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v FORM 813 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
GLIDDEN, JOHN
PLANNING & ZONING COMMISSION
MAILING ADDRESS
THE BOARD, COUNCIL, COMMISSION, AUTHORITY OR COMMITTEE ON WHICH I SERVE IS A
8 HUNTLY CIRCLE
UNIT OF:
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 DECEMBER 10, 2002
MY POSITION IS: ELECTIVE X APPOINTIVE
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. 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 respoi isibiilties under the iaw when faced wiih a measure in which you have a conflict wiil 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:
A person holding elective 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.
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 iocai pubiic office iviUST 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.
IFiYOU'M.AKE 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 DECEMBER 10, 2002:
(a) A measure came or will come before my agency which (check one)
inured to my special private gain; or
X inured to the special gain of our Client. Rob Jacoby and Craig Menin by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is a follows:
DOWNTOWN AT THE GARDENS
1-7, �►�. 02
Date Filed
S nature
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 $5,000.
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