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 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 “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 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 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)
CE FORM 8B - EFF. 1/2000
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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.
• 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
Attachment: I. j. TDD Manual (4780 : TDD Manual Update (Charlotte Dunworth))
I, , hereby disclose that on , 20 :
(a) A measure came or will come before my agency which
