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HomeMy WebLinkAboutVoting 022200 P&ZFORM 8B MEMORANDUM OF VOTING CONFLICT FOR i'' rf,r"? OF r Mr," COUNTY, MUN;k, , ,' ;AL, -cA ,6 T6gI sHER LOCAL PUBLIC OFFICERS . ri 1; T NAME - FIRST NAME - MIDDLE NAME I;gj _ ii f : 5 NAME OF BOARD, COUNCIL, COMMISSION, AUTHORITY OR COMMITTEE IDDEN, JOHN �,; ,� �1,.; ,�CuaT r,(_. PLANNING &ZONING COMMISSION l Y . MAILING ADDRESS i) A 1 1 v 14 L 0 v ;t FI_ THE BOARD, COUNCIL, COMMISSION, AUTHORITY OR COMMITTEE ON WHICH I SERVE IS A 8 HUNTLY CIRCLE uNlroF: X CITY COUNTY OTHER LOCAL AGENCY CITY PALM BEACH GARDENS COUNTY PALM BEACH NAME OF POLITICAL SUBDIVISION: "CITY OF PALM BEACH GARDENS DATE ON WHICH VOTE OCCURRED FEBRUARY 22, 2000 MY POSITION IS: ELECTIVE X APPOINTIVE WHO MUST FILE FORM 8113 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. The requirements of this law are mandatory; although the use of this particular form is not required by law, you are encouraged to use it in making the disclosure required by law. Your responsibilities under the law when faced with a measure in which you have a conflict 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 ELECTED OFFICERS: Berson holding elective county, municipal, or other local public office MUST ABSTAIN from voting on a measure which Mures to his special private gain. Each local officer also is prohibited from knowingly voting on a measure which insures to the special gain of a principal (other than a government agency) by whom he is retained. In either case, you should 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 minutes of the meeting, who should incorporate the form in the minutes. APPOINTED OFFICERS: A person holding appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which insures to his special private gain. Each local officer also is prohibited from knowingly voting on a measure which insures to the special gain of a principal (other than a government agency) by whom he is retained. A person holding an appointive local office otherwise may participate in a matter in which he has a conflict of interest, but must disclose the nature of the conflict before making any attempt to influence the decision by oral or written communication, whether made by the officer or at his direction. IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE TAKEN: You should 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. A copy of the form should be provided immediately to the other members of the agency. The form should be read publicly at the meeting prior to consideration of the matter in which you have a conflict of interest. CIF,. -Y.0jJ MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING: You should disclose orally the nature of your conflict in the measure before participating. You should 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 should incorporate the form in the minutes. DISCLOSURE OF LOCAL OFFICER'S INTEREST I, John Glidden, hereby disclose that on FEBRUARY 22. 2000: (a) A measure came or will come before my agency which (check one) inured to my special private gain inured to the special gain of A5MOL , by whom I am retained. (b) The measure before my agency and the nature of ny interest in the measure is a follows: ADMIRALTY - PHASE II rte„ 6 =y7 h: t p r�s cT P ray _ C,B•p —d Date Filed Sign ture TICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317 (1985), A FAILURE TO MAKE ANY REQUIRED CLOSURE 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 $5,000. G:WDMINTERSONALUGHNT &Madm1- con.wpd Page 2 FORM 8B MEMORANDUM OF V C_CSNF= FOR COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS 1 �A \tl IIKSI \*%It \11111711 NAMF NAMEOFIIOARD .CONCH.. COMMISSION. AUIHUR1iY.UK('UM Mill UE Z V Q N AIt IN(: %I)DRI SS I Ht G)ARD. COUN(ll- COMMISSION. AUl HORIll' oR COMMnTEE ON W141CH I SERVE IS A UNITOF•': O COY O COUNTY O Ol HER LOCAL AGENCY CI IY COUNTY NAME OF POLITICAL SUBDIVISION: DATE ON.WHICH Vol 'F. (X'CIIRKFD :i7Z MY POSITION K. O ELECTIVE O APPOINTIVE WHO MUST FILE FORM 88 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 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 he re%erse side and filing the form. INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES ELECTED OFFICERS: A person holding elective count., municipal, or other local public office MUST ABSTAIN from voting on a measure which inures to his special private gain. Each local officer also is prohibited from knowingly voting on a measure which inures to the special gain of a principal (other than a government agency) by whom he is retained. In either case. you should disclose the conflict: PRIOR TO THE VOTE BEING TAKEN b. publicly stating to the assembly the nature of your interest in the measure on which you are abstaining from voting: and WITHIN IS DAYS AFTER THE VOTE OCCURS by completing and filing this form with the person responsible for recording the minutes of the meeting, who should incorporate the form in the minutes. APPOINTED OFFICERS A person holding appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which inures to his special private gain. Each local officer also is prohibited from knowingly voting on a measure which inures to the special gain of a principal (other than a government agency) by whom he is retained. A person holding an appointive local office otherwise may participate in a matter in which he has a conflict of interest, but must disclose the nature of the conflict before makine any attempt to influence the decision by oral or written communication, whether made by the officer or at his direction. IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE !MEETING AT WHICH THE VOTE WILL BE TAKEN: lou should 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. • A copy of the form should be provided immediately to the other members of the agency. • The form should be read publicly at the meeting prior to consideration of the matter in which you have a conflict of interest. I F N 'OU SLAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING: • You should disclose orally the nature of your conflict in the measure before participating. • You should complete the form and file it within IS days after the volt occurs with the person responsible for recording the minutes of the meeting. who should incorporate the form in the minutes. DISCLOSURE OF LOCAL OFFICER'S INTEREST / 1. hereby disclose that on (a) A measure came or will come before y agency which (check one) inured to my special private gain; or inured, to the.spccial gain of (b) The measure before my agency and the nature of my interest in the measure is as follows: Date Filed Signature by whom I am retained. NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317 (1985). 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 55.000. CE FORM 98 . 1 -01 PAGE 2