Conflict of Interest 1986-1995
MEMBER
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VOTING CONFLICT FORMS FILED
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MEMBER
VOTING CONFLICT FORMS FILED
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VOTING CONFLICT FORMS FILED
Member Date Board
Dick Lambert 7-16-97 Code Enforcement Board
I !\SI '",MI IIK:o.I "\II MlIlllll :\i!\MF
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FORM 88 Ml_,tORANDUM OF VOTh,.~ CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
N^MF 01- IiO^KI>. COUNCIl. COMMISSION. AU III0KIl Y. OR COMMrn FE
Co ~no
IIlF 1\o.\RD. COlINClI.. eOMMISSIOl'. AIJlIlORITY OR COMMIlTEE ON
WHIOII SFRVE IS A IINI101'
ell'
o COUNTY
o OIIlER lOCAl. AGENCY
nlY
Bo'i ~TOu
16~
COL" "
~~~
'AME OF 1'0l.lTICAI. SUHDIVISION
\60 W""T\lu ~
DATE 0' WIlICH V01IlXCI'KKED
....., ,-0 - s-
MY I'OSITION IS:
o ELECTIVE
APPOINTIVE
WHO MUST FILE FORM 8B
This form is for use by any person serving at the I:ounty, city, or olher local level of governmenl 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 vOling contlict of interest under Section 112.3143, Florida Slatutes.
Your responsibililies under the law when faced with a measure in which you have a contlict 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
ELECTED OFFICERS:
A person holding elective county, municipal, or olher 10l:al public office \IUST ABSTAIN from \oling on a measure which inures
10 his special private gain. Each local officer also is prohibiled from knowingly voting on a measure which inures to the special
gain of a principal (olher Ihan a government agency) by whom he is retained.
In either case, you should disclose the contlict:
PRIOR TO THE VOTE BEING TAKEN by publicly Slating 10 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 Ihe form in the minutes.
APPOl~TED OfFICERS:
A person holding appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which
inures (0 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 mailer in which he has a contlict of fmerest, bUI must
disclose the nature of the contlict before making any attempt to intluence the decision by oral or wrillen 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 allempt to intluence the decision) wilh the person responsible for
recording the minutes of the meeling. who ..viII incorporate the form in Ihe minutes.
· A copy of the form should be provided immedi'!.!.cly (0 Ihe olhcr members of Ihe agency.
· The form should be read publicly at the meeting prior to consideration of the matter in which you have a contlict of interest.
CE ~()R ,\1 XH - 1-'11
P.'GE I
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING
· You should disclose orally the nature of your contlict in the measure before participating.
· You should complete the form and tile it within 15 days after the vole occurs with the person responsible for recording the minute~
of the meeting. who should incorporate the form in the minutes
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I,
EN \~\ C- a 'Ro~ s: I
. hereby disclose that on
~?T
"t-o
'7 <'
19..~__
(a) A measure came or will come before my agency which (check one)
~inured to my ,peclJ.I private gain; or
~nured to the spe;:131 gain of t:::n...) ()..l c..::c;. ~ I
.pe: .
, by whom I am retall1ed
(b) The measure before my agency and the nature of my interest in the measure is as follows:
~s; I S TJl..JG
A- L lk~ g-D V! Cl L-,A.-- 'TO t'\- I ~
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~G, w-e.E:\LIt.J6- ~~(Jl~l
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Per2-1'4 \"\.
~c:-P I 2~ J '1Cj~~
Date Filed
~-~-
SIgnature
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES S112.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING.
IMPEACHMENT, RE\10VAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALARY, REPRIMAND. OR A CIVIL PENALTY NOT TO EXCEED $5,000.
CE FORM xB - 1-'11
P.\(;f
FORM 8B MI:..t.ORANDUM OF VOTlh,.:; CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
I ASI '''11.11 IIKSI '"'' MIIlIlII 'AMI'
....... e,<: (
v,..)..; \
Eqf2Jco
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NAMF Of- KOAR!>. COI!NCII.. COMMISSION. AU IIlOf(11 Y. OR COMMrn FE
, ... -:t:::Jt.... --"'- l ':Ii ,.....--r-./ ^ .. ".
,_ 0 U~~ f:::::' i-~~ "' <.A I(.~__' 1",. \ \ ,.....":..'d..J~}.,.;
IIII' HO,\RI>. COIINClI.. COMMISSION. AIJ! HORITY OR COMMI1TEE ON
WIIIOII SrRVF IS A lINITOF
MAIII'li).!)IlRI S\ . ,_ '; _ '
,;; ; 'j V: (H (::, (. C:, . . ", (1'.!i;':S: k:.J...--"
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CIl Y 0 COUNTY 0 OIliER lOCAl. A<iF!I;CY
'l;AME OF 1'0l.lTICAI. SUIIDIVISION:
'1 0".) --rn u ., ~~-\._t" , H-
MY I'OSITIO IS:
IMIF 0' WIIICH VOl I O....lTKKFD
,~' .,,-'i n t........
....+-. \' \-.;
o ELECTIVE
APPOINTIVE
WHO MUST FILE FORM 88
This form is for use by any person serving at thc 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 contlict of interest under Section 112.3143, Florida Statutes.
Your responsibilities under the law when faced with a measurc 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
ELECTED OFFICERS:
A person holding elective counry, municipal, or other local public office \IUST ABSTAIN from \oting 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 by publicly stating to the assembly the nature of your inlerest 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.
APPOI~TED OFFICERS:
A person holding appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which
inures [0 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 contlict of interest, but must
disclose the nature of thc contlict before making any attempt to jntluencc 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 altempt 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.
CEFOR"1xB-I-'l1
P.\GE I
IF YOU 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 .:omplele lhe form and file it within 15 days after the vale occurs with the person responsible for recording the mtnute\
of rhe meeting, who should incorporate the form in the minutes.
---,
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I,
--
, hereby disclose that on
_ 19__
(a) A measure came or will come before my agency which (check one)
_ inured to my \peClJ.1 private gain; or
_ inured to the special gain of
, by whom I am retall1ed.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
) "
.""V '
:__; 1 ; L f (~1 f --,~
i'__l~_"g"" l~,
, 1 ,
, -,r'
.f '
.,~'
Date Filed
.'
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.' .....------..-:::"""."'- , ......."'-::;r "'.,,._ e
~:;-~'~. -- . . ~,~ .~
.../ SIgnature ..>'
~,
i
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~112.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWIN(j
IMPEACHMENT, RE\10VAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION 1'1
SALAR Y. REPRI\lAr-.;D, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
CE EOR\! XB. 1-'11
P -\<~F-
FORM 8B Ml:..40RANDUM OF VOTlhG CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
IASI ~AMI' IIRS I ',\"1 MIIl!>1 t' ""AMF NAME 0... HOAR!>. <:OtJNCII.. COMMISSION. AUl HORITY. OR <:OMMlll~E ~
fJ r~J. ( 50 t\.~" Be '2..c '" eJtt CoW'rY'-fSJ"
THF 110 ). COlINCI!.. COMMISSION. AlJTHORITY OR COMMI1TEE ON
WHI SfRVE IS A lJNITOF
MAIII"(i ,\IlIJRISS
Be: t"
COI.;' n
fl- ,"^ r1
C COUNTY C OllfER I.OCAI. AGENCY
( ..
MY POSITION IS:
LECTIVE C 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 connict 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 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 \IUST 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 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
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 contlict of interest. but must
disclose the nature of the conflict before making any allempt 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.
CE H)RM XB. 1-'11
PAGE I
-l
i
i
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING;
. You should disclose orally the nature of your connict in the measure before participating.
. You should wmplete 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,
, hereby disclose that on
i-j-
y
,19$
(a) A measure came or will come bef re my agency which (check one)
_ inured to my special private gain; or
_ inured to the special gain of
, by whom I am retained_
(b) The measure before my agency and the nature of my interest in the measure is as follows:
1= ~ b 5i ~ ~",~oC
'6 f rt',,- ~.".J VV''7
f,C;fV-
.A
voie
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I
,
i
I
I
b~! I
IA..,) t
(!e
-fo
~~
:?) U(~ scf '1
4-1('-t)
~.~
Date Filed
Signature
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES SI12.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MAYBE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
IMPEACHMENT, RP.fOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALARY, REPRIMA1'<D, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
CE fOR!ol MB - 1-'11
""'COF .
FORM 8B ML.".ORANDUM OF VOTlhG CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER lOCAL PUBLIC OFFICERS
I ASI ~AMI IlKS I ,,"" MIIlI)II' !\;AMF NAME 01' IIOARI>, COIINCII.. COMMISSION, A.u-IIIORflY. OR ('OMMlllEE
JJ\oP
~\U~ ~
COll'1Y
. ~3<f;J
CAa ~fO~~
I HI' 80.\RI>. COllNCII. COMMISSIO!\;. Alll HORIl'Y OR OMMlllEE ON
WHICH' SrRVEIS A llNfTOF
\2.0~S I
t::.}J l2. 'CO
M"ILI~(i ,\PPKISS
~ C. ~ UJ ~I s.;:;6CJu'
\So
~
o COUNTY 0 OIliER I.OCAI. AGENCY
""ME 0... POLITICAl. SlIBDlVISION
Eo ioU ~c..rt
('II...
DATE 01\ W ICH VOl F OnTIU(ED
"2.. - 1S"'-9~
MY POSITION IS:
o ELEClIVE
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 conllict 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 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 ~lUST ABSTAIN from voting on a measure which inures
to his special pri,'ate 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 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
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 conllict of interest. but must
disclose the nature of the conflict before making any attempt to inlluence 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 inlluence 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.
CE H)RM XB. 1-'1'
PAGE I
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
· You should disclose orally the nature of your connict in the measure before participating.
· You should wmplete 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.
I.
J-LJ T2 I C:k <s (
DISCLOSURE OF LOCAL OFFICER'S INTEREST
""'2....
. hereby disclose that on
rS"
19~
(a) A measure came or will come before my agency which (check one)
_ inured 10 my special private gain; or
;. {0."1- ___
~ed to the special gain of <:-"u;o ~e
S,A-, J.j.I
wAS
, by whom I am. retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
---r-
(
'.,..o~
r;,....:-.- ]' If
\ '~: '.., >;-O\<..r
}G
;;:':;;t~) ,;.. I ,) tB'-t Lx::;.
("':::::"T) 'V, ,.. .:;:'" I'
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!J u C',t!:.... IJt20_nJt:)' 0tC' ~I"l(k. t C--:' 77 i-1-,6 '''f~rf 7
~ t. EA-t Ci lJ s ~Ck;, (jd c..
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l)
U r
t 0 '- }..""TZ d--,j
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o P--..' T~'l '-..(:::) 'ces.
\
2.. - Ir-1~
~~
Signature
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1I2.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MAYBE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
IMPEACHMENT, RE\.10VAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT. DEMOTION, REDUCTION IN
SALARY, REPRIMAl"D, OR A CIVIL PENALTY NOT TO EXCEED $5,000,
CEFORMMB.I-91
P~GF .
FORM 8B M~.AORANDUM OF VOTlh~ CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
IJ f.
~.,
. I'll'-- 't ~ f'
COI;' 1Y
NAME Of HOA R 1>. COIlNClL COMMISSION. AU 1110RITY. OR COMMI'Il FE
13 (> v'- --\ or\ ((J tv. (VI' !..S,.~'"
rHF K(H D. COIINCII.. COMMISSIO!\;, Aln HORITY OR C MMI11EE ON
WH911 SFRVf IS A II NIT 01'
~:I1\' [:J COUNTY OOlIlERI.OCAI.,t,{iI'NCY
I ASI 'AMI' IIHS I ',"II MIDDI r "AMI'
( l
8r" "- -To v'\. D1?? (~ F
DAlf "WHICH yon (X'('t'HHfD
,-\-10-1<"
"AME 0... POUTlCAI. SUBDIVISION
MY POSITION IS:
IY"fiECTlvE
[:J APPOINTIVE
WHO MUST FILE FORM 8B
This form is for use by any person serving at the county, city, or other local kvel 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 contlict 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 the reverse side and filing the form.
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
ELECTED OFFICERS:
A person holding dective county. municipal. or other local public office \lUST 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 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
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 contlict of interest. but must
disclose the nature of the conflict before making any allempt to influence the decision by oral or wrillen 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 allempt 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.
CE H)RM XB. 1-91
P.\GE I
---'~-'""'"."'''"'"'''''"'i;
IF YOU 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 ~omplete the form and file it within 15 days after the vole 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, !V\ ~tr G, ~ c:U ~ , hereby disclose that on. A pr- \ ~ <.. ()
I !
(a) A measure came or will come before my agency which (check one)
~nured [0 my spe~'lal private gain; or
192:1-.
_ inured to the special gain of
, by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
r--
C" DO"":c€.,., / r~, --' '"
~~ I ~ r jP
tD ik e..... C 0 ~ \N'- '-' f.A'l-\7
~nc~l~f I ~c.5
Retz..~\O~ bo~{'~
beev'\.
i'\ 0 II'^' \ '^ ~+e <,~
Lf-'(O-C( Y
Date Filed
~~
Signat ure
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES 9112.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING'
IMPEACHMENT, RE\10VAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALARY, REPRIMAt"D. OR A CIVIL PENALTY NOT TO EXCEED $5,000.
CE FORM HB. 1-91
P"GE
G2S
('In
~
FORM 88 M ,10RANDUM OF VOT~ G CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
IlKS I '''II Mlllllll 'AMI" ~ !IOM.IF 0.. HOARU. ('OUNCII.. COMMISSION. AU III00Ul y, OR ('OMMII1 FE
E.NE/CO &,
L& r11J e~ 120
COL' n
~e
I HI' HO,\RJ>, COll'KIL ('OMMISSI01lo, Alii HORIlY OR COMMlllEE ON
WHICH 1 srRvF IS A IINIl 01'
CJ COUNTY
CJ OIliER lOCAl. A(irNCY
CJ ELECTIVE
APPOINTIVE
WHO MUST FILE FORM 8B
This form is for use by any person serving at the county. city. or other lo~allevel 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 contlict 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 the reverse side and filing the form.
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
ELECTED OFFICERS:
A person holding elective ~ounty. municipal. or other local public office \IUST ABSTAIN from \oting 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.
(n 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.
APPOl~TED 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 contlict of interest. but must
disclose the nature~of the ~onflict before making any attempt to influence the decision by oral or written communication. whether
made by the offker 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.
CE~OR\,fxB.I-'l1
P,\GE
IF YOU MAKE NO ATTEMPT llJ INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETINej
. You should disclose orally the nature of your connict in the measure before participating,
. You should -:omplele the form and tile it within 15 days after the vOle occurs with the person responsible for recording the minutes
of the meeting. who should incorporate the form in the minutes,
I.
t:='OQ.~c..6 ~ oS S' (
DISCLOSURE OF LOCAL OFFICER'S INTEREST
~\lGa
. hereby disclose that on
_,19~.,
(a) A measure l.:ame or will come before my agency which (check one)
_ lOured 10 my ,peelJ.1 private gain; or
~~~
. by whom I am retaIned,
_ inured to the spel.:lal gain of
(b) The measure before my agency and the nature of my interest in the measure is as follows:
T ~5 )~5S'/O[J-~L ~61~~) ~€W~
~ '"
~ 'TU f-Jc;'-Go TVAAl OV s;. -+:; \2 ?~ u ~,o (0-c; ~/ t...rt3l:.'76fLJ:;;,
~j,ctY,0.C ~tC-e:0."C:>-A.J ~-, rt:J O~~T,L>~>
15 //;6 !~"
4--2 0-1; ~
Date Filed
~
Signal UTe
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES 9112.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING
IMPEACHMENT, RE\10VAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION. REDUCTION 1'0
SALARY, REPRIMA1'O. OR A CIVIL PENALTY NOT TO EXCEED $5,000.
CE FORM M8. I~I
p~c~E :
FORM 88 M~lilORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
!IIAMF 01- HOARD. COUNCil.. COMMISSIO!ll. ALII 11011.11 Y. OR COMMln F.E
~ .
COMtV'Il ~lD,o
1 ASI 'A~II' IIKSI','''I '11111111 !IIAMF
-
...J,
LUAL.~~AK. RoEi.~T
1111' H(HRI>. COUNCIl.. COMMISSIOI'Ii, AlJ 11l0RITY OR COMMI1TEE ON
W~ SFRVF IS A UNIT OF
lIll"'CI1 Y 0 COllNTY 0 OIliER I.OCAI. AGENCY
MAli "(i ,\III1RISS
.O,13D~qD0
CITY
~Y^-''tt9 AJ .t3a~CN
ICIl V
-,
CO\:'I\
PAl.M B/iAe14
NAME OF POUTICAI. SlIlIDIVISION
/JIA
MY "OSITION IS:
ELECTIVE 0 APPOINTIVE
WHO MUST FILE FORM 88
This form is for use by any person serving at the wunly. city, or other local level of government on an appointed or elected board.
council, commission, authority, or committee. It applies equally 10 members of advisory and non-advisory bodies who are presented
with a voting conllict 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 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 \lUST 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 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
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 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 l\1EETING AT WHICH
THE VOTE \VILL 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 in~orporate the form in the minutes.
· A copy of the form should be provided immedialely 10 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.
CE FOR\1 XB-I-91
PAGE I
IF YOU 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 wmplcte the form and file it within 15 days after the vote occurs with the person responsible for recording the minutes
of the mceting. who should incQl:Porate the form in the minutes,
OISCLOSURE OF LOCAL OFFICER'S INTEREST
I. KohL!t:r:r: W~\SJ.fA~ ,hereby disclose that on ~TJ!- OF Qi:P7
19~
(a) A measure ~ame or will come before my agency which (check one)
2d to my 'p",a' P","to gain; m
inurcd to the special gain of J:li~&..;....l J:. 13 R A~ H A tV?
\
(b) The measure before my agency and the nature of my interest in the measure is as follows:
, by whom 1 am retained
X WeR~ ~DP-. 11t~ 1-Jot~ f:'t)th Dl?
1?>R4 B1\ANl l.0~~T VA-Grv1 BJ:.Ac\4 FL.
) J
(1ou,tJ&L To Dt>N4L~ (f"'A-'S:-C;;Yi-R. WHOM
~)U ~~!5.~c~.~ ,~ A\~~~-
j[pLJ .{)r~Y~M$ilVY- ~
L-{~jJl ~<t $.
w Ho f+~ E-
Tt+~
VcT~
""'I'
-----
Date Filed
,~~
--3J1 }q.3
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1l2.317 (1985). A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
IMPEACHMENT, RE\1OVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALARY. REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5.000,
CE FORM KB. 1.Al1
p,\(,F
FORM 88 IV~ ,~ORANDUM OF VOT"~G CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
I ASI ''''''" IlKS I '''" '1IPPII 'AMI' "'''MF 01- HO^!l-I>. COUNCIL (,OM MISSION. AU I \IOlUlY, OR (,OM Mill FE
- " ! / I
-) : -:J Crt( I....;, ~:,.."" . "1 - ,
'/. f_-r__ L \....- I !- .('( / I ) i c' ~ ~ . ,: ~J (,.l ~ ,.~ i, ; ~ l-~ ;-,~ - , ~ '!/ :' ( \'-'
; ~ j f . ( J I~
MAli "lo .\I>I>KI ~~ I HI' HO.\KIl, (,0l!'I((,1I . (,OMMISSIO/lo, At: 1 HORIl Y OR COMMlll H 0"-
, "HIClll srRvF IS A lINI1 OF
-j' / x ; ~. ;'/;t .{ <f.J.l,t: ~.~
II ! a ('OU NTY a OIliER lOCAL AliFNCY
nlY ('01. , I "
) ,I, t ).. L I 'AM19': I'OUTICAI SU8DIVISI~ I
). ' I I" \/.. (. " 3JJj,,( ! I ~ I p) - -" ( / 1 Y-"" 0- I
j (r.J ,
, '. l i 'l ,'), '/ '/i... ( t' i J - 1:.../1,-, '- ~ '-I ) (. -:' '.J' '.,' r . I
IlAI F OSWHI('H \01/ lXel f{f{F() MY POSITIOe4' IS: ...----
.
.J c< ~ ,:..' /i I / /'-/0 J a ELE(lIVE ~PPOINTIVE
._'(...- I
I
I
')
WHO MUST FILE FORM 8B
This form is for use by an~ person serving at the wunty. 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 contlict 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 the reverse side and filing the form.
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
ELECTED OFFICERS:
r\ person holding e1ecti\e county. municipal. or other lo~al public office \1UST ABSTAIN from \oting on a measure whl-::h 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 w~om 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.
APPOl~TED 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 conllict of interest, but must
disclose the nature of the ~onlli'~t before making any allempt to inlluencc the decision by oral or written communication. whether
made by the offi~er 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 allempt to inlluence the decision) with Ihe 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 conllict of interest.
CE ~OR 1.1 ~B - I.QI
P ,\(j E
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DlSCUSSlON AT THE MEETINC
. You should disclose orally the nature of your conflict in the measure before participating.
. You should complete the form and liIe it within 15 days after [he VOle occurs with the person responsible for recordIng the minute,
of the meeting. who should incorporate the form in the minutes
DISCLOSURE OF LOCAL OFFICER'S INTEREST
l.
"/J-'" ......... .
I )/, l..C
i
, v' _ ,---.
, '
, ,
. . I .' ",chereby disclose that on
'_ 't ' Ld
I
19___
(a) A measure came or will come before my agency which (check one)
_ lOured [0 my .,peelal privale gain; or
---=- inured to the specIal gain oi
, by whom I am retaIned
(b) The measure before my agency and the nature of my interest in the measure is as follows:
" c
t" .,
:"r .,," f...... l...-'
;'
,',/ J'l.z./.{!(,~'I'
/ , '
/ /
"
I-
,,....--'";
,~ v .~ ,
;' I
([u'
! I
,~ ~~ \.. l ,
Date Filed ,,'
/' --\
.{ /'
.)
iJ
, /{ I~ (L- ; L J (.. {., L
Signature
I ,
'r; O. f ,(. , ,; :;', " '
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~112.3J7 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING
IMPEACHMENT, RE\10VAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION I'i
SALAR y, REPRIMAt'<D, OR A ClVIL PENALTY NOT TO EXCEED $5,000.
CE FOR\! HB - 1-'11
'" ..(~E
FORM 88 ME.,,~ORANDUM OF VOTlh~ CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER lOCAL PUBLIC OFFICERS
I ASI :\i\MI IIKSI' \\11 Mllll>ll 'M,lI'
NAMf 01. HOARD.COllNCII.. COMMISSION. AUlllORll y, OR COMMI'Il fE
;V AL-<; rt A- K
K c> CS ~ ~ T --:r-:-
('IIY
CO!;, I"
BOyrsrDl C! r Co S ~' ,.j
IIlF IUJ.\RD.COllNCII. COMMISSIO!l;, AliI HORIlY OR COMMIlTEE ON
WHlnt I SFRVf IS A II NIT 01'
~ll Y 0 COUNTY 0 OIliER lOCAl. A(j[!I;CY
"AME 01' POLITICAl. SUIlDIVISION
MAli "Ii ,\Ill>RISS
p, 0 . 3 D ~ C1 0 I.c~
'5f- ftC t-J
rAL
DAIF 0:\ :511 \( ~xl~3l
MY I'OSITION IS:
ELE(lIVE 0 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 contlict 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 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 \IUST ABSTAIN from \oting 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 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
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 contlict 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 offi.:er 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 10 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 immedi~dy 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.
CE !'OR \1 XII - 1-91
P,\(,E I
IF YOU 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 I:Omplelc the form and file it within 15 days after the vole o~curs with the person responsible for recordmg the minute\
of the meeting, who should incorporate the form in the minute,
DISCLOSURE OF LOCAL OFFICER'S INTEREST
-'-'
I
j
I,Rt.'bc;,/2..T ,T', U.-'A ~~ ,-jlt 1-:'
, hereby disclose that on
I \\1:1-'1 c't-
j ,-
J9,,~..
(a) A measure I:amc or will come before my agency which (check one)
_ Inured to my \pcl.'lal private gain; or
~ '
, /. inured to the spel:lal gain of -liEl"; LF: 1
J- Rk.,~,~,1Af\l1 I', A
.
, by whom I am retained
(b) The measure before my agency and the nature of my interest in the measure is as follows:
'--., ."
L ,--'~co> ~-'\ >~.:.. --.~ +j .c~~ ;? '<':'~ A ~,-,--'(
'1<:>',.1 L(" '1 :- (\ }~". "Y h '"
,~, .
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"
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)
, ,I /.;"
, ,
1C,I(f
., rr
~
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A iT (',/' ,'-' t: ~\ K'," ,- T1 ':;. -:
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I ,>" 'J ,/,.\
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r )'.
f'-." ~) \
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- I 'J' Ii i"- ..'2.
I~ P PP'fJ11
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f),n'...<'i;:
1<.::", ; ''1;1 "
i'("",' c: I C <;" c,
6 It ~ \ '1 :-)
Date Filed
I Jil<
Al/~f t-?(/l/~~Ji'~cILL K.
Signature
..J
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~112.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLO\VING
IMPEACHMENT, RE\10VAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION It\i
SALARY, REPRI1\1A~D, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
f' '\l',t
CE FORM ~8 - 1-91
FORM 88 M~..~ORANDUM OF VOTlh~ CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER lOCAL PUBLIC OFFICERS
I ASI '^MI' IIH:-.I' \\11 \1I1>1lll 'AMI;
V~c.*e\ T~ (~LO l....Aw12eJZ.e
"'AME 01, HOARI>.l'OIlNCII.. COMMISSION, AUIIIOHIl y, OH COM M I'll FE
4~ '?o YlST'ol.)
~I~-:; /,../.14:; UJf>l2-~ ~.bO
CIlY
I HI: HO.\Rl>,l'OllNClL COMMISSIOflO, AlII HORIlY OH COMMlllEE ON
WHICIII SrRVF IS A lINIlOf'
. CIl' 0 COUNTY 0 OIliER lOCAl. AGrNCY
M^III'(, ,\IlIlHIS:-'
(,Ol;' n
LA~ WP (l.. W
~~
'AME Of' POLITICAl. SUIlDlVISION
t:, T7 ~ 'i,J"l:a~ ~L-W
l>A IF 0' WllIl'H \0 II onTHHFIl
HA~
tl
lq~ -r,
MY POSITION IS:
o EI.EClIVE . 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 contlict of interest under Section 112,3143, Florida Statutes.
Your responsibilities under the law when faced with a measure in \('hich 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
ELECTED OFFICERS:
A person holding elective county, municipal, or other local public office \IUST ABSTAIN from \oting on a measure which inures
10 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 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
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 conllict of interest, but must
disclose the nature qf 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 intluence 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.
C'E f'OR,\1 ~B,I-'l1
P.\GE I
"n'l!
,
IF YOU 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 tile 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,
I, ~ ~~"("e
DISCLOSURE OF LOCAL OFFICER'S INTEREST
/.Il ,t) rz. u.1 I (
1
I
i
I
i
I
, hereby disclose that on
19~3
(a) A measure came or will come before my agency which (check one)
,y"", d I"
,~Inure to my speuJ. prI\ale gam; or
_ inured to the special gain of
, by whom j am retained
(b) The measure before my agency and the nature of my interest in the measure is as follows:
bJ~50 L)t-J 1P1ve-\ ~~c, h:::>R.. ,L{IILG NJbQ.. ~bl..L ~
'-"1
~C:=> t.N ~ N O~ ,<2.. \!) L bus &ylSTo\..)';WW ,
-'GT'e:eL, S->l ~I ~ - K l:::.\ N ~\ ~ ""tU\ft.E:,-
\ ~en.lo<<. TOt u;.;.""\ fVf2- ~ t::.DSA t V
t:)(/4--nNb P7L.O~ .
~r,i'/..U \1\ 14,'1'-;
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~ (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWIN(i,
IMPEACHMENT, RE\10VAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALARY, REPRIMAND. OR A CIVIL PENALTY NOT TO EXCEED $5,000,
CE FOR!'.! XB - 1-91
P .\Cot- '
FORM 8B MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
I Ast 'A~t1 IlKS I ',\\11 MlIlllll '.\MF "'AMF 01- ItOAKI>. (:OIlIllCII.. ('(lMMISSION. AU IIIOKIlY. OR ('OM Mill FE
6..w G l-\.-~ L~r.u (lGt-J G6 Go t>6-
t\tu-tzP
a&
F=-e>
I HF HO.\ K 1>. COIINClL COMMISSION. AIll HORln OR COMMIlTEE ON
WHICH I SfRVf IS A IINIl Of'
. CIl\
o COUNTY
o OIliER lOCAl. AGENCY
COt, n
6L...~~
'A ME Of' POI.ITICAI. SUIIDIVISIOIIi
DAlE 0' WHICH \on lX'('\'KKFD
l tJ - '2.1-~ L..
MY POSITION IS:
o ELECTIVE ~ APPOINTIVE
WHO MUST FILE FORM 8B
This form is for use by any person serving atthc (ounty, (ity, or other lo(allc:vel 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 contlict of interest under Section \12.3143, Florida Statutes.
Your responsibilities under the law when faced with a measurc in \\ hich you have a conflict of interest will vary greatly depending
on whether you hold an ele(tive 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 ele(ti\e (ounty. municipal, or other lo.:al public offi.:e 'lUST ABSTAll" from \oting on a measure whkh inures
to his special private gain. Each lo(al officer also is prohibited from knowingly voting on a measure whi(h inures to the special
gain of a principal (other than a government agen..'Y) by whom he is retained.
In either case, you should disclose the contlict:
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.
APPOI:'liTED OFFICERS:
A person holding appointive county, municipal. or other lo(al 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 \\ hom he is retained.
A person holding an appointive local office othcrwise may participate in a matter in which he has a contlict of interest, but must
disclose the nature of the contlict before making any allemptto intluen(e the dccision by oral or wrillen communication, whether
made by the offi.:er or at his direction.
IF YOU INTEND TO 'fAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE \lEETlNG AT WHICH
THE VOTE WILL BE TAKEN:
. You should complete and file this form (beforc making any attempt to intluence the decision) \\ ith 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 10 the other members of the agency.
. The form should be read publicly at the meeting prior to consideration of the mailer in which you have a connict of interest.
CE ~OR \1 ~B. 1-'11
PAGE I
IF YOU 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 ~'omplete 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
j~llVlot.b B u tJ c'L...k:;".-:\:tJ , hereby disclose that on __. ~ 6 T l'L
19_17
I,
(a) A measure came or will come before my agency which (check one)
_ lOured to my ~pC(IJI pn\atc gain; or
_ t/ inured (0 the spe..-ial gain of
~OUJA(U:::l
\ t:.YWrL '1ZJ HI0~\aJ ~ (kJ~ ,
_______.__ , ____________. by whom I am retamec
(b) The measure before my agency and the nature of my interest in the measure is as follows:
_ t)c, T. '2.. \+-\ q t\ 1-
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~ 2.3 (1985), A FAILURE TO MAKE ANY REQClRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWI:\G,
IMPEACH\1ENT, RE\10VAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT. DEMOTION, REDUCTION I'
SALARY, REPRIMA:\D, OR A CIVIL PENALTY NOT TO EXCEED $5.000,
CE FOR\.1 XB - 1-'11
F.\" .t
FORM 88 MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
MIIlUII I\;AMF
R\C.\-\ARD D
NAME 01- IIOAIU>.. (:Ot/NOt. (UMMISSION. AUlIfOItIlY, OR (UMMlllEE
I "-", 'A~n IIIlSI ''''"
L.AN\BERT
MAli ,,(; ,\UUIHSS
3452 U).BO'lHroN B:\\.BL'It);-i(\:.'(
CODE ENFoR~M"ENr SoARD
I Hf 1I0-\RI>. COli NCH. ('OM M ISSION. Alii HORI1~ OR COMMIl"EE ON
WHICH I SfRVF IS A UNIT OF
("In
cOt;, 1Y
Xm,
o COO NTY
o 01 HER I.OCAI. AGENCY
(30'1N\DN
~AME OF I'OUTICAI, SUBDIVISION
G IT'! 13;:)"1 t'ITO N 8"E:Ac.. \\
MY rosmoN I~
\0
o ELECTIVE
APPOINTIVE
... .J CI}
c 1.9B<? 11>
, 'C' · HO MUST FILE FORM 8B
,"" '0/"1_
, /~ iT ./
This form is for us.: b>>"~4-'~n servin '. ('t~";oumy, ~ity, or other lo~allevei of government on an appointed or elected board,
council, commission, authori~"ot.. .~ee:-.It applies equally to members of advisory and non-advisory bodies who are presented
with a voting contlict of interest urwkrSection 112.3143, Florida Statutes.
Your responsibilit ies under the law when faced wit h a measure in \\ hich 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 10 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 .:lecti\e county, municipal, or other local public office \IUST ABSTAIl'< from \oting 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 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,
APPOl~TED 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 appointivc local office otherwise may participate in a matter in which he has a connict of interest, but must
disclose the nature of the connict before making an~ allcmptto influencc the dccision by oral or written communication. whether
made by the offi.:er 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 allempt to intluence the decision) with the person responsible for
recording the minutes of the meeting, ....ho will incorporate the form in the minutes.
· A copy of the form should bc provided immediately to the other members of the agency.
· The form should be read publicly at the meeting prior to consideration of the mailer in which you have a conflict of interest.
(,f' OR\1 ~Il. 1.lJ1
P,\(;E I
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
· You should disclosc orally the nature of your conflict in the measure before participating.
· You should complclc thc form and tile it within 15 days after thc vote occurs with the person responsible for rccording the minutes
of the meeting. who should incorporate the form in the minutes
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I. 'R.\C.~nD p. ~r:m-. hereby disclose that on
c::x:;-r-n[3EQ
2\
., 19::1'2.
(a) A measure came or will come before my agency which (check one)
___~ inured to my ,pel'I.l1 pri\ale gain; or
~ inured 10 the special gain of M<E'V-p., A. LAMBErIT
~,"ED
. b\ whom I am re~iA-ed,
~-- "
(b) The measure before my agency and the nature of my interest in the measure is as follows:
CASE ~g2- '2ooD33SQ
B\::\\\EStA MEMoQ\AL \\OSP\,A L
'JlOLAIDQ Dt: YA12..\OLAS
bfLDl N AN CES _
: ALLEGED
Gt,y
I DID NOT PAn..T1C\ P!ITE
A ED""'}:: W) A 1 \ t::Q f3>cCAlA.Sc
S "'" PLo'{En 13'1 I \-\-E
orc 'vOTE, 1 N 1\4; ~
YYJ"I w't:E \5
ALLEGED Y \ OLAIOTZ
J oj 2:Z/9 'Z-
Date Filed
~OTlCE: UNDER PROVISIONS OF FLORIDA STATUTES S112.317 (1985). A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWI"iG
1~1PEACH\1ENT. RE\10VAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT. DEMOTION. REDUCTION IN
SALAR Y. REPRI\IAND, OR A CIVil PENALTY NOT TO EXCEED $5.000,
J
CE ~OR~1 ~B - /41
PACE
FORM 8B MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
"'I IIItSI '''II Mumll !Ii^MF . :O.......TIEE
oSS I EWKI co
M"III'(, ,\1I1I1t1 SS
b ZS r;J II /. ZI J./ 6' ,/0 a /db/i/:J
;J;;);
o ELECTIVE
WHO MUST FILE FORM 88
This form is for use by any person serving at the (Cunty, city, or other lo~allevel 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 contlict of interest under Section 112.3143. Florida Statutes.
Your responsibilities under the law when faced with a measure in \\ hich 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
ELECTED OFFICERS:
A person holding elective county, municipal. or other local public office \IUST ABSTAIN from \oting 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 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.
APPOI~TED 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 offi~er 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 making any attempt to influence [he decision by oral or written communication, whether
made by the officer or at his direction.
IF YOU INTEND TO MAKE ANY ATTE\tPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH
THE VOTE WILL BE TAKEN:
. 'tou should complete and file this form (before making any allempt to innuence 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 10 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 conniet of interest.
CF~OR'l'B.I,QI
P-\GE 1
1
j
i
j
· You should ~omplete the form and file it within IS days after the vOle occurs with the person responsible for recording the minutes I
of the meeting, who should incorporate the form in the minutes i
IF YOU 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.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I, 7='8uico~~ (
, hereby disclose that on
6~7
-z.!
191"2-=
(a) A measure ~amc or will come before my agency which (check one)
~L--/ inured [0 m~ "PCl'lJI pmatc gain; or
__ inured to [he spe~ial gain of
~_~___~ , by whom I am relained,
(b) The measure before my agency and Ihe nature of my iOlercst in the measure is as follows:
1-tfE ~cSa<J Cl~ ~ ~ VI6L.4-\lO~
I s j)tl L ~c)~~-A-L
j
~ ele {S ~U
~10/~ - ~uD
++ /j
}r -
{/~t
~\ l r+1J It ~'----" l '-^-i
'-
61{)t"
1f'72 - 2cd037C(
ju-z/
, I
9Z
Dale Filed
-;
I
:'\IOTICE: UNDER PROVISIONS OF FLORIDA STATUTES S112.317 (1985), A FAILURE TO MAKE ANY REQUIRED I
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING,
IMPEACHMENT. RE\10VAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION. REDUCTION IN
SALARY, REPRJ\lAi'D. OR A CIVIL PENALTY NOT TO EXCEED $5.000.
CE ~OR\i ~B. 1-'11
P-\Cf
FORM 8B MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
'AMI IINS I '-\'11 MIIlBII "'''ME 0.. lK>ARI>. (:OtlN<lI. ('OMMISSION. AUlllONn Y. OR ('OMMlllEE
I DSSI ~~7 ~b
Z:) ~I
nl"
~ ~~
DAlE 01\ WIlI('1l \'on Ol'Ct'NKfD
CJ - 2 /- z..
WHO MUST FILE FORM 8B
This form is for use by any person serving atlhe ~ounty. city, or other lo~allevel of government on an appointed or elected board,
council, commission, authority, or commiuee. It applies equally to members of advisory and non-advisory bodies who are presented
with a voting contlict of interest under Section 112.3143, Florida Statutes.
Your responsibilities under the law when faced with a measure in which you have a connict of interest will vary greatly depending
on whether you hold an elective or appointive position. For this reason, please pay close auention 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 ele~tive ~ounty. municipal. or other local public office \IUST 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 agenc:-) by whom he is retained.
In either case, you should disclose the conflict:
PRIOR TO THE VOTE BEING TAKEN by publicly stating 10 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.
APPOI~TED 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 connict before making an) allemptto influence the decision by oral or wrillen communication, whether
made by the offi~er or al his direction.
IF YOU INTEND TO MAKE ANY ATTE~IPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH
THE VOTE \\'ILL BE TAKEN:
. You should complete and file this form (before making any allempt to influence the decision) with the person responsible for
recording the minutes of the meeting, who will in~orporate the form in the minutes.
. A copy of the form ~hould be provided immediately 10 the olher members of the agency.
. The form should be read publicly at the meeting prior to consideration of the mailer in which you have a connict of interest.
CF H)R'l.l 'Ii. 1.<11
PAGE I
IF YOU 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,
--,
il
I. tlJR\ ~ ~C'5.s I
DISCLOSURE OF LOCAL OFFICER'S INTEREST
{)c. T(:)rs8L 2. I
, hereby disclose that on
" 19_i2-
(a) A measure ~ame or will come before my agency which (check one)
_~ inured to my "PCcIJ! pri\atc gain; or
Vinured to the spwal gain of /"'(:2 65 S l 4- ~t~4(1 ~
f'UG R-S-.. ___, by whom I am retained
(b) The measure before my agency and the nature of my interest in the measure is as follows:
T
-
h- ~ V~ ~\..)-
o kJ G-.o J~o. ~tJ~,~- l.u 'T1l- !1~
(jJ ~Uctf€:3~1'--' K-~~t-1S)~~lJWG S~ces
~~u~ljf
I,/j O&-~btJ
/'
U01 ~~ (7) ~ Co Dc"""::,
() L) Cf+-l) ~ 1'2 - {: CiJO 3 J 99
~
/u--~/-92--
Date Filed
Signature
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES S112.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING,
IMPEACHMENT, RE\10VAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DE\10TlON, REDUCTION IN
SALAR Y, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000,
CE ~OR"" ~B. 1-9/
P \(;1
FORM 88 MI:IYIORANDUM OF VOTIN~ CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER lOCAL PUBLIC OFFICERS
0:' S l t::)..) 12...0- G
MAl 1:,\(; ,\IlIlKISS . /() .__
(;2:; Lu,~\r.~ 'Uu.0&- tl~~ \21:)
CIIY COI;' 1Y
J'
&A ,01, HOARI>.l'OIINCII, COMMISSION. All I 1I00UlY. OR COMMlllF.E
l- - ~
, .
IIII' HOo\RI>. COlINCI!. COMMISSION, Alii HORIlY OR COMMlll EE ON
WIIIClII srRvF IS A II NIT OF
I ASI 'AMI IIKSI "\\11 MIIlDII ""0\"'"
..
CIl' 0 COUNTY 0 OIliER lOCAl AGENCY
:'IlAME OF POUTICAI. SUBDIVISION
\:70 \3 t:::..~tt
o ELECTIVE
APPOINTIVE
WHO MUST FILE FORM 8B
This form is for use by any person serving at thc wunty, city, or other local level of govcrnment on an appointcd 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 contlict 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 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 \lUST ABSTAIN from \oting on a measure ,",'hich 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 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
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 pcrson holding an appointivc local office othcrwise may participate in a matter in which he has a conllict of interest, but must
disclose the nature of the conllict before making any allemptto influence thc decision by oral or wrillen 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 (beforc making any allempt to influence the dccision) with the person responsible fOI
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 wntlict of interest.
('[ IOR~ ~B.I.q1
P.\GE I
IF YOU 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 .:omplele 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
I,
~liR\<"'C. (~~~
DISCLOSURE OF LOCAL OFFICER'S INTEREST
1- (,
, hereby disclose that on
19B_
(a) A measure came or will come before my agency which (check one)
_ inured to my .,pcual privatc gain; or
- inured to the spwal gain of ~. r::iJG (uc:t::7U V~ h~ '(~o~i I ~ kd-lAL.:''tf lh~ ~':; ~~~~.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
bl'-'bJ~~ 'R~'l..P- ,r,~'<.. I ~ S l~
~-n~ kL(u~ ~c....)(U:;: ~D. ~'-J
~ frc-, j-
Irr-
$e,
/:
//'
(k !Zt.JtJ'!-- c F 0eh16~J-'
(( /
L-eJJ~
/120 peit- '7 /-,qJCA 1tb
/k; /' l7/c(q, t~
/wy
fIo co j-'
n/LfU5'
cde'il
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Date Filed
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Slg1iaIu" ~
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES 91/2.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING,
IMPEACHMENT, RE\10VAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALARY, REPRIMA1\;D, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
CE f-ORM KB - 1-91
p,\,;[
FORI'" 8B Mt~\;I()RANDUiJ Of ven IN \;;.1 CON!~'IJ(~'1 f~('~~
COUNl'Y, MUNICIPAl., AND OTHER tOCAL PUBiJC OfFIC~Er~s
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IlAIIO'\\HICH\ClII (H,(\RRll>
MY I'O,,{ r 10" I~
o EUCIIH P. API'OI....ll\E
WHO MUST FILE FORM 88
This form i-; for the b} all} per~L)1l serv ing at [hc (l)Unly, cit~, or othc'l IOL'~ll k\el of go\erllment on an dpl'"irlted or elected board.
cOllnL'il, comfl1i-;,i,\n, au!lwrit), or committee. It applie, equal\~ to meld),,',-; of ad\ isor) and non-ad\ isory bodies v. ho are pre,cntL'd
with a ,oting contlid of intere,t under Section 112,3143, f'lorida Statllte"
Your respomibilitie<; under the la" "hen faced "ith a rnea'lJrc in "hich )0l1 h(nc a connict of intcrc',t ,viII vary greatl~ depending
on whether you hold all eledive or appointi,e positi'lll. For this rea\on, pleasc pay close attention to the in~trllctions on this fOlm
befL)le complcring the re,er'",' side and filing the form
INSTRUCTiONS FOR COMPLIANCE WITH SECTION 112.3143, flORIDA STATUTES
ELECTED OFFlCEI{"i:
A p",rson holding dedi,e L'ounty. munic'ipal, or ,1lhn local publiL' 0t'fice \1l'S1 AFlST,\l'.' fron, voting on a mca,ure vvhich inure,
to his special private gain. Each local officer also i, prohibitc'd from kno\vingly voting on a me,hure "hich illllre~ to the special
gain of a principdl (other than a government agenc\) b} v. horn he is retained,
In either ca,e, yOU should disclose the conni..:t:
PRIOR TO THE VOTE BEING TAKEN by publiL'I) stating to the a~sembly tht' nature of your intCle,! in the mea~ure on
which yOU arf abstaining from voting; and
WITHIN 15 DAYS An ER THE VOTE OCCURS by completing and filing thi~ form v.ith the pCl~on re,ponsible for recolding
the ll,inutes of the meeting. vvho should incorporate the form in the miflutes.
APPOI:\H f) Of FlO.RS:
A person holding app<lintive county, municipal. or other local public office ~lUST ABSTAIi\; flOrn voting on a measure \vhich
inure, to hi, special private gain, Each local officer also i~ prohibited frolll knowingly voting on a measure" hich inUle.; 10 the
special gain of a principal (other than a government agency) by vv hom he is retained.
A person holding an appointive local office othcl\vise may participate in a matter in "hich he has a contllcl of interest, but 1111.1)[
disclo~e the nJture of the conllict bfforc Illdl--ing an~ attempt to innllelKe the cleci,ion b) oral or I,ritten c\.)rnmunicatioll. "he[he:
made by the office:r or at his direction,
IF YOU I~TF1\;[) TO :'vlAKE ANY ATTEMPf TO I1\;Ft L!fNCE THE DECISION PRIOR 10 -I HF :'vlEITING AT WHICH
THE \UI L \\ ILl BI'I AKIN:
· You should complete and file this form (bcfpre m,l\..ing an) attempt [0 innuencc the deL'ision) "ith the person resp\.\nsibk fL)r
recording tlie minutes of the meeting. v. ho "ill jnL'orporate: the for III in the minutes,
· A copy of the for I1l ,lwuld be pro, ideo immediately to the othcr merT1ber~ of the agenL'Y,
· The form should bt' read publicly at the meeting prior to consideration of the matlcr in which )ou have a connic! of interest.
----- ._- .-----------.~-----_.~--~--- ---.'.----.-----.------.. ..-., ---....--. ----....__ .________~_.._ '_____ ____.___._.._ _ ____ '_'0 __...___
CFH1R\I,fj 1-91
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of [he lll\:<,ii!i!c:, V,~I\' ,!:\'u\1 illl'IHp,.'!.it<.' tflt fUI!I' ill rl:t., ",'I'
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o ELECTIVE a APPOINTIVE
flU FORM.I ,l~,~ . "
"::;\.fjY ; :~A't..,. (', :''"', "
D",This for.lfs tbr use by any pe', in,.. , " ' tY.':1. i:;'her local.1Cvet if ~nment ()naltappo.~~ed
counciL. commission. aut~mittcC. haPPJies equaUy to members of advisory and non-advisory bodies who
with. voting conf1icl ot~er section 1113143. f1dilIda Statutes. " , -'. 'it ,'>.1'''':.'" ,_~ff;
Your responsibilities under the law when faced wUi a measure in which you have a connia of interest will vary greatly dependin,
on whether you hold an elective or appointM position. For this reason. please pay close attention to the instructions on this ~
before completing the fe\lerse side and filin"'t~ form. '
INSTRUCTIONS FOR COMPUANCE WITH SECTION 112.3143, FLORIDA STATUTES
ELECTED OmCERS:
A person holding elective county, municipal, or other local public office ~tUST ABSTAIN from voting on a measure which inures
to his special private gain. Each local ofrac:er also is prohibited from knowingly voting on a measure which inures to the special
aain 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
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 aovernment agency) by whom he is retained.
A person holding an appointi\1elocal offICe otherwise may participate in a matter in which he has a con nict of interest, but must,
disclose the nature of the connict before making any atlempt to innuence 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 10 THE MEETING AT WHICH
THE VOTE WILL BE TAKEN:
. You should complete and file this form (before making any attempt to innuence tM decision) with the person responsible for
recordina 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 connict of interest.
CE f'ORM ~B-I-'ll
PAGE I
~,..>j/i.I~'
IF YOU MAKE NO ATTEMPT TOINfLU
:i'~,'; :
· You should disclose or _, nature of yoUr conmi.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I, to. .... -" \ \. . ;. ,hereby disclose that on .-.-"- '
(a, A m.teeame or will COI'he before ~y agency which (check One);'."';;
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Date Filed
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NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1\2.3l7 (1985), A FAILURE 10 MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING;
IMPEACHMENT, RE~OVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
CE FORM XB - 1-91
PAGE ~
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FORM 88 P.1EMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
I l// 5
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Nr-~" HOAR!): (:011 (1Cl~~MIS2~;' AUt 1107 Y. Oi(~OMMI1lH
IIII' H().\RI>. COlINCI!.. COMMISSION. AliI H RIlY OR COMMIlTEE ON
WHIClII SrRVf IS A IINI1 OF
I
9/ ell \' (] COUNTY (] OiliER LOCAL AGENCY
I ASI ,:'ooAMI IIKSI ',\\1, MIIlIlII 'V.~,lI'
h iF A Ir Ii'; / C
MAli 1:'001; ,\IlIlKISS
IlAl F WHICH VOl I lKCl'KKEIl
, ,Ie I )
I
(] ELECTIVE
WHO MUST FILE FORM 8B
This form is for use by any person serving atthc I.:ounty, city, or other 10l.:allevel 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 contlict 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 the reverse side and filing the form.
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
ELECTED OFFICERS:
A person holding elective I.:ounty, municipal, or other 10l.:al public office \lUST ABSTAIN from \oting 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 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
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 othcrwise 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 influencc thc decision by oral or written communication, whether
made by the offil.:cr 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 (beforc making any attcmpt to influence the dccision) 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.
CE .OR~ ~Il- 1-91
PAGE I
IF YOU 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 complctc the form and file it within 15 days after thc VOle occurs with the person responsible for recordll1g [he minutes
of lhe meeting, who should incorporate the form in tile minutcs
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I,
Michelle White
, hereby disclose that on
October 23
19~_
(a) A measure came or will come before my agency which (check one)
_ inured to my ,peL'lal private gain; or
,_ inured to the special gain of
, by whom I am retained
(b) The measure before my agency and the nature of my interest in the measure is as follows:
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NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~112.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLO\VING.
IMPEACHMENT, RE\10YAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALARY, REPRI\1A~D, OR A CIVIL PENALTY NOT TO EXCEED $5,000,
CE I-OR"l XB. /-'11
P .\c.,
FORM 8B M~...ORANDUM OF VOTlh~ CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
I "s I '''loti IIRS I ','''I MIIlIll1 '^MI' N"ME ot ItOARI>. CO\lNCII.. ('OMMISSION. AU I 1l0RI1 Y. OR ('OMMlnEE
Rossi, Enrico Code Enforcement Board
1.1"" 1'(; ,\Illllt! ss 'Ill, 1I0-\RI>. CO\''Il(,II. COMMISSIO!'l. ^\ll HORIlY OR COMMI1TEE 0'"
WHICH I SrR\'F IS A lINI1 o~
625 Whispering Pines Road '3c ('11 \ o COUNTY o OIliER IOC'" AGENCY
('In ('01 'n
Beach, FL 33435 Palm Beach ',,1.11' 01- l'OI,ITlC"1 SI;IlOl\ISIO!'l
Boynton
City of Boynton Beach
Do\ 11' 0' ....11101 \011 oen KKFD 1.1 Y I 'OS 11 10.., IS'
October 16, 1991 o El fn'l\ E IX "PPOINTIVE
WHO MUST FILE FORM 8B
This form is for use by an} person serving atthc (ounty. (ity. or othcr lo(al bel 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 cont1ict of interest under Section 112.3143, Florida Statutes.
Your responsibilities undcr the law when faced with a measure in which you have a conflict of interest will vary greatly depending
on whether you hcild an ele!:tive 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:
.-\ person holding ele!:ti\e !:ounty. munidpal. or other lo!:al publi!: offi!:e \IUST .-\BSTAP' from \oting on a measure whi!:h inures
10 his special pri\ate 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 conllict:
PRIOR TO THE VOTE BEING TAKEN by publicly stating 10 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.
APPOI~TED OFFICERS:
A person holding appointive county. munidpal. 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 offi(e otherwise may parti!:ipate in a matter in "hidl he has a contli!:t of interest, but must
disclose the nature of the wnllict before making any attempt to inlluenn: thc decision by oral or \Hitten communication, whether
made by the offi(er 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 attempl to inllucnce the decision) with the person responsible for
recording the minutes of the meeting, who will in!:orporale the form in the minutes.
· A copy of the form should be provided immediately to the other members of the agcn!:y.
· The form should be read publicly at the meeting prior to consideration of the matter in which you have a conflict of interest.
cr ~()R'f "H ! l..,jl
P,,( ,E' I
"'--,."".-."'.~
IF YOU 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 .:omplelc the form and file it within 15 days after the vote occurs with the person responsible for recording the minutes
of the meeling, who should incorporate the form in the minutes
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I,
Enrico Rossi
, hereby disclose that on _,_____ October 16
i9~.
(a) A measure .:ame or will come before my agency which (check one)
_ l!lured to I11~ -,pcu..l1 rlrl\ale gain; or
--L. inured to the special gain of Lennar Cons truc t ion Company
, by whom I am retained,
(b) The measure before my agency and the nature of my interest in the measure is as follows:
I am the Engineer of Record for Lennar Construction Company.
/~
~;-;/
October 16, 1991
Date Filed
'---. .'
~"~~,
'... :- /~~:~ .c _::::____ _
Signature .'
C_.
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES S112.317 (\985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR \10RE OF THE FOLLO\\T'\G
IMPEACHMENT, RE\10VAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION. REDUCTIOi\< l~
SALAR Y, REPRIMAi\:D, OR A CIVIL PENALTY NOT TO EXCEED $5,000,
CE ~OR'>1 ~B. 1.1/1
P.\"f
FORM 8B MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
LAst SAM!' IIRSI',\\II MlIlIlIl :l;AMF
Lf7l J ~"'~
o SW 2 -q- ftU,r-
nl'v
80 ~u 8~ fI-
NAMf 0/- HOARD. COllNCII.. COM MISSION. AU IIIORITV. OR ('01'.1 MlrJ FE
COI"I Y
fB
IJDe- L~P~I2(
IIII' IIO.\RI>. COlINCII. COMMISSION. Am HORITY OR COMMIlTEE ON
WIIICIII SIRvr IS A \I NIT OF
~ D COUNTY D OIliER LOCAL A<ifNCY
'iAME OF I'OIHICAI SIIIlDlVISION ,'rl' 0
~Lf)r tfL'RJ'? ~ lf7t'tl-~/3:?nJ
MY I'OSIlION IS: _ ./'
D ELECTIVE ~APPOINT1VE
.~~
c;S Se
/99/
WHO MUST fiLE FORM 88
This form is for us~ by any person serving at the county, city, or othcr locallcvel 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 contlict of interest under Section 112.3143, Florida Statutes.
Your responsibiliti~s 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 the reverse side and filing the form.
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
ELECTED OFFICERS:
A person holding ~lective county, municipal, or other local public office \IUST ABSTAIN from \oting 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 lhe 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 arc 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
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 h~ is retained.
A person holding an appointive local office othcrwise 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 wrillen communication, wheth~r
made by the officer or at his dircction.
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 allempt to influence the decision) with thc 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.
CF I ORM ~Il- 1-91
rAGE I
IF YOU 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 thc form and liIe it within IS days after the vote occurs with the person responsIble for recording the minutes
of the meeting, who should incorporate the form in the minutes
DISCLOSUR' OF LOCAL OFFICER'S INTEREST
5e.f'Tern bel<-..
L-,S- OLrorg~ _
19_1J_
I,
\?ob l1YLV cr })) v\... e<J( , hereby disclose that on
(a) A measure came or will come before my agency which (check one)
_...(....C'inured to my ,pecia\ private gain; or
__ inurcd (0 the special gain of
___, by whom I am retamed,
l5' L \7- c:::.-1/2 {c It'L
1}Lf?/~ 5~~ (l~/~y
Fe']Ji!dI/fL )I/6-#~/ &/s-;?-' ~~Cf~
Co""-' r ~ It-<- 'T/v.-6-
~z rc-
Do
p~-e
///2 ~/cJ~/-~
C 1t56S- #- 7'/-dc?tttOlot
I
(b) The measure before my agency and the nature of my interest in the measure is as follows:
~.......-<=- ?
--~? SJ--d777L-
Date Filed
-~(
/)
--~ -~--
SignalLlre
._.___1
r
I :\OTlCE: UNDER PROVISIONS OF FLORIDA STATUTES ~112.317 (1985), A FAILURE TO \I:\I\:E AN'l Rl()UIRE!)
I DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR i\10RE OF THE FOLLO\VIN(;,
! I\IPEACH\IENT, RE\10VAL OR SUSPENSION FROM OFFICE OR EMPLOY1\lENT, DEMOTION, REDt :CrlON I"
l_ ",.\LARY. REPRI\IAi':D, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
( ! I "~\i 'H. 1,'11
i
l
---'
P .\liE
r-UIl.M BS MtiViORAN10l'uiilVl Of VOTING CONFLICT FOR
COUNTY~ IMUNIC' '1~!1-~\~~~[~__QTHI:R LO( \L PUBLIC OFFICERS
LAST NA...., "--HRsr ~ME::Mi~iii'lT !^,ViE' - , " "Mf~; BOARD. ('OUNC L, COM SSION. AUTHORITY. OR ~MMITTEEJ
!JAtf/S /~e~t~...--c:: . , ~J1I1m(/nr. ~
--~--._._-,- -.- -- --,-.- - - - ,- -.- -. 1 'it:: HOARD. COUNCIL C M~f1SSI . AUTHORITY, OR COMMITTEE ON
MAllIM.; , .l)\)R~~ I... ' , 3 \I, ~'H I SEIlVI:: IS A UNIl Of:
11t/i,? J.. 1i?./JJ~/1-Wl1 " 1/.' i CIIV : 1 ('OUNTY : Of HEll lOCAL AGENCY
--------1-----"7 ii:~n'- ..----;-
~IZOIJ' ts~.<rC/A IC, b,J..J.,I J ~ -, ~ ~ ~'9
------.-- --------
WHlCiiV~'UIlRJ:D
A1IC;l/J-r /~- 1,,"1 ___._____..__
---
..AMi:: Ot' POLITICAL SUBDIVISION:
~iy ~~;VU I!sMu4
:. ELECTIVE
h:.A'
v;.PPOINTIVE
, 1#114 0 M ltSii FiLl FORM .1
This fOI m is for use b)' any per, ,on selviin, I at the c( un :y, ~ 3'" cr ol:hellocallevel of government on an appointed or elected board.
council, commission, nuthority, or commi nee, It ap >Iit s elll <II) to melnbers of advisory and non-advisory bodies who ar~ presented
with a \otin~ ~onnict of intcre it urad ~r S:ctiull II: .21 13, f Ilnida Statutes. The requirements of this law are mandatory; although
the use of I his partkular forn is n(:( rc ~uired b) h' v, ~'O LI al'e enc(luraged to use it in making the disclosure required by law.
Your re~pon.sibilities under the law Wlcn faced wit 11 mea! lire in ",hkh you have a conflict of imerest will vary greatly depending
on whethc::r YOll hold ~1O electiv, ~ or app.oi 1th,~ posi iOlI. fo ' this reascln, please pay,close attention to the instructions on this form
before (ompleting the:' reverse .ide ud lilinl~ the 'or n.
IN~.TRucnONS fOI'l CII)MPIII~ ~C:E '~VITH SECTION 112.3143. FLORIDA STATUTES
ELECT Ell OFFJCElltS:
A person holding elective coun1 Y. mUllidJ lal. I:>r ott er local public offu:e MUST ABSTAIN from voting on it measure which inures
to his spe:dal pdvate gain. Ead I local oflicel' a\!.o s pollihil,etl fwm knowingly voting on a measure which inures to the special
gain of a principal (olher that a gOl'ern nent age ICY I b:, ^ !hc,m \he is retained.
In either case, you should disc ose ti,e CI mfJict:
PRIOR TO THE VOTE BEING TAKEN by lublicly ,:atlng to Ihe assembly the nature of your interest in the measure on
whkh you are abstaining . rom \Ol.ir g; and
WITHIN IS DAYS AFTER THE va -E OCCL RS by Ci) :npleting ilnd filing this form with the: person responsible for recording
the minute$ of thle meetinl:. whe should inco po raIl: \ he form in the minules.
APPOINTE)) OFFlC1ERS:
A person holding appointive co unty. inur icillal. or ot: ler hwal public office MUST ABSTAIN from voting on a measure which
inures to his ,spe:'cial private gaill. Each I..:> :alof/'ice al.o IS prohibited from knowingly voting on a measure which inures to the
special gain of a prin~ipaJ (oth :r thall a govl:rnmc: III 19c:n ;:~,) )y Wh(llll he is retained.
A person holding an appointive local uffi( e 01 herwi;\ I na:' part i\:ipatc in a matter in which he has a conOict of interest, but mus~
disclose I he mllure of the conni, t bdol"e makillg am <It en: pi to influcl' ce the decision by oral or written communication, whether
m~de by the officer or al his d recrio 11.-
IF YOU iNTEND TO :vIAKE ~ NY ATTEMPT TC HIFl.LiENCE TilE DECISION PRIOR TO THE MEETING AT WHICH
THE VOTE WI LL BE TAKEN
· You should complete and file his form :before m lIJ rag all)' altempt to influence the decision) with the person ~esponsible for
recording the minute!, of the I neering, \I'ho will i, ICO rp(lr;llc= I he forlll in the minutes.
· A copy of the form should be providc:d immedia el) 10 1111: othc::r members of the agenc}'.
· The form should be n=ad publi c1y at lhe me'i:ting I r (r II) 1:llIn,iderat ion of the matter in which you have a conOict of interest.
----
-,---.- ----,.----.
IIIM""H 1II11h
MGE
IF YOU MAKE NO ATTEMPT TL ...olFLUENCE THE DECISION EXCEPT ld DISCUSSION AT THE MEETING:
. YOll should disdose orally lhe nature 0.1' your conflict in the measure before participating.
. You should complete the form and file it within 15 days after the vote occurs Wilh the person responsible for recording the minute~
of the meeling. who should il\corpOralc the form in the minules, .
L
DISCLOSURE OF LOCAL OFFICERIS INTEREST
~PE- C ' ~I.S , hereby disclose that on tt{A';f-~/ ~ 'r
/~ 91
___,19___ .
I,
(a) A measure came or will come before my agency which (check one)
_ inured 10 my special privale gain; or
~ur~d to the special gain of AlAJ4 tu~U-/ ~
, I
(b) The measure before my agency and the nature of my intereSI in the measure is as follows:
p/7)~ ~ 0:-- J;prJn"LH ar/uFf j\.J . r~ ~
~~.~. %-
, by whom I am retained.
_ _. t!& If~- /qtjl _
Dale Filed ~
(j..~
Signature
NOTICE: UNDER PROViSIONS OF FLORIDA STATUTES ~1J2.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNiSHED BY ONE OR MORE OF THE FOLLOWING:
IMPEACHMENT. REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTJON, REDUCTION IN
SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
I f ()j{;l.J 0/1 ' IO.KIt
PAGE
FORM 8B ME~.~RANDUM OF VOTINb CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
I t\SI :-.ot\Mr IIKSI ,,"" MIIlIlI r "'t\MF Nt\Mf 01- IIOt\KD. COUNCIl.. COMMISSION, AU'lltOKITY. OR COM Mill FE
Haynes, Andrew Board of Ad'
Mt\III~(; "IlIlKIS~ 1111: HO.'RD. COUNCIl.. COMMISSIO"', t\lJTHORITY OR COMMIlTEE ON
WHICIl I SrRVr IS A UNIT OF
2394 SW 14t-h o CIl Y o COUNTY o OIliER LOCt\L AGENCY
CITY CO\)' lY
Nt\MF 01' POUTICAL SUIlDIVISION:
Boynton Beach, FL Palm
IM'1 r O!\. WHICH VOl I' OCCl'RRFD MY POSITION IS:
June 10, 1991 0 ELEClWE 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 contlict of interest under Section 112.3143, Florida Statutes,
Your responsibililies 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 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 \lUST 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 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
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 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.
CE I'ORM ~B- 1-91
PAGE I
IF YOU 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 completc the form and file it within 15 days after thc vote occurs with the pcrson rcsponsible for rccordlllg the minutes
of the mecting, who should incorporate the form in the minutcs
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I, at' h.u--~ )V~ h",by d;"lo" thot on ---6-= i_~. __
(a) A measure came or will come before my agency which (check one)
19~~J
_ inured to my SpeL'loll private gain; or
_ inured to the special gain of
___~~___, by whom I am retained
(b) The measure before my agency and the naturc of my intercst in the measure is as follows:
':P .' _ \\ ~ ~ \ "' ''----' U
~ (j --W~~ G1v\
~I 0 0 \ r1 c:LGtl~'^>
b
" 17
/"
9/
/7oU<<=~
~
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES 9112.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING
IMPEACHMENT, RE\10V AL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALARY, REPRIMAI"D, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
I
.J
CE fORM XB - 1-91
p.\el
l.,\ST NAME-HRSr NAME--MIl>Lll t- NAME
FORM 88 MEr .. ~R-ANDUM OF VOTIN"Y CONFLICT FOR
COUNTY, MUNIClrAL, AND OTHER Loe",.. PUBLIC OFFICERS
N~(;;;~~OUNC1L. COMMIS~RIT~:;;EE
THE BOARD. COUNCIl., COMt. ISSION, AUTHORITY, OR COMMITTEE ON
W~H I SEIWJ: IS A UNIT OF:
0'11 Y : , COUNTY : OTHEK LOCAL AGENCY
~c'.
//tfD s. ~
1J1b.J ~.Wr-
fAll-' ~
COUNTY
~-7 <fJ<j-
NAMJ: Of POLITICAL SUBIJlV1SION:
f5tJ 'AJTO/ ~l k4 .
WHICH VOL ~ O('('UKRI:l>
,Ie? /17/
MY OSITION IS:
:. ELECTIVE
0PPOINTIVE
WHO MUST FILE FORM 88
This form is for use by any person serving at the county, dty, or other local level of government on an appointed or elected board,
council, commission, authority, or commiuee. It applies equally to members of advisory and non-advisory bodies who are presented
with a voting conflict of interest under Sectioll 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 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
ELECTED OFFICERS:
A person holding elective county, munidpal, 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 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 minute~ of the meeting, who should incorporate the form in the minutes.
APPOINTED OFFICERS:
A person holding appointive county, municipal, or other local public offke MUST ABSTAIN from voting on a measure which
inures to his special private gain. Each lucal 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 partidpate 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 ~'IAKE 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 makinR any attempt to influence the decision> with the person responsible for
rccording the minutes of the meeting, who will incorporate the form in the minutes. '
· A copy or the form should be provided immediately to the other members of the agency.
· The form should be read publicly atthc meeting prior to consideration or the matter in which you have a conflict or interest.
I 1(111\1 'II III~"
ADDENDUM A
PAGE I
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
, · You ~hould disclose orally the nature of your conflict in tht: mea~ule before participating.
· You should complete the form and file it within 15 days after the vote oc~urs with the person responsible for recording the minutes
of the meeting, who should in~orporate the form in the minutes.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I,
,"~IlUE- C. ~
, hereby disclose that on
~ It!
,__., 19:LL_:
(a) A measure came or will come before my agency which (check one)
_ inured to my special private gain; or
~nured to the special gain of tI)U~ M~ I /~e .
, by whom I am retained.
(b) The measure beforc my agency and the nature of my interest in the measure is as follows:
~ ~ ~lfIJtP~ or ~15D Cfl9c~
;$vtC()/~ /J?kAFr He.- (ryG8-~ /~
~ S t> C-.C4-""ZP~ . .
-~~
Date Filcd
! tf- 17~
-~---
~~~
Signaturc
NOTICE: UNDER PROVISIONS OF FLORIDA ~TATUTES 9112.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF' THE FOLLOWING:
l:\fPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION,,:REDUCTION IN
SALARY. REPRIMAND, OR A CIVIL PENALT,Y NOT TO EXCEED $5,000.
l l fOR \1 011 IO.M.
PACF :
FORM 88 MEr~ORANDUM OF VOTINt; CONFLICT FOR
COUNTY, MUNIC'.-AL AND OTHER LOC- J. PUBLIC OFFICERS
" S N LtC '110111L "AME NAME Of BOARD. COUNCil. COMMISSION. AUTHORITY. OR COMMITTEE
lAST NAMl::-i'lR T A", "--,, . J: ,..,. &4
~v't~L ~2bf:- c::: lHE)l RD. C~~~H' 55101'1. r ORITY.ORCOMMITTEEON
MA~L,:~i:U~l~"~_L!.n tv , O^J IJ (l.... _.A WH I SfRVIi IS A UNIl OF:
VlVV :::>... V-~~\..---' r~ I~ :, <,'OUNTY : OTHER tOCAL AGENCY
lyrl>~ ~
UATE Oi'o 'HKII VOlt: ()(.'('URltliU
C>e7lc>~ t S- l;
COUNTY
NAMIi Of l'00w3l)1~ (
MY POSH ON IS:
.. ELECTIVE
APPOINTIVE
WHO MUST FiLl FORM 81
This form is for use by any person serving at the county, city, or other local level of government on an appointed or elccted board,
council, commission, authority, or committee. II applies equally to members of advisory and non-advisory bodies who arc presented
with a voting ~onflict 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 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
ELECTED OFFICERS:
A person holding elective county. munidpal, 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, )'ou 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
inures to his special privatc gain. Each local officer also is prohibited from knowingly voting on a measure which inures to the
special gain of a prin~ipal (other than a government agency) by whom he is retained.
A person holding an appointive local office otherwisc may participate in a matter in which he has a conflict of interest, but must
disclose the nature of the conflict before making any altempt to int1uence the decision by oral or written communication, whether
lO!ide 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 allempt 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 immediatel)' to the other members of the agenc)'.
· The form should be read publicly at the meeting prior 10 consideration of the matter in which you have a conflict of interest.
1111'" 'K IllICit
ADDENDUM A
PAGI
IF YOU MAKE NO ATTEMPT
INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING.
, . YOLl should disclose orally the nature of your conflicl 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.
/'
~e6~
DISCLOSURE OF LOCAL OFFICER'S INTEREST
DAtn~
. hereby disclose that on
tvLD "''f>^'11 OcT. l S
, 19+C-:
I,
........'
(a) A measure came or will come before my agency which (check one)
_ inured to my special private gain; or
1inur~d to the special gain of 7~tJljb&~~ ON 1~ \j\)A ~ 1 I ~J:..
. by whom I am retained.
i (b) The measure before my agency and the nature of my interest in the measure is as follows:
f:\ Y'?~ c>r
{.)wtt18~' f\.A 5- AL S7At ~
-u,
SECVfJI/ ~
11
I /
/
~ fr--' _~4 fLJ
Dale Filed
(!,~
Siguat ure
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES 9112.31'7 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MAYBE 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.
l I UK~I all ' IO,~"
PAGl
FORM 88 MEiV'')RANDUM OF VOTIN~ CONFLICT FOR
COUNTY, MUNICI~AL, AND OTHER LOCAL PUBLIC OFFICERS
LAST N,\ME-FIRSr NAME-~IIDl>U NAME NAME OF BOARD. COUNCIL. COMMISSION, AUTHORITY. OR COMMITTEE
Olenik, Jr. , Robert City Commission
MAILlt'oG ,^,UU\l.lSS THE BOARD. COUNCIl. COM~llSSION. AUTHORITY. OR CO\1MITTEE ON
WHICH I SEIWE IS A UNIT OF:
29-D Crossings Circle X CII Y : , COUNTY , ' OTHER LOCAl AGENCY
Cln COUNTY
NAME OF POLITICAL SUBOIVIS1ON:
Boynton Beach, Florida Palm Beach Boynton Beach
OATE 0'- WHICH VOll: OCCURREO MY POSITION IS:
8-21-90 'x ELECTIVE " 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 me'mbers 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 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
ELECTED OFFICERS:
A person holding elective county, munkipal, or other local public officc 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 by publicly stating 10 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 complcting and filing this form with the person rcsponsible 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 offi~e 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 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 [0 the other members of the agency.
. The form should be read publicly at the meeting prior to considcration of the matter in which you have a conflict of interest.
t I 111~\1 'fl I""h
PAGI'
IF YOU f\1AKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE \lEETING
. You should disclose orally the nature of your conflict in the measurc before participating.
. You should complete the form and filc it within 15 days after the votc occurs with the person rcsponsible for recording the minutes
of the meeting, who should incorporate the form in the minutes,
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I,
Robert Olenik, Jr.
, hereby disclose that on
August 21
,19~__:
(a) A measure came or will come before my agency which (check one)
_ inured to my special private gain; or
_ inured to the special gain of
, by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
A payment made to ~otorola, Inc. was included for approval in CONSENT
AGENDA Item G-1S. Although I have no direct renumeration from the payment
to Motorola, I am on their payroll at this time and this item 1S now
being placed as public record to ensure no conflict of voting occurred.
~l,Jc- "'..,- ~ \ \ ~~ C
Date Filed
s~~
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1l2.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MAYBE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
IMPEACH~IENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
Cl: fOR " oH JO,~/'
PA(;F .
FORM 88 MElv'~RANDUM OF VOTI'" ~ CONFLICT FOR
COUNTY, MUNICI~AL, AND OTHER LOCAL PUBLIC OFFICERS
LAST NAMlO-FIRST NAME-:\llDI>U: NAME NAME Of BOARD. COUNCIL. COMMISSION. AUTHORITY. OR COMMITTEE
00((,0 0-?iJ~ Ut G)MI,^t..s$./u,J
MAILlI'>G ADDRESS THE BOARD. COUNCIL, COMMISSION. AUTHORITY. OR COMMITTEE ON
/ . WHICH I SERVE IS A UNIT OF:
b "3 '\ ~ {) L ~ A..:J L - C~ : ! COUNTY ' : OTHER lOCAL AGENCY
CITY
G<::>'f,J~ J r;3t"tvi'+--
DATE 0:0. WHICH VOrt: OCCURRED
~ I \ ~ J ~1
f ~UN6~l
. 01' POLITICAL SU8DIVISION: J'
C\'T'f 0(:: 60 1J,~
MY POSITION IS:
.....
,,: ELECTIVE
I ; J APPOtNTIVE
WHO MUST FILE FORM 8B
This form is for use by any person servinE 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 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
ELECTED OFFICERS:
A person holding elective county, munidpal, 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 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 offi~e 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 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.
(I IfIll\! 'II Ifl,~f,
ft, r"C I
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You should disclose orally the nature of your connict 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.
I,
G Z~ S.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
,1)tt 0 0 ~<L
, hereby disclose that on
Itv L '-Jy 15
.19 8'1':
(a) A measure came or will come before my agency which (check one)
_ inured to my special private gain; or
_ inured to the special gain of
, by whom I am retained.
(L2J' ,;'2.-L ~'~.i ~
Vk) I,J (,5 ;:::t-
e f'rfZ.tZ- iN v c v
/-H')vz-
4- c. \ '\ -?V-' w...; i I'v ;2..s.n-.. ~-~'.i.-
\-r-.. ,V' ',; ':. ~2 fb ,/'2-- ''I1\) ( (< ~k:, ,~
(b) The measure before my agency and the nature of my interest in the measure is as follows:
~.f'~ N -C-7
t
~ 1 r5/Ci
Date Fil~d
;> ~//?,~
/~~/
/'
Signature
i-/
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~112.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
CE fOR'1 8H ' IO,M6
PAGE 2
FORM 88 MEIV~RANDUM OF VOliN '""' CONFLICT FOR
COUNTY, MUNICI~AL, AND OTHER LOCAL PUBLIC OFFICERS
LAST NAME-FIRST NAME-:\IlDDll:: NAME NAME OF BOARD. COUNCIL. COMMISSION. AUTHORITY. OR COM:'\.IITTEE
Hester. Ezell. Jr. Citv Corrunission
""AILI!'.Co ADDRESS THE 80ARD. COUNCIL. COMMISSION. AUTHORITY. OR COMMITTEE ON
WHICH I SERVE IS A UNIT OF:
416 N.W. 7th Avenue xcny : ! COUNTY , ; OTHER l.OCAl AGENCY
CITY COUNTY NAME 01' POLITICAL SUB\)IVISION:
Boynton Beach, Palm Beach
Boynton Beach
DATE 0:-. WHICH \'01'1: OCCURREO MY POSITION IS:
;if: ELECTIVE OJ APPOtNTIVE
8-15-89
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 me'mbers 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 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
ELECTED OFFICERS:
A person holding elective county, munidpal, 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 by publicly stating to the asscmbly the nature of your interest in the measure on
which you are abstaining from voting; and
WITHIN 15 DAYS AFTER THE VOTE OCCURS by complcting 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 participatc 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 directjop.
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.
(I 101/\1 'fj 1I1'~1>
IF YOU l\1AKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You should disclose orally the nature of your conniet 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,
Ezell Hester, Jr.
, hereby disclose that on
August 15
_.19~;
(a) A measure came or will come before my agency which (check one)
_ inured to my special private gain; or
_ inured to the special gain of
, by whom 1 am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
~
fj- I b - g9
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~Jl2.317 (1985). A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION. REDUCTION IN
SALAR Y. REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
CE fOR~1 .H ' JO.M6
PAGE 1
FORM 88 ME~QRANDUM OF VOTI~' ~ CONFLICT FOR
COUNTY, MUNICh..AL, AND OTHER LOCAL PUBLIC OFFICERS
LAST NAME-FtRST NA.ME-~\IlmLl:: NA.ME NAME OF BOARD. COUNCIL. COMMISSION, A.UTHORITY. OR COMMtTTEE
Olenik, Robert Jr. . Citv Commission
MAllI~C. .I\DDRESS THE 80ARD. COUNCIl. COMMISStON. AUTHORITY. OR COMMITTEE ON
WHICH I SEIl.VE IS A UNIT OF:
?q n Crossinas Circle Xcny : ; COUNTY , ' Of HEll. 1.0CAl AGENCY
CITY COUNTY
NAME O~. POLlTICA.L SUBDIVISION:
Boynton Beach, Palm Beach
Bovnton Beach
DATE 0:-" WHICH val'!: OCCURRED MY POStTION IS:
8-15-89 X' ELECTIVE : J 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. 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 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
ELECTED OFFICERS:
A person holding elective county, munidpal, 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 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 AITER 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 offke 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 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.
t I 1111l\1 _lj ItI,~1>
PA"F I
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETIN0'
. You should disclose orally the nature of your conniet in tht 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
\ Co \.::t. 0 L:< \i.. ~. , hereby disclose that on i\ 11 C]11 S t- 1 S
._._. 19.8.L..,_:
I,
(a) A measure came or will come before my agency which (check one)
_ inured to my special private gain; or
_ inured to the special gain of
, by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
A payment made to Motorola, Inc., my employer, was included for approval
in CONSENT AGENDA, Item 0 (#29). Although I have no direct renumeration
from the payment to Motorola, this item is now being placed as public
record to ensure no conflict of voting occurred.
~\.I'l'~
Date Filed
15. 'tiO:l
1
~
Signature '"
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES gJl2.3I7 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
IMPEACHt\'lENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT. DEMOTION. REDUCTION IN
SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
CE fOR:>.1 ilti ' 10.MI>
PAGE 1
LAST NAME-FIRST NAME-MlDlJt 1: NAME
'-FORM 88 MEM,,- dANDUM OF VOTINf' CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
NAME OF BOARD. COUNCIL. COMMISSION, AUTHORITY, OR COMMITTEE
C \")" Gu 'tv\M.15~~
THE BOARD. COUNCIL. COMMISSION. AUTHORITY, OR COMMtTTEE ON
WHICH I SERVE IS A UNIT OF:
DC> e.G GZ--tJ 0
r,'.~'~D6R~SS ~ \ a
~c>Y~'~~
CIIY
: , COUNTY
ffiHER LOCAt AGENCY
DATE O~ WHICH yon:: OC 'URRED
S!2--
COUNTY
NAME Of POLITICAL SUBDIVISION:
~~'f Co~ (-...5S( ~,.J
,MY POSIT~N IS:
W\ {)../tJ tV
; J 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 undcr 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 of interest wiII 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.
L INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143. FLORIDA STATUTES
ECTED OFFICERS:
A person holding elective county, munkipal, 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 by publicly stating to the assembly the nature of your interest in the measure on
\vhich 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 appointivc 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 lo~al office otherwisc 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
TWE VOTE WILL BE TAKEN:
I . 'ou should complete and file this form (before making any attempt to influence the decision) with the person responsible for
L;COrding 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 bc rcad publicly at the meeting prior to consideration of the matter in which you have a conflict of interest.
It t ilK\! <II 1lI,~11
D.,rc.
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:,
. You should disclo~e 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 mil
of the meeting, who should incorporate the form in the minutes. I
i,
.r--:5' \ <
L.:::=> '---~"V C-.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
iY\. 00 ~
. hereby disclose that on
,)
/~
(
19 S'i '
--....-- ~ _._~. ,
(a) A measure ~ame or will come before my agency which (check one)
r I Pr inured to my special private gain; or
~ inured to the special gain of
~...
. by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
~'i1\-t 0 2- (:)
C>f~
\f D '\ L
Otv
('/ ~ ~ f.o-v / tn.- -( C I 0~ j' ~,hv))
HAD
.12~ f} 2..2-- .L()
...,.. r.-" \ ;. "I '
II \ '-/..r' O!{ ( f" \ D";'
0-'
/)
(/~~
\ '" '1...~-{ iY\ ~\k \ q >" 'j , f (2., v L (b i- ~\ ",,.,j /'r;S (Y'fj y 1
\M'rr ~ ~ 0 .~~ I rJ J /) \-. Y ~UJ \' w~ 1\-\ rut) 11~ ~ P ~ L L.S-J
~rf /3 / ~CJ
Date Filed
/~~//
..~--: :7i,/ //
'/- ,,/ ~/ ~ '---------
-~------ ---~_._~
Signature
!\:OTICE: UNDER PROVISIONS OF FLORIDA STATUTES 9112,311 (1985), A FAILURE TO MAKE ANY REQUIR
DISCLOSURE COl"STlTUTES GROUNDS FOR AND MA Y BE PUNiSHED BY ONE OR MORE OF THE FOLLOWING:
l7\lPEACH\IEl"T, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
( I: fOR:'.\ ,~ ' HHf>
PI\(,\
FORM 88_ ME~ORANDUM OF VOTIN~' CONFLICT FOR
COUNTY, MUNICIII .AL, AND OTHER LOC".. PUBLIC OFFICERS
I ^SI :-;^MI' IIMSI '''''I MlIlIM I. N^MF NAME OF IIOAIU>.("OUNCII.. ('OMMISSION. AU'IIIUMIlY. OR <:OMMI11 EE
LA ""-EERT R\C\\ARD D"EAN ~oDE f::NFoRe:t:.mEKIT ~ARD
MAIII~li ,\IlIlMISS I HI' HlHMD. COllNClL COMMISSION. ^UTHORITY OR COMMIl1'EE ON
2'3t>3 Sl0 CRANBRoC)K DR \\'HICII I SFRVF IS A UNIT Ot':
XCln o COUNTY o 01 HER I.OCAI, AGENCY
('II"" PAUll l3C \-\ ('ou, n
'-lAME Of I'OI.ITICAI. SUBDIVISION:
Bo'lNTDN ,1=L 3343(0 C \T''j OF B"2)"'/N\uN BEAC'~
IM1E 01\ WHI('H VOl I' OCC\'MRF.1l MY POSITION IS:
07 I i <0 I q '7 o ELECTIVE X APPOINTIVE
WHO ~~ST FILE FORM 81
This form is for us~ 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 contlict of interest under Section 112.3143, Florida SH~~utes.
Your responsibilities under the law when faced with a measure in which you have a connict 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
ELECTED OFFICERS:
A person holding elective county, municipal, or other local public office \IUST 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 connict:
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 VarE 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 connict of interest, but must
disclose the nature of the conllict before making any attempt to influence the decision by oral or written communication, whether
made by the offi~er 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.
CE ~ORM XB. l.qr
P-\GE I
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You should disclose orally the nature of your contlict in the measure before participating.
. You should I:omplete the form and lile 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. R \C\-v\Rr:::> D. LAN\\~FRT . hereby disclose that on
-:::S-u L,/ \ <0
.1932-:
(a) A measure came or will come before my agency which (check one)
_ lfIured 10 my spenal private gain; or
_ Inured to the special gain of
, by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
........~ \. "~
. I )\', \'
", , " (
\,:\. \ r
,'\
(/ ,",-,e,"').-
)C \ ..
l ~\ ; \ 7t., \ \.
J \." ',- ,~-\ ~--'
J / ,.
It (.. ! C
\ '~, " '('\. ,_\ ",,\ ;" " -:)
r
"
)\."-. ,'\,v "
L~ i. ',? "I ~ \) y e c" ~ ""t(~ d c~t-r "" C'::' ; ( 1\ <0 \ g '?
c <.'> \ '(" 1( /\\.hf.,y,t /\ l X:)'f. r~ "h:,,~ C ,....)
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Signal ure F~ \ C \\/Sf2l 1 i:> \L"^,, n)\c;:, L ~ / I
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",
NOTICE UNDER PROVISIONS OF FLORIDA STATUTES 9112.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
IMPEACHMENT. RE\fOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT. DEMOTION, REDUCTION IN
SALAR Y REPRIMAi\D. OR A CIVIL PENALTY NOT TO EXCEED $5,000.
,'[ FOR '-1 ~B ',9'
PAGE ~
r=FORM 88 MEr~ORANDUM OF VOliN j CONFLICT FOR
'I COUNTY, MUNICI~AL, AND OTHER LOCAL PUBLIC OFFICERS
LAST N,...ME-FIRSr NAME-MIDDLE NAME NAME OF BOARD. COUNCIL. COMMISSION. AUTHORITY. OR COMMITTEE
DMJ.5e &130266- C CoMA-1VJ./J'"11 ~ ~
MAIU....(; .\DORESS
//t1l/S~~
COUNTY
?JZ:OI\J ~ ~ fM-M.. ~
THE HOARD, COUNCIL, COMMIS ION. AUTHORITY. OR COMMITTEE ON
WHll'H I SERVE IS A UNIT OF:
011 Y , , COUNTY OTHER l.OCAl AliENCY
DATE 0:'> WHICH VOlE OCCURRED
-tft:;> I 1~11
NAMH);s~IT;;;W;;IS~ J ItA-
MY POSITION IS:
~_.; ELECTIVE
APPOINTIVE
(VtA-
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 eJected 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 Sectiun 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 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
ELECTED OFFICERS:
A person holding elective 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.
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
"hich 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
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 participatc 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 \1AKE 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 Ihe form should be provided immediately to the other members of the agency.
· The form should be rcad publicly at the meeting prior to consideration of the mattcr in which you have a conflict of interest.
(I 11'01\1'1\ III ."
...
ADDENDUM B
IF YOU 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 (he meeting, who should incorporate the form in the minutes.
I. ~/qF r;.l31Jv2s
DISCLOSURE OF LOCAL OFFICER'S INTEREST
7i;vll8 M11; I b
, hereby disclose that on
,19'11
(a) A measure came or will come- before my agency which (check one)
_ inured to my special private gain; or . ,
/ 7O~nEIL$ ~,../!;~&
L inured to the special gain of 0 r
, by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
~~ AppuvA--l-- t),c tfJ~ ~ pAfU:AJ4 Cor ~
fH../D IAJJClJC-/47j.{)}J of AwlJ~S 4-r --z;;tvv ~e ~
. Dale FiI~
/p
/~j/
~-~
Signature
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1l2.317 (1985), A FAILURE TO MAKE AN'v REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
C'E FORM 8B . IO.H6
PAGE 2
LAST NAME-FIRST NAME--~llDl>ll' NAME
lY\ 0 'U,3L ~ C c? .J L
:'-FORM 88 MElV'~RANDUM OF VOTlf\ , CONFLICT FOR
COUNTY, MUNICIl-'AL, AND OTHER LOCAL PUBLIC OFFICERS
NAME OF BOARD. COUNCIL. COMMISSION, AUTHORITY, OR COMMITIEE
~ /"I <' C'---- / 5' ,
r)DY/~ ,-....l LJ -(~l .( I ~( C,C '''1 ""'-I Ji 0''';
THE HOARD. COUNCIL, COMMISSION. AUTHORITY, OR COMMtTIEE ON
WHI~:H I SERVE IS A UNIT OF:
[0
~,
V'(.IY
: ; COUNTY
, ~ OntEIl. lOCAL AGENCY
MpLIM' "DDRESS
/" c'
. 0 , i)~) 1
CITY
60 Y,-J ) 0 ,-J
L-.
NAME 01' POLITICAL. SUBDIVISION:
L\~'--I of
MY POSITION IS:
ELECTIVE
,_ 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. 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 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
ELECTED OFFICERS:
A person holding elective county, munidpal, 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 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
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 contlict of interest, but must
disclose the nature of the conflict before making any attempt to influence the decision by oral or wrinen 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 10 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 contlict of interest.
(I 11'1<\1 -1\ IIl"h
n,rr::- ,
IF YOU 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 rhe meeting. who should incorporate the form in the minutes.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
G &J L (\!I.. ~ 0 <2-- C.
. hereby disclose that on
~3 !
9
.19~:
I.
(a) A measure came or will come before my agency which (check one)
/ ~u>-v ~(./
_ inured to my special private gain; et"
_ inured to the special gain of
. by whom I' am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
N\O\~c,J
l~
"Dt'G\.-C (....::>,0-.S'il??"'~10,...J or-:
(<) CCfPl-S L 0 C
(4l2-~ i- 0 r;:
l..-brNJ?
OClJ,J.[" 0 6'1 t~ y'.5[ .....(.=",
IrG ,5' J 4-,,j?-!) h~""
\J 0\\,.1 G c~
__ I
(t\..D I \ U (...J
3/?-1;: /'11
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~Il2.317 (1985), A FAILURE TO MAKE AN'Y REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
IMPEACHr-,'IENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
CE FOR:'.! "H . JO.gh
PAGE 2
FORM 88 MEMORANDUM OF VOTI~.~ CONFLICT FOR
COUNTY, MUNIC~. ~AL, AND OTHER LOCAL PUBLIC OFFICERS
NAME OF BOARD. COUNCil. COMMISSION, AUTHORIT} OR COMMITTEE
1'~1t"'''J4 r eDit.' ~Y"4l-
lHl:: BOARD. C NeiL. COMMISSIO AUTHORITY. OR COMMITTEE ON
WHICH I SEKVl: IS A UNtl OF:
,In. Y : ! COUNTY ' ' OTHER lOCAL AGENCY
'- ElECTIVE
V 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 me'mbers of advisory and non-advisory bodies who are presented
with a voting conflict of ihterest under Sectiun i12.3143, Fforida 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 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 CO'-'PLlANCE WITH SECTIO~ 112.3143, FLORIDA STATUTES
ELECTED OFFICERS:
A person holding elective county, munidpal, 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 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
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 mailer 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 ~1AKE 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.
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
· You should disclose; orally the nalUr.e. of,)'our .coQfliea in the measure before participatini.
. : ." .. . . ~ ',: i ~ .. " " 10 1 ',. ,.'. .
· You should complete the form and file it within I S days after the vote occurs ~ith the person responsible for recording the minutes
of the meeting, who should incorporate the form in the minutes. .
.
. .
f" .."
DISCLOSURE OF LOCAL OFFICER'S INTEREST
t:::::~r y~. .t ~),JI.I"'-I~ ,hereby disclose that on Fe!,. 11-
~
, 19 1/ :
I,
(a) A measure came or will come before my agency which (check one)
_ inured to my special private gain; or
1 inur~d to the special gain of t.~J... 8.)lJ41:J" --~.s 11."'&.01/1I"'&' 11'$J"J~ by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
If/~# / br.j,,-t I t"e, ,dtA 0 $'/-r~ I'~"
/1$ ~e-S:"eA'" 61 '1'Ac. U~~ $.yt&~W\ Et-l;'fe.s 1I."'(.(lINIf'I"J 1>>1 1"~J
A'" . .~ J J. 1....;'.,,.1..11'111 ,,~Y ~ I.J ~c ilL. /,JljIIt''''1 IS ..,. I
.J.I ~"" ,II ,~/Vc,c, ,~ .1.~ · r {, j. M
/JII1'ey ve,.,'" w/1J.. ?".4c. ~Itt.. Q~A ; ~ 4""'''~ () f' -(lit.. ~YJt. ,~U ,
c;,~ I'I-c. j,t,Jtl, f ;ve.. / /~JIt I
2/JL/1'/
,
&~~
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1I2.3J7 (1985). A FAILURE TO MAKE AN'Y REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
I FOR\l "fl . IO,M6
FORM 88 ME" "ORANDUiVl OF VOTtr ~ CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
LAST NAME-FIRST NAME-:\lIDl)U NAME
fY\oot2-~
MAIU/'>G "DDRESS
GJ S ~. C C '~.'\I-.J A-..-"
f2 .... U \ ,-.-, \
l7 ~\ ,'-.\ \ I.:l :-.l
D..\TE 0:'-0 WHICH vorl' OCCURRED
J.-151<11
G V\t~, \
<;: ' ,;- <-- 'i <J (\
) COUNTY
(;';'L<"\. S ~vk. \~-
NAME OF BOARD. COUNCIL, COMMISSION. AUTHORITY, OR COMMITTEE
....') "
~()0 y~ 7->.... l)~ C\','-I,,\ G 1Y\ iY'\ l
THE HOARD. COUNCIL. COMMISSION. AUTHORITY. OR COMMITTEE ON
WHICH I SERVE IS A UNIT OF:
YC'II Y : , COUNTY ' . OTHER lOCAL AGENCY
NAME 01' POLITICAL SUUl>IVISION: 1'Y\. f'r-'I" '..J ,"':..--'
\)L ''\ ,..l--;--\.;.J () ~>\-Li'-\- (,,(1'1 ':.:..-..:. I-\' '\-'-
MY POSITION tS: '!-J
'r ELECTIVE '. APPOINTIVE
/" > ... ,,'
~,.;.v~-
CITY
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 me'mbers 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 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
ELECTED OFFICERS:
A person holding elective county, munidpal, 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 (othcr 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 complcting 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 offi~e 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 lo~al 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 ~1AKE 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 connict of interest.
(I I rl~\l of! 111.~
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
· You should disclose orally the nature of your conflict in the measurc before participating.
· You should complete the form and filc it within 15 days after the vote Occurs with the person rli!5ponsible for rccording the minutes
of thc meeting, who should incorporate the form in the minutes.
I, G~\J ~ (V\u 6.::....c..
DISCLOSURE OF LOCAL OFFICER'S INTEREST
o ;:~
, hereby disclose that on --.-. .
r-
-.,
v
,19~:
(a) A measure came or will come before my agency which (check one)
~~ ~()
_ inurcd to my special private gain; or
_ inured to the special gain of
, by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
f-iJ.:.>....... -.)~\~ ...i
f}1Lc-z 1.-- 6Y
WO .:;> (j 0
'~, rl ~6..~\hL-
~ {Z-/ (u ,2-~ Z-
<..-f:-
\..-.DrN {'
v..j 'Il-, L 1,,\
o <.;J rj -
\ M3.~\fI~,0
~r-~
J':,~J:.,
~tJ
(Z.. U (": i- ~f\( \:, ,J
~ /~/t((
4\~~
f,~c--//?/ W~
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~112.317 (1985), A FAILURE TO MAKE AN'Y REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
IMPEACHt\'IENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
CE FOR\l 8H . 1O.8h
PAGE:
FORM 88 MEIV'ORANDUM OF VOTIN~ CONFLICT FOR
COUNTY, MUNIChAL
LAST NAME-FIRST NAMl:'-~II[)I>U NAME
G~L
tv'\...o l) ~ c---
AND OTHER LOC;...L PUBLIC OFFICERS
NAME OF BOARD, COUNCIL. COMMISSION, AUTHORITY. OR COMMITIEE
C {''-'\ W"M.'f'\-IS..5, u ,J
MAILll'oG "\)\)It[~S
1 HE ijOARD. COUNCIL. COMMISSION. AUTHORITY. OR COMMITTEE ON
WHl('H I SEKVE IS A UNIT OF:
\ / cn Y : : COUNTY ' ~ OTHEK 10CM AGENCY
f c . f'~ '-I-. C\ I u
('In
6D ,-\,J 'jeJ 6' ";f-L-
DATE 0'- WHICH VOI'I: OCCUKREI)
~o
COUNTY
-(. 8
NAME OF POLITICAL SUBUIVISION:
G\{
MY POSITION IS:
i J APPOtNTIVE
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 me'mbers 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 conniet of interest will vary greatly depending
on whether you hold an elective or appointive position. For this reason, please pay elose 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, munidpal, 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 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 offi~e 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 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 ~AKE ANY ATTEMPT TO I~FLUENCE 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.
I I ( I ~'1 . l~ I r J to( ~
IF YOU 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 OFFICER1S INTEREST
C W L /V\.A::) 0 .e.- C-
, hereby disclose that on
q II gT . 195L:
I,
(a) A measure came or will come before my agency which (check one)
_ inured to my special private gain; or
. :
_ inured to the special gain of
, by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
IV\. u l' uJ
'\0
o {I,\, DO I'" ~ G:>0rJ 1'1 ,J J 0 I:-
SJ T i Y2...1'"'~,J M. w '} 0 ,'2 \? \ N ~ C C
\~
o j2...~ \ \:iJ -j ~ '/
(Z. ~(2~_s~)'tl:- 0
ft0
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~ tn,.1 .s I ~ r-.l ....) .o.!.- ~ i L (L -;0,...1 '"' ~,-
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R'u,,,,, V ~ I \~ (. 0.'"
T\11.s
(Y\.<:::. \, ~ ~
1'/'/ f / f ()
I
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1I2.317 (1985). A FAILURE TO MAKE AN'Y REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
CE FOR" ~H ' IO.~~
PAGE 2
--FORM 88 MEIV'ORANDUM OF VOTIN~ CONFLICT FOR
COUNTY, MUNICh AL, AND OTHER LOCAL PUBLIC OFFICERS
lAST NAME-FIRST NAMf-~lIlll>ll:: NAME
Cw ~OfLL
MAll~G <\OORlSS
f :), ~ '-.....( <;' I ~
NAME OF BOARD, COUNCIL, COMMISSION, AUTHORITY. OR COMMITTEE
(.,0 '1 <:.:> "'" M. ..1.) ~.J
THE Bo.\RO, COUNCIl. COMMISSION. AUTHORITY, OR COMMITTEE ON
WHI9'1 SERVE IS A UNIT OF:
~I Y : , COUNTY ' ' OTHER lOCAl AGENCY
-::r L.
("IH
~:;> '1,j 119~
DATE 0'" WHICH VOIl:: OCCURRH)
COUNTY
NAME Ot' POLITICAl. SUBDIVISION:
W~"'\ <SF- 6~ '1~?~J 6
MY POSITION IS:
_ ElECTIVE
;] APPOINTIVE
v
WHO MUST FILE FORM as
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 me'mbers of advisory and non-advisory bodies who are presented
with a voting conflict of interest under Sectiun 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 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
ELECTED OFFICERS:
A person holding elective county, munil.:ipal, 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 [0 the special
gain of a principal (other than a government agency) by whom he is retained.
In either case, you should disclose the connict:
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
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 connict of interest, but must
disclose the nature of the connict before making any attempt to innuence the decision by oral or written communication. whether
made by the officer or at his direction.
IF YOU INTEND TO MAKE ANY ATTEMPT TO I}~FLUENCE 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 innuence 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 [he matter in which you have a conflict of interest.
I f Ok"\1 ,,;q IrI )i~.
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You should disclose orally the nature of your connict in the measure before participating.
. You should complete the form and file it within IS days after the vote occurs with the person responsible for recording the minutes
of thc meeting, who should in~orporate the form in the minutes.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I,
0~~ ~~/Z--~
, hereby disclose that on
Cf / I%,
,192L:
(a) A measure came or will come before my agency which (check one)
_ inurcd to my special privatc gain; or
. :
_ inured to the special gain of
, by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
YV\ 01""\ 0,)
~
{2-~'n,J
ftP (' ~-1J ~ '\0 Lv'.fJ1- \'ur)'L"
(MGiL- ck
(\~
,'\2,)
U'~c v-S ~ ~
Iv ~~L
d oJ .-..J
'll4-t\J
C \ -(' '-1 vJ \ ..s ri.sJ'
jt-P.s lbl,J ~
fi1~ """
~D;('\.JL .
Cf)J~JJf0
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1I2.317 (1985), A FAILURE TO MAKE AN'Y REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
r r........o'. _ t, .".,
FORM 88 MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICI, ,L, AND OTHER LOC. .. PUBLIC OFFICERS
LAST NAMl-J'IRST NAMI:'--~lI[)l>U NAME N^~IE OF BOARD, COUNCIL, COMMISSION, AUTHORITY, OR COMMITTEE
Olenik, Jr. , Robert City Ccmnission
MAllIf',(; "DlWLSS THE HOARD, COUNCIL, COMMISSION, AUTHORITY, OR COMMITTEE ON
WIIlCII I SEI{VE IS A UNIT OF:
29-D Crossings Circle X CII Y : , COUNTY , : orHER lOCAL AGENCY
('ITY COUNTY NAME 01' POLITICAL SUBDIVISION:
Boynton Beach, Florida Palm Beach Boynton Beach
DATE 0'> \\'HICII VOlE OCCUI{RED MY POSITION IS:
7-23-90 iX ELECTIVE :J 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 me'mbers of advisory and non-advisory bodies who are presented
with a votin~ conflict of interest undcr 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 of interest will vary greatly depending
on whether you hold an elective or appointive position, For this reason, pkase 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, munidpal, or other 1000:al public officc MUST ABSTAIN from voting on a measure which inures
to his spc~ial private gain. Each local officer also is prohibited from knowingly voting on a measure which inures to the special
gain of a prindpal (Ot her than a government agency) by whom hc is rctaincd.
In either case, you should disclose the conflict:
PRIOR TO THE VOTE BEING TAKEN by publicly stating to thc asscmbly 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 Of'FICERS:
A person holding appointive county, municipal, or other local public offke 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 agcncy) 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 attcmpt 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 (beforc making any allempt 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 al the meeting prior to consideration of the matter in which you have a conflict of interest.
(I I ()~\I.I\ III "t,
J'.\Cii.- I
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You should disclose orally the nature of your conflict in the measurc before participating.
. You should complete the form and file it within 15 days after the votc occurs with the person responsible for recording the minutes
of the meeting, who should in~orporate the form in the minutes.
I,
Robert Olenik, Jr.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
July 23
, hereby disclose that on
, 19~:
(a) A measurc came or will come before my agency which (check one)
l inured to my special private gain; or
. :
_ inured to the special gain of
, by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
~ VL.'7l~
\vl',::; T~I-) ~U.",I'vE 1\ tl, RtHf:INilJ=\ A ~dl '.)r..\"\~S'~t.cR. ~ll '1 ~..I-'" A Ct.L~1~1c feet..
1tu0(,' .S fc-w~~~\-~~ # O)5.1U\ es-, &l'J..llL ~.~ V.,,\ r2.(~H/I^'l -A J'flC1\(l1. A e:ltJWdAl
~ J.il~
C.'14J~L\'<:..+
MAl Hk~ {\RI',.€i'\.
7/23/90
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1l2.317 (1985), A FAILURE TO MAKE AN'Y REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
( I: IOH\l dB 10 ~~
PAGE 2
----- ---~_.~---_.._-_._-------, ----------------.----. -.----.-.- . ---.-----.-
FORM 88 MEr, )RAi'IDUM OF VOTII\ "I CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
" I ,\S I NAMF, r I R'>1 NAMF ~lI()IH I NAl\lE NAI\IE 01 BOARD, COUNCil, COMMISSION, AUHIORITY. OR COMMITTEE
A<iv Ic_ -,.) l.' ~> L 1--1. /,'1.1110.-'..... <-:', ,,{ Zc:';..;.tJ.iJ~(.'A'I&) (/1{-k'J1~iJ
I\1AII.I1'<(; <\DDIU,SS Till 1I0ARO, COUNCil, COMMISSION. "<UTHORITY, OR COMMITTEE ON
J ?:f WHICH' SERVE IS A UNIT OF:
~ {'f' C"'; . ,._' c -I. XClIY , ' ('OUN I Y , OIliER lOCAl A(;ENCY
un (,OliN'"
NAl\lE OF POlITICAl. SUBDIVISION:
f.3c IJ 'l ,ll\. \ f, '. I- ({. l'ttln-l 1 J,- I- .
DAI F 0'< WHICH von, OCn.IRRFIl MY POSITION IS: I APPOINTIVE
J..: (\.j - I~; 'i c , HEcnvE
tV -'
WHO MUST FILE FORM 88
This form is for use by any person serving at the county, city, or other locallevcl of government on an appointed or elected board,
council, commission, authority, or committce. It applics equally to membcrs of advisory and non-advisory bodies who are presented
with a voting conflict of intcrest under Scction 112.3143, Florida Statutes. The rcquirements 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 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
hefore completing the rcverse side and filing the form.
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
ELECTED OFFICERS:
A person holding elective county. municipal, or othcr local public officc 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 lAKEN by publicly stating to the assembly the nature of your interest in the measure on
which you are abstaining from voting; Gnd
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 thc form in the minutes.
APPOINTED OFf'lCF:RS:
A person holding appointive county, municipal, or other local public office MUST ABSTAIN from voting on a meamre which
inures to his special private gain. Each local officer aho is prohibited from knowingly voting on a measure which inures to the
special gain of a principal (other than a government agcncy) by whom he is retained.
A person holding an appointive lo~al office otherwise may participatc in a mailer in which he has a conflict of intercst, 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 TilE DEClSION PRIOR TO THE MEETING AT WHICH
THE VOTE WILL BE TAKEN:
· You should complete and file this form (hefore making any allempt 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 immediatcly 10 the other members of the agency.
· The form should be read publicly at the meeting prior to comidcration of the matter in which you have a conflict of interest.
1IIIJ~\I'1l Ifl~~
PAGE I
IF YOU MAKE NO ATTEMPT TO INFLUENCE TilE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You should disclose orally the nature of your conflict in the measurc bcfore participating.
. You should complete the form alld file it within 15 days after the votc 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, ~~_._~.JLl-! ""="'____, hereby disclose that on _---.J..i-J-!-'} -' I c)
, 19 --5.iL. :
(a) A measure came or will come before my agency which (check one)
_ inured to my special private gain; or
t// inured to the special gain of
1)1.Yl1:.i~, - ~,J..J
i){..-I/~~~ EJV-'-
, by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
11<
,4 r)'1. J,. c.-I
~7 ft1 ~l
(, (" IV'
)
",{
/J'~s 1_..., /1,
-t-(? , "-' ( ...."
~(~~
f}~e"'l
TJ; <; { ,. <. t:, . C') ,
{'('
t./.',/c.. C'l:\ --Iu..: .1r'1/?,~ ~ -I
<; )-"ff'~')
{/-',1 11' r-
f.tl j, ~ ( 1\
C"" ,-/t ,,,~ " ~ <-~, ,( ~'~. ,-/lh'~ c.A ~c. ,4-1..
_____~).: l t.} - , () . , .1 q c) ___.__ ___
Date Filed
~.~.
Signat rc
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1I2.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
Cl r OR~1 ~>> ' 10,8(,
PAGE
- - - , - ., , - , -,..- ",
'FORM 88 MEl\r ~RANDU"'l OF VOliN CONfLICT FOR
, LOCAL PUBLIC OFFICERS
COUNTY, MUNICIPAL, AND OTHER
IASl N,\~t1 IIRSI NA"II ~1I1l1l11 NAMI' NA"lI OJ 1l0^IlIl, COUNCil,. (OMMISSION, AIllIlOIU IV, OR COMMII ILl'.
Olenik. Jr. , Robert City CamUssion
MAlUM; ....DDRI.SS 1111: BOARD, COUNCil. COMMISSION. AUTIIORITY. OR COMMITTEE ON
WIIICII I SEKVF IS A UNIT OF:
29-0 Crossinos Circle X('ll Y , ! ('OUNl Y , ' OnlJ:K 10('AI AGENCY
('In (OliN 1 Y 1'01111< M, SUBI>IVISION:
NAMF or
Boynton Bench, Florida Palm Beach Boynton Beach
l>....1I 0'. WIIICII VOI~ O( (UKRIIl MY I'OSIIION IS:
7-3-90 X n [('fiVE ; I APPOINTIVE
WHO MUST FILE FORM 88
This form is for usc hy any person scrving at the county, city, or othcr locallevcl of government on an appointed or elected board,
council, commission, authority, or committee. It applies equally to me'mbers of advisory and non-advisory bodies who are presented
with a voting conflict of interest ulldcr Sectillll 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 undcr 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 the reverse side and filing the form.
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
ELECTED OFFICERS:
A person holding elective county, munidpal, 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 (othcr than a govcrnment 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 asscmbly 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 Of"FICERS:
A person holding appointive county, municipal, or other local public offi~e MUST ABSTAIN from voting on a measure which
inures to his special private gain. Each local officer also is prohibited frOlTl knowingly voting on a measure which inures to the
special gain of a prindpal (other than a government agcncy) by wholll he is retained.
A person holding an appointive local office otherwise may participate in a mailer 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 ~1AKE 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 mecting, who will incorporate the forlll in the minutes.
· A copy of the form should be provided immediately to the other members of the agency.
· The form should bc read publicly at the mceting prior to consideration of the mailer in which you have a conflict of interest.
(I I (11l\! 'II III ~~
PAGE I
IF YOU MAKE NO ATTEMPT TO INFLUENCE TilE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You should disclose orally the nature of your COnniel in the measurc hcforc participating.
. You should complete the form and filc it within 15 days aftcr the votc occurs with the person responsible for rccording the minutes
of the meeting, who should im:orporate the form in the minutes.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I,
Robert Olenik, Jr.
, hereby disclose that on
July 3
,19~:
(a) A measure camc or will come before my agency which (check one)
_ inured to my special private gain; or
. :
_ inured to the special gain of
. by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
A payment made to Motorola, Inc. was included for approval in CONSENT
AGENDA, Item k -/5". Although I have no direct renumeration from the payment
to Motorola, I am on their payrolJ at this time and this item is now being
placed as public record to ensure no conflict of voting occurred.
~v\..'" , \ \9~
Date Filed
~~~
Signature -
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1l2.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
CE FOR:>.l 81l . IO.Sh
PAGE 2
----- _._---_.._-~--_._- ._--_._~._-----_._-----._._-
FORM 88 MEM ""'RAN DUIV' OF VOliN- CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
LAsr I'nMl'..IIRsr NAt-.lI- ~111l\ll ~ NAME NAME 01 IlOARIl. COUNCIL, COMMISSION, AUTHORITY. OR COMMITTEE
Olenik Jr. Robert City Commission
MAlUM; "\lORI SS I It I: 1l0ARO. COUNCil, COMMISSION, AIJTItORITY, OR COMMITTEE ON
\\'IIIUII SFltvE IS ^ UNI! or:
29-0 Cros~d ngs Circle X (II ~ : ! COIINIY ' ' Ollll'R 10('A' M;rNCY
------~^- - - - - ----_. ..- ..- -- ------.---..---.--..---------
( I" (OliN" NAt-.IE OF f'UUlI( AI. SUBDIVISION'
Boynton Beach, Florida Palm Reach Beach
Boynton
lJAlI 0-" WH I( II \01 Ie ()( Cl'RR III MY POSIlION IS:
6 lq ,QO X' fLECTlVE , . APPOINTIVE
WHO MUST FILE FORM 88
This form is for use by any person serving at the county, city, or other 10c(\llevel of government on (\n appointed or elccted board,
council, commission, authority, or cornmiuee. It applies equally to me'mbers of advisory and non-advisory bodies who arc presented
with a \ioting conflict of intercst under Scctillll 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 undcr 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 the reverse side and filing the form.
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
ELECTED OFFICERS:
A persCln holding electi\t~ county, municipal, or other local public office MUST ABSTAIN from voting on a measure which inures
to his special private ~ain. Each local officer also is prohibited from knowingly voting on a measure which inures to the special
gain of a principal (othcr than a government agency) by whorn he is retained.
In either case, you should disclose the conflict:
PRIOR TO THE VOlE BEING TAKEN by publicly stating to the assembly the nature of your interest in the measure on
",hicl! you arc ab<;(aining from voting; and
WITHIN 15 DAYS AFTER THE VOTE OCCURS by CClmp1cting and filing this form with the person responsible for recording
the minutes of the meeting, who should incorporate the form in the minutes.
APPOINTED OFf'lCERS:
A person holding apP0intivc cOllnty, 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 agellcy) by whom he is retained.
A person holding an appointive local office otherwise Illa)' participate in a mailer in which he has a conflict of interest, but must
disclme the nature of the conflict before making any allempt to influence the decision by oral or wrillen communication, whether
made by the officer or at his direction,
IF YOU INTEND TO MAKE ANY ATTE1\IPT TO INFLUENCE TilE DECISION PRIOR TO THE MEETING AT WHICH
THE \'OTE WILL BE TAKEN:
. You should complete and file this form (before making any allempt to influcnce the dccision) with the person responsible for
recording the minutes of the meeting, who will incorporate Ihe form in the minutes,
. A copy of the forIn should be provided immcdiately to the olher members of the agency.
. The fOfm should be read publicly at the mceting prior to consideration of the mailer in which YOll have a conflict of interest.
(I 1l1~\1 "j III "I,
mGF I
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
· You should disclose orally the nature of your conflict in the measurc bcfore participating.
· YOtl should complete the forlll and file it within 15 days after the vote occurs with thc person responsible for rccording the minutes
of the mecting, who should incorporate the forlll in the minutes.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I,
Robert Olenik, Jr.
, hereby disclose that on _
June 19
90
,19__:
(a) A measure camc or will come before my agency which (check one)
_ inurcd to my special private gain; or
_ inured to the special gain of
, by whom I am retained.
(b) The measure beforc my agcncy and the nature of my interest in the measure is as follows:
A payment made to Motorola, Inc. was included for approval ln CONSENT
AGENDA, Item N-20. Although I have no direct renumeration from the payment
to Motorola, I am on their payroll at this time and this item is now being
placed as public record to ensure no conflict of voting occurred.
~. ... ~ f: <.' \. < 1 I - \ I" /"
. - .~ t I . (~ ,\ 1\
. c--- ,I \.. ,_
Signature
t
,( (
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1I2.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOllOWING:
IMPEACHr-..IENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
Cl FOR\! m ' 10,8/1
PAGE 2
Ci=ORM 88 MEI\1~RANDUM OF VOTIN' CONFLICT FOR
~~F~s!!:IE~~'~N~~I~AL AN:> OTHER LOCAL PUBLIC OFFICERS
. '- e,hn 1l.Y'"/;_ Udf' ~
MAlUM" !\DDl{lSS
~/9' 5t1/ ..,,,) Aytl-
CITY
~1.
: , ('OUNTY
, : OTHEI{ lOCAL AGENCY
NAME Of POLITICAL SUBDIVISION:
~ ii/On P~-<lt..A
MY POSITION tS:
,_; ELECTIVE
~ 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 Sectiun 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 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
ELECTED OFFICERS:
A person holding elective county, munidpal, 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 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 offi~e 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 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 altempl 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 I I I Ill\! 'II III ~I>
1',\1i[ I
IF YOU 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.
I,
CL'f~y *. Ldl1eY"I'l
/
DISCLOSURE OF LOCAL OFFICER'S INTEREST
'f::~ n ,
, hereby disclose that on
/2-
<Ie> .
,19_.
(a) A measure came or will come before my agency which (check one)
_ inured to my special private gain; or
-'- inured to the special gain of L di:.e. $Qlh1;n E$ faiz~ IIom#Z..tJ.vn~r5
, by whom 1 am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
J4/o~/i~. V~f /,/<:I'~ (/~,'n c..: ana- ~ rJ.) - ;4il!e n.t. h.lfLolt-e.. /.JYli {{1oL- bl.2JYun[
o ~ -fie. tC(//t'fj>r~heY1-s"IIt:.- //../1. F~-"oJYt. ,. If.. ~"'-e1r.'t/ffC#~ J, 1; .. /I1t>jV't:/ (;J
/Jo1-s:1y j(e:j;}exfJdJ 11 ((JfLH,/a /1t!J;\ 7.14 1)
;;/'o,l€:> I1f UI(Jc7lj,~:yJrt-l.ef1tA.~j1 J~yre.?oll;t'j 0/ ~ 5:/771 gLr~
f'4YC.J haM l't.tltl1t.J till;! tJoLVe./?Pltl,.t J':, II.h"td. C~;,.,ttterc./4/
~~l/e.!t~!p1e",-r (".I~"Jd.- ;t,,~ 7 A2)
b//Z /'10
Date Filed F
~~/ d{~
Signat ure
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~JJ2.3J7 (1985), A FAILURE TO MAKE AN'Y REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
(l r()R~l ~II 10.81>
PAGE
r--~~FORM---8B -MEW ')RANDU~1 OF VOliN CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
NA~IE OF BOARD. COUNCil.. COMMISSION. AUTHORITY, OR COMMITIEE
7t,q ,0'~I>~ if) ~~W- C \ If --J C;'I'lj\-lI5S IOtJ
HIE 1I0AR[), COUNCIl. COMMISSION. AUTHORITY. OR COMMITIEE ON
WH)CH I SE~VE IS A UNIT OF:
'\I~'n Y : ! COUNTY . : onlER lOCAl AGENCY
LAS\" N.\MI:'-FIRSr NAMI:'--:o.IIDDU NAME
tV 6 L\ ~2..- i . j <-
MAlUM; ,"DDRl:SC;
( .:. . (,:..;z q I 0
('In
(; (, \.~r-\',\ t. j f> '-?,' C \)
DATE 0'- WHICII \Ull: O(TU~Rl:O
{.
~
COUNTY
G\~." {;'i-h_w
3-3 ~i
NAIIlE 01' POLITICAL SUBDIVISION:
C. r\ 'i m;:: G u '- ,.J ",.. i~
(, 7..A-C If"
MY POSITION IS:
;] 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 commiuee. It applies equally to members of advisory and non-advisory bodies who are presented
with a voting conflict of interest under Sectiun 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 connict 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
ELECTED OFFICERS:
A person holding elective county, munidpal, or other local public officc 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 by publicly stating to the asscmbly the nature of your interest in the measure on
which you are abstaining from voting; and
WITHIN 15 DAYS AFTER THE VOTE OCCURS by complcting 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 appoill!ivc 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 connict 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 officcr 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 mcmbers of the agency.
. The form should be read publicly at the meeting prior to consideration of the matter in which you have a connict of interest.
(I Illll\! -1\ HI.~fo
PAGE I
. .
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You should disclose orally the nature 01" your connict in the measure berore participating.
. You should complete the form and file it within IS days after the vote occurs with the person responsible for recording the minutes
of thc meeting, who should incorporate the form in the minutes.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
C-> \ < J /") /- '/? - . -
.- ( .. 1 .....7. ~_, (\ {L- ,,----
I,' '\..,- -- _ , hereby disclose that on
Tu,-v~_
,~
.') , 19~:
(a) A measure came or will come before my agency which (check one)
_ inurcd to my special private gain; or
C- \\ r~L<
'y'" inured to the special gain of
t...:'. J- ...;J
(rr{?~ rJ ~5 in f
. by whom I' am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
~ 'f-\ 1;,.J TlO ,j
o~-: \~U"..J? To G,J.Y,(1-I<..:\ ~t.\--i).
,P'P
f'>t"-
I~L (!!... s...s M'")
c.\-. I ~ ~ (~ ~d:;1!. L-
4 1'Y\. tItt, is I O,J , ttz, ~'-'.} ~
I
\w L.-
I~O l.. i. D
IN (', \J I P0"'L. .s ~ L~ S
\D
~ :!..c.1~~
IN
.)0 ~ vIJ, SIl>,.J "'
~J~ /7U
Date Filed' I
U'
j1~..
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1I2.317 (1985), A FAILURE TO MAKE AN'Y REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION. REDUCfION IN
SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5.000.
CE fOR:'.1 81l . 10,8"
PAGE 2
~ FORM 88 MEr JRANDUM OF VOTI~ J CONFLICT FOR
· COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
lAST !""ME-FIRST NM,II:'--:\lIlllH I:' NAME
f\-'\tJ ('.? 2- c~ ~',0 ').' ,/
MA~III.G ,\\)Ol(lSS
o'~ r;~ f (i\...~
on
/! '"
l)..",.J--:~,"" ')~~C0 ,-lJ}.,
COUNTY
? '1 '--I J--'J
NAME OF BOARO, COUNCIL. COMMISSION. AUTHORITY. OR COMMITTEE
()C"\~<-~)~ DClJ C\'(-\ C: .,,-.'\c. '.
THE Oo.\Ro, COUNCil., COMMISSION. AUTHORITY. OR COMMITTEE ON
WIU<:H I SERVE IS ^ UNIT OF:
0'~):' :! COUNTY , ! OHlER toeAl AGENCY
NA~Il: 01' POLITICAl. sunOlvlSION:
C1" ~\ t;( 0:."...}'':;1"j (>i~< j,)
MY POSITION IS: ..-'...-
(".r::- ElECI!~E ../ ,_ APPOINTIVE
\)-\Tl 0.... WHll'Il VOII: OlTURRH)
~-' / 1'-- J lj 0
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 commitlee, 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 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
ELECTED OFFICERS:
A person holding elective county, munidpal, or other local public officc 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 (othcr 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 complcting 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 appointivc 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 connict 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 10 the other mcmbers of the agency.
· The form should be read publicly at the mceting prior to consideration of the matter in which you have a connict of interest.
< t .r'Il\! -II III"h
P,\Gf I
IF YOU MAKE NO AITEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
· You should disclose orally the nature of your conflict in tht: mcasure before participating.
· You should complete thc form and filc it within 15 days after the vote occurs with the person responsible for recording the minutes
of the mceting, who should incorporate the form in the minutes.
~-,' ?',,-I ~_
I,
, " \. tJ t'. L L'-
DISCLOSURE OF LOCAL OFFICER'S INTEREST
C;'
-_/
. hereby disclose that on
,-
I)
. 19 Cia :
(a) A measure camc or will come before my agency which (check one)
_ inurcd to my special private gain; or
~ inured to the special gain of
C, r {~J CL-~.J
'YJ
\ J-t'1:fv:.,t.,...j \ h f>
. by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
\
\ -\-ihJ (-
\~0~itl
c . -C..> I ~ (;. J.'
n 'J J'l /7,.-
po,~ I' ii ~, '/ -
.'
,,9 \ f' ~,->\ ~~~"~U' f.J T
r. f~ 'J.--.:..l tov (~~1::;'t'- c.- I'" '1' ( 0 ; ',,\''v\ I ~5i'r~
-t tr() .S)''>1 ~0 ~~,........
J - '
. V)L-- -,
,J I / t. lib
--.~
//~?31z/{'}A
--
Date Filed
.,.,r
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1l2.317 (1985), A FAILURE TO MAKE AN'Y REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
IMPEACHt-,'IENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALAR Y, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
rE FOR~I ~H . IO.Sh
PAGE 2
...
--------------
FORM 88 MEr ~ORANDUM OF VOTlt' 7 CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
lAST p.;,\Ml-FIRST NAMI:'--\III)()U' NA.ME NAME or BOARD. COUNCil. COMMISSION. AUTHORITY. OR COMMITTEl
Olenik. Jr.. Robert ri TV {',.""un; C! ~ ; nn
MAllIM; ....DO~lSS THE HOARD, COUNCIt. COMMISSION. AUTHORITY. OR COMMITTEE ON
WHICH I SERVE IS A UNIT OF:
29-0 Crossings Circle X ("II Y : ! COUNTY . : OHlER 1.0CAl AGENCY
('In ("OUNTY
NAME m' POLITICAl. SUIIDIVISION:
Boynton Beach, Palm Beach Boynton Beach
DATE 0' WHICII 'liOII: OCCUIl.REU MY POSITION IS:
5-1-90 I iX ElECTIVE ., APPOINTIVE
lJ
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. The requirements of this law are mandatory; although
the use of this panicular 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 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
ELECTED OFfICERS:
A person holding elective county, munidpal, 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 by publicly stating to the assembly the nature of your interest in the measure on
which you are abstaining from voting; and
WITHIN ~5 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 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.
(I 1111(\1 '1I Ill""
PAGE I
IF YOU MAKE NO ATfEMPT TO INI7LUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You should disclose orally the nature of your connict in the measure before participating.
. You should complete the form and file it within 15 days after the votc occurs with the person responsible for rccording the minutes
of the meeting, who should incorporate the form in the minutes.
..
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I,
Robert Olenik, Jr.
, hereby disclose that on
May 1
, 19~:
(a) A measure came or will come before my agency which (check one)
_ inurcd to my special private gain; or
. ,
_ inured to the special gain of
, by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
A payment made to Motorola, Inc. was included for approval in CONSENT
AGENDA, Item G-~~. Although I have no direct renurneration from the
payments to Motorola, I am on their payroll at this time and this item
is now being placed as public record to ensure no conflict of voting
occurred.
t"\~ '( \ 1 \ q Ott~
~~_.
Signature .
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~lt2.317 (1985), A FAILURE 10 MAKE AN'Y REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
CE FOR:>.I till . 1O.8~
PAGE 2
---~ FOR
FORM 88 MEW -'RANDUM OF VOliN" ' CONFLICT
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
LAST NM-1E-F1RSr NAME- 'lIDIJlI NAME NAME OJ" IJOARD, COUNCIL, COMMISSION, AUTHORITY, OR COMMITTEE
Olenik, Jr. , Robert City Commission
MAlUM; "ODRLSS I HE BOARD, COUNCIL. COMMISSION. AU rIlORITY, OR CO'1MIITEE ON
WIII("II I Sf'RVE IS A UNII OF:
~) 0 -I) C 1) ( ) ~~ ~~ 1 n r; :~ (' i l' (' 1 (~ XCI I Y : ; ("nUN I Y , ! OHlER lOCAL ,'GENU'
CITY COUNIY NAME OF POLITICAl. SUIIOIVISION:
Boynton Beach Palm 13Pach Beach
Boynton
DATE 0.... WHICII HHI: OCCURRUl MY POSITION IS:
'l/l7/90 OX El [CliVE APPOINTIVE
WHO MUST FILE FORM 88
This form is for use by any person scrving at the county, city, or other locallcvel of government on an appointed or elected board,
council, cOlllmission, authority, or committee. It applies equally to me'mbers of advisory and non-advisory bodies who arc presented
with a voting conflict of interest undcr Section 112.3143, Florida Statutes. The requirements of this law are mandatory; although
the use of this paniclIlar 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 of interest will vary greatly depending
on whether you hold an elective or appointive position. For this reason, plcase 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 publil: office MUST ABSTAIN from \'oting 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 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
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 maller in which he has a connict 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 ~1AKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE ~IEETlNG AT WHICH
THE VOTE WILL BE TAKEN:
· You should complete and file this form (before making any allempl 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 othcr 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 II III \ I '!I Ill"h
PAG!' I
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You should disclose orally the nature of your connict in the measure before participating.
. You should complete the form and file it within 15 days after the vote occurs with the person rcsponsible for rccording the minutes
of the meeting, who should incorporate the form in the minutes.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I,
Robert Olenik, Jr.
, hereby disclose that on
4/17
,19~:
(a) ^ measure came or will come before my agency which (check one)
_ inured to my special private gain; or
_ inured to the spccial gain of
. by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
A payment made to Motorola, Inc. was includpd for approval in CONSENT
AC~ENDA, Item 6 -- 21 Although I have no direct renumeration from
the payments to Motorola, I am on their payroll at this time and this
item is now being placed as public record to ensure n6 conflict of
voting occurred.
! I
I ,
~1i"7i
Date Filed I
I'" ,
1\) ,
/--~>' ,-
_ ---r'\ ~/-~
f-----\. ~ >" { I I) "- y---
Signature
"./
~
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1l2.317 (1985), A FAILURE TO MAKE AN'Y REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
IMPE^CH~IENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
((: FOR\! ~H JO.HI.
PAGE 2
r~~ FORM 88 MEW'RANDUM OF VOTIN \ CONFLICT FOR
COUNTY, MUNICI~AL, AND OTHER LOCAL PUBLIC OFFICERS
L^SI N"Ml-~IRSI N^l>ll"--:\IlDnt ~ NAME NM.IE OF BOARD. COUNCIL, COMMISSION, AUTHORITY, OR COMMITrEE
Olenik . Jr. , Robert City ccmnission
MAlUM; "DDRESS 11110 BOARD. COUNCil, COMMISSION, AUTIIORITY, OR COMMrnEE ON
WIIIOI I SERVE IS 1\ UNI1 OF:
29-0 Crossings Circle 'yCIIY , ! COUNTY , ! OHlER LOCM AGENCY
CITY OlllNI Y
NAME ot' POLITICAL SUllL>IVISION:
. palm Beach .L
KPi'!( 130 Beach
DATE 0," \\'IIICII V<HI:' OCCURRED M V POSITION IS:
4/3/90 K elECTIVE , , APPOINTIVE
WHO MUST FILE FORM 88
This form is for use by any person serving al the county, city, or other local level of government on an appointed or eJected board,
council, commission, authority, or committee. It applies equally to me'mbers of advisory and non-advisory bodies who are presented
with a voting connict of interest ullder Seclion 112.3143, Florida Statutes. The requirements of this law are mandatory; although
the use of this particular form is nol required by law, you arc encollraged,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 connict of interest will vary greatly depending
on whcther 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 publi<.: 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 (othcr than a govcrnmenl 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 inrerest in the measure on
which you are abstaining from voting; and
WITHIN 15 DAYS AFTER THE VOTE OCCURS by compleling and filing this form with the person responsible for recording
the minutes of the meeting, who should incorporate the form i)1 the minutes.
APPOINTED OFFICERS:
A person holding appoinlive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which
inures to his special private gain. Each local ofr'icer 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 mailer in which he has a connict of interest, but must
disclose the nalure of lhe conflict bcfore making any atlempl to inOuence the decision by oral or writlen communication, whether
made by the officer or al 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 attempl to inOuence the decision) with the person responsible for
recording the minutes of the mecting, who will incorporate the form in the minutes.
· A copy of the form should be provided immediately 10 the olher mcmbers of the agency.
· The form should be read publicly al lhe meeting prior to consideration of the matter in which you have a conflict of interest. \
(I Iflll\] 'Il III ~~
P,\GE I
IF YOU MAKE NO ATTEMPT TO INflUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You should disclose orally the nature of your conflict in tht: measurc before participating.
. You should complete the form and file it within 15 days after the vOle occurs with the person responsible for rccording the minutes
of the meeting, who should incorporate the form in the minutes.
I,
Robert Olenik, Jr.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
4/3/90
, hereby disclose that on
,19_:
(a) A measure came or will come before my agency which (check one)
_ inured to my special private gain; or
_ inured to the special gain of
, by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
A payment made to Motorola, Inc. was included for approval in
CONSENT AGENDA, Item K, #15 and #16. Although I have no direct
renumeration from the payments to Motorola, I am on their payroll at this
time and this item lS now being placed as public record to ensure no
conflict of voting occurred.
~3\t)L"?
Date Filed
-~c
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1l2.317 (1985), A FAILURE TO MAKE AN'Y REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
Cl: fOR~1 ~I-l . lo.g(,
PAGE 2
1-7" FORM 88 MEW 1RANDUM OF VOTIN CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
.
lAsr NAME-FIRST' NAMf- :\II[)()! ~ NAME NM,IE OF BOARD, COUNCIL. COMMISSION, AUTHORITY. OR COMMITTEE
Hoore, Gene City of Boynton Beach City Commission
MAlUM; '\OlJlU:ss IIIE HOARD, COUNCil. COMMISSION, AUTHORITY. OR COMMITTEE ON
WIlle.. I SERVE IS ^ UNU or:
639 East Ocean Avenue, Suite 409 XnlY : ! COUNTY , ~ OlllER lOCAl AGENCY
nn (,Oil N rY NAME OF POLITICAl. SU8DIVISION:
Bovnton Beach Palm Beach City of Boynton Beach
DATE 0'- WHICII VOII: OCCIIRRELJ MY POSITION IS:
Barch 20, 1990 X: ElECTIVE ;] 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 me'mbers of advisory and non-advisory bodies who are presented
with a voting conflict of interest under Sectioll 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 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
ELECTED OFFICERS:
A person holding elective county, Olunidpal, 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 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 forOl 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 matler 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 al the meeting prior to consideration of the matter in which you have a conflict of interest.
(I II III \ I 'II III"~
PAGE I
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You should disclose orally the nature of your connicl 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 rccording the minutes
of rhe meeting, who should incorporate the form in the minutes.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I, /'/."'/s_~J ~/ (l/l DO f2 /' L /Vl
~ ----, , hereby disclose that on !' I/},'l-L 4-
k
1D .
,19_.
(a) A measure came or will come before my agency which (check one)
_ inurcd to my special private gain; or
/
~ inured to the special gain of C I T (2...u,
G L <: I J I ^" 1""-:, <'./"l I?", . ~I
'4v I-- 'v' ~ (~m'-l', by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
^ - J C\ . I -- ~ t. ",.....- f C\""I (w...{ G W'E \ (s 1-1.[ r~)
kfNl.2v ~J("1 ~ I I ~ v ~:n ~ ':('J
\~OLL
~,,j ~~'
fb (L- (7 ~.,~ ~\.-u -r ~ .
~,J / ?-7/fo
n~5f~
Date Filed
Signature
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1I2.317 (1985), A FAILURE TO MAKE AN'Y REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
CE: FOR\l ~H ' 10.86
PAGE 2
FORM 88 MEr ~RANDUM OF VOTIf\ " CONFLICT FOR
,
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
LAST NAME-FIRsr NAMI'--:\lIImU NAME NM'IE OF BOARD, COUNCIl., COMMISSION. AUTHORITY, OR COMMITTEE
Olenik, Jr. , Robert City Commission
MAILlM; "DDRt:SS Htt: ROARD, COUNCIl.. COMMISSION. AUTHORITY, OR COMMrITEE ON
WHICH I SERve IS A UNll OF:
29-D Crossings Circle X ('IIY ,1 COUNTY , ~ orHER lOCAL AGENCY
('In COUNTY NAME OF POLITICAL SUBOIVISION:
Boynton Beach, Palm Beach Boynton Beach
OATE 0:-' WHICH VOII; OCCURRED MY POSITION IS:
3/20/90 'x: ELECTIVE " 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 me'mbers 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 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
ELECTED OFFICERS:
A person holding elective county, munidpal, 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 (othcr 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
\\'JTHIN 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
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 participatc 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 ~1AKE 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 innuence 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 mcmbers of the agency.
\
. The forIn should be read publicly at thc mceting prior to consideration of the matter in which you have a connict of interest.
(I 1 ilK \I .lJ "1.~1.
PAGE 1
IF YOU 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,
Robert Olenik, Jr.
. hereby disclose that on
March 20
90
,19_:
(a) A measure came or will come before my agency which (check one)
_ inured to my special private gain; or
_ inured to the special gain of
, by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
A payment made to Motorola, Inc., my employer, was included for approval
in CONSENT AGENDA, Item O-Z3. Although I have no direct renumeration
from the payment to Motorola, this item is now being placed as public record.
to ensure no conflict of voting occurred.
c
0-t-uQ,~
Signature ' .
3- 20- 90
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~112.317 (1985), A FAILURE TO MAKE AN'Y REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
IMPEACHf\IENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5.000.
CE FOR:'.! 811 . IO.g~
PAGE 2
FORM 88 MEW'RANDUM OF VOliN CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
LAsr NM.ll-fIRsr N^MF--~IlD\)U NAME
NAME or BOARD. COUNCIL. COMMISSION. AUTHORITY. OR COMMITTEE
Olenik Jr.
MAILll'{~ '\ODRlSS
Rob t
Cit Commission
'I HI:: \lOARD. COUNCIL. COMMISSION. AUTHORITY. OR COMMITTEE ON
WHICH I SEKVE IS A UNIT OF:
X n I Y : I COUNlY . ! OHlER 1.0CAt AGENCY
29-D Crossings Circle
nn
('OUN'. Y
NAME OF POLITICAL SUBDIVISION:
Boynton Beach,
DATE 0'- WHIC" von: OCCURRED
B
MY POSITION IS:
3/6/90
1{ ELECTIVE
i) 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 eJected board,
council, commission, authority, or committee. It applies equally to me'mbers 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 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
ELECTED OFFICERS:
A person holding elective county, munidpal, 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 (othcr 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 appoiJllive 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 maller 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 allempt 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 thc form should be providcd immediately to the other members of the agency.
· The form should be read publicly at the mceting prior to consideration of the maller in which you have a conflict of interest.
'01l\l.1\ lfl~h
PAr.I' ,
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You should disclose orally the nature of your connie! in the measure before participating.
. You should complete the form and file it within 15 days after the votc 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, Robert Olenik, Jr.
, hereby disclose that on
Mrlrch h
. 19...9...0...-:
(a) A measure camc or will come before my agency which (check one)
_ inurcd to my special private gain; or
, ,
_ inur~d to the special gain of
. by whom I. am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
A payment made to Motorola, Inc., my employer, was included for
approval in CONSENT AGENDA, Item T.- 20 Although I have no direct
renumeration from the payment to Motorola, this item is now being placed
as public record to ensure no conflict of voting occurred.
2l lot q-t-
Date Filed \
'~~
Signature .
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1I2.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
CE fOR:--! 8A . IO,YII
PAGE 2
FORM 8B ME.,JORANDUM OF VOTI~ '" CONFLICT FOR
.;J
COUNTY, MUNICIPAL, AND OTHER lOCAL PUBLIC OFFICERS
lAST NAMf.--F1RST NAME-MIDDU: NAME NAME OF BOARD. COUNCil, COMMISSION, AUTHORITY. OR COMMITTEE
Olenik, Jr., Robert City Corrunission
MAILING ADDRESS THE BOARD, COUNCil. COMMISSION, AUTHORITY, OR COMMITTEE ON
WHICH I SERVE IS A UNIT OF:
29-D Crossings Circle X C1IY . , COUNTY , : OTHER 1.0CAl AGENCY
('In COUNTY
NAME OF POLITICAl. SUBDIVISION:
~ Beach Palm Beach Boynton Beach
DATE ON WHICIl von OCCURRED MY POSITION IS:
February 20, 1990 iX ElECTIVE i j APPOINTIVE
WHO MUST FILE FORM 88
This form is for use by any person serving at the county, dty, 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 connict of interest under Sectiun 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 connict 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
ELECTED OFFICERS:
A person holding elective 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 governmem 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 imerest 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
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 appoimive local office otherwise may participate in a maller in which he has a connict of interest, but must
disclose the nature of the connict before making any allemptto influence the decision by oral or wrillen 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 allempt 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 olher members of the agency.
· The form should be rcad publicly at the meeting prior to considcration of the mUller in which you have a conflict of interest.
(I 11>1l\! '1\ 10 ~~ '
p~r,F I
IF YOU 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,
'B:>~' o~.}:'.. ~i:-
. hereby disclose that on
\ FebY'll~ry 20.
, 19~:
(a) A measure came or will corne before my agency which (check one)
_ inured to my special private gain; or
, ,
_ inurc:d to the special gain of
, by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
A developnent plan concerning Motorola,
approval in item D, #3, CONSENT AGENDA.
this item is now being placed as public
occurred.
As I am a member of the FOP Associates, I abstained from voting on item 7 under
"D. Other". Item 7 was to consider the request .of the Fraternal Order of Police
(FOP), Boynton Beach, for assistance and support on the completion of their
clubhouse.
Inc., my employer, was included for
Although I inure~no~Cdwectga'.in from this,
record to ensure no conflict of voting
f!lA,1..2.c!-< 'I'" 'I I
Date Filed
~-7ft?~
Signature
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1l2.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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,
Cl FORM all . Ill.86
PAGE 2
.
FORM 88 MEr '~RANDU"'l OF VOTlt' " CONFLICT FOR
,
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
IA5r N,\)l.lI'-IIRSl NAl\lI'- \11Il11l I. NAME NAI\IF or nOARD. COUNCil, COMMISSION. AUTHORITY, OR COMMITTEE
Olenik. Robert Jr. City Commission
MAl L1!1oG "DDR l55 THE HOARD, COUNCIL. COMMISSION, AUTHORITY. OR COMMIITEE ON
WHICH I SERVE IS A UNIT OF:
29-D Crossings Circle X ('J IV : ' COUN1Y , ~ orllF:R lOCAl AGENCY
nn COllNIY NAME OF PULlTlCAI. SURDIVISION:
Boynton Beach, Palm Beach Beach
Bovnton
IJ.\TE 0-' WIIIClI vorl: OCCURRED MY POSITION IS:
,X ELECTIVE ; ] 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 commillee. It applies equally to me'mbers of advisory and non-advisory bodies who are presented
with a voting conflict of interest UlJdcr Scctioll 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 undcr 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 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 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 (othcr than a government agency) by whom he is retained.
In either case, you should disclose the conflict:
PRIOR TO THE VOTE BEING lAKEN by publicly stating to the asscmbly the nature of your interest in the measure on
which you are abstaining frolll 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
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 prio(ipal (other than a government agency) by whol1l 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 th,e 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 1011 \I . II III ~h
PAGE I
IF YOU MAKE NO A TTEMI'T TO INFLUENCE TilE DECISION EXCEPT BY orSCUSSION AT THE MEETING:
. You should disclose orally the nature of your conflict in the measure before participating.
. You should complete the forlll and file it within 15 days artcr 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,
Robert olenik, Jr.
, hereby disclose that on
February 6
90
,19_:
(a) A measure came or will come before my agency which (check one)
_ inured to my special private gain; or
_ inured to the special gain of
, by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
A payment made to Motorola, Inc., my employer, was included for
approval in CONSENT AGENDA, Item K (#31). Although I have no direct
renumeration from the payment to Motorola, this item is now being placed
as public record to ensure no conflict of voting occurred.
I also abstained from voting on NEW BUSINESS, Item H. as I am a member
of the Exchange Club of Greater Boynton Beach.
.~\\ (V~ ' _
--
<
--.......
Date Filed
Signature
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1J2.317 (1985), A FAILURE TO MAKE AN'v REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
IMPEACHY\lENT, REMOVAL OR SUSPENSION FROM OFFI'CE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
<:"1: rOR~1 8H . 10,86
PAGE 2
----..... -
FORM 88 MEI\' 1RANDUM OF VOliN I CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
U\SI NM.lI-IIRSI NAMI' . \11111l11' NAML NAME OF BOARD, COUNCIl.. COMMISSION, AUTHORITY. OR COMMITTEE
Olenik, Robert Jr. Citv Commission
MAILI/'o.(; J\DDIU:SS THI.: HOARD. COUNCil.. COMMISSION. AUTlIORITY. OR COMMITTEE ON
WHICH I SERVE IS A UNIT OF:
29 D Crossings Circle X cn Y : ! COUNTY . ! OHlER lOCAl AGENCY
CITY COUNTY NAME OF POLITICAl. sunDIVISION:
Boynton Beach, Palm Beach Boynton Beach
DATE 0:-0. WHICH VOIl: OCCURRED MY POSITION IS:
11/?1/Hq X El EClIVE , . 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 me"mbers of advisory and non-advisory bodies who are presented
with a voting conflict of interest under Sectioll 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 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
ELECTED OFFICERS:
A person holding elective county, munidpal, or other local public officc 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 eilher case, you should disclose the conflict:
PRIOR TO THE VOTE BEING TAKEN by publicly stating to the asscmbly the nature of your interest in the measure on
.... hich you are abstaining from voting; and
WITHIN 15 DAYS AFTER THE VOTE OCCURS by complcting 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 agcncy) by whom he is retained.
A person holding an appointive local office otherwise may participatc in a matter in which he has a conflict of interest, but must
disclose the nature of thc conflict before making any attcmpt to innuence 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 innuence 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 mcmbers of the agency.
· The form should be read publicly at thc meeting prior to consideration of the matter in which )'OU have a connict of interest.
(I 111!!\! 'II 11I.~h
PAGE I
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
· You should disclose orally the nature of your conniel in the measure before participating.
· You should complete the form and file it within 15 days after Ihe vole occurs wilh lhe person responsible for recording the minutes
of the meeting, who should incorporale lhe form in the minutes.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I,
Robert Olenik, Jr.
, hereby disclose that on
November 21
89
,19_:
(a) A measure came or will come before my agency which (check one)
_ inured 10 my special private gain; or
. '
_ inured to the special gain of
. by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
A payment made to Motorola, Inc., my employer, was included for approval in
CONSENT AGENDA, Item T (#15). Although I have no direct renumeration
from the payment to Motorola, this item is now being placed as public
record to ensure no conflict of voting occurred.
11]7.\ ( ~-jCl-
Date FiI d -
------ -'
c...
-~
.~~
Signature '
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~J12.317 (1985), A FAILURE TO MAKE AN'Y REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
n fOR" ~Il . JO.~~
PAGE 2
r--~
FORM 88 MEMC-ANDUM OF VOTING ~ONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
, \<,1 1'.-\~11- IIKSl "."~ll \111\11\ I NAt\Il' NAI>II: OF UOAIW, COUNCII_, COMMISSION, AUTHORITY, OR COMMITTEE
Olenik, Robert, ,Jr. Ci ty Conmission
:'>IAILI:>C, ,\DOIU s'> nIl: BOARD. COUNCil. COMMISSION. AUTHORITY. OR COMMITTEE ON
WHICH I SERVE IS A UNIT OF:
29 D Crossinos Circle X ellY _ , ('OUNl Y , ' OllIEl!. lOCAL AGENCY
C1n COUNTY
NAME or POliTICAL SUBDIVISION:
Boynton Beach Palm Beach Boynton Beach
DATE 0' WHlllI VOlt: OCClil!.fUl> MY POSITION IS:
November 7, 1989 X BECflVE , ' 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 inten"st uflder Section 112.3I43, Florida Statutes. The requirements of this law are mandatory; although
the use of this parlicular form is not required by law, you are encouraged to use it in making the disclosure required by law.
Your responsibilirie~ 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 the reverse side and filing the form,
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
ELECTED Of'FlCERS:
A person holding elective county, municipal, or other loral public office MUST ABSTAIN from voting on a measure which inures
to his special pri\'ate gain. Each local officer also is prohibited from I,.nowingly voting on a mca,>un.: which inures to the special
gain of a prim;ipal (ollll:r than a governmcnt agency) by whom he is retained.
In eit hcr 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
.... hich 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
thc minutcs of the mecting, who should incorporate the form in the lIlinuks.
APPOI~TED OFJ-"JCEI{S:
A person holding appointive county, municipal, or other lo<.:al public office MUST ABSTAIN from voting on a measure which
inures to his special privuk gain. Each local officer also is prohibited from knowingly voting on a measure which inures to the
'>pecial gain of a prin-:ipal (other than a government agency) by wholll he is retained.
A pcr,>on hl)lding an appointive local office otherwise may participate in a matter in which he has a conflict of interest, but mu:)t
disclose thc nature of the conflict before making any attempt to influence the decision by oral or written communicalion, whether
made by the officer ur at his direction. '
If YOU INTEND TO \IAKE ANY ATTEMPT TO INFLUENCE TilE DECISION PRIOR TO THE MEETING AT WHICH
THE VOTE WILL BI::. TAKEN:
· You ~hould complete and file this form (before making allY alh:mpt to influence the decision) with the person rcsponsible for
re-:ording the minutes of Ihe meeting, who will incorporate the form in the minutes.
· A copy of the form should be provided immediately 10 the other nwmbers of thc agency.
· -I lie 1(1111I ~lilllllJ be IL".ld IHlblicly at thc mceling priot to cOIl\iJn;tlillll of Ihe matter in which YOll have a conllict of intclc,>t.
I III~ \1 'Ij III ^"
P,\(i1 I
'IF YOU r-.lAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You ~hould disclose orally the nature of your conflicl in the measure before participating.
. You should complele lhe form and file it within 15 days after the vole occurs with the person responsible for recording the minutes
oi I he meeling, who should incorporate the form in the minutes.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I, Robert_-2.lenik, Jr:
. hereby disclose that on November 7,
,198~:
(a) A measure came or will come before my agency which (check one)
_ inured to my special private gain; or
__ inured to lhe special gai'l of
, by whom I am retained.
(b) The measure before my agency and the nature of my i/llerest in the measure is as follows:
Payments made to Motorola, Inc., my employer I were included for approval
in Consent Aoenda, item W (Bill #s 28 and 29). Although I have no direct
renumeration from the payment to Motorola, this item is now being placed as
rublic record to ensure no conflict of voting occurred.
___ n__~'-)\1 f;!~~~ ~3-:> ,L~'ili'1__________ _ u_
Dale Filed
_'~O~J ________u
Signature ~ .
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~Jl2.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
1~1I'EACHMENT. REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SAI ARY, REPRIl\lANI>, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
( l IOK\! ,il 10 ~~
PAGE 2
--.-.-----
FORM 88 MEM' lANDUM OF VOTIN( CONFLICT FOR
'COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
LAsr !';.\MI'-F1RST "'AMI' ~ ~1I1>L1I ~ NAME NA~IE OF BOARD, COUNCil. COMMISSION. AUTHORITY. CR COMMlnEE
Eney, Raymond
MAlUM; "I)DKLS'; IIIE BOARD. COUNCil, COMMISSION, AU fHORITY. OR COMMIT! U: ON
WIIICH I SEI(VE IS A UNIT OF:
1102 Siesta Avenue Xn I Y : , COUN/Y 01 tH,1( LOCAl A(;ENCY
CITY COUNTY
NAME OF POliTICAL SUBDIVISION:
Boynton Beach, FL 33426 Palm Beach
DATE 0," WHICH VOl I: OCCURRED MY POSI nON IS: , f< APPOINTIVE
November 13, 1989 HlCflVE
WHO MUST fiLE fORM 8B
This form is for ust: by any person serving at the county, city, or other localleve\ 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 intp:rest under Sectioll 112.3143, Florida Statutes. The requirements of this law are mandatory; although
the use of Ihis parlicular 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 of interest will vary greatly depending
on whelher }ou hold an elective or appointive position. For this reason, please pay dose attention to the instructions on this form
before compleling Ihe reverse side and filing the form.
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
ELECTED OffiCERS:
A person holding electivc county, munidpal, Of other local public office MUST ABSTAIN from vOling on a measure which inures
10 his special private gain. Each local officer also is prohibited flOm knowingly voting on a lIlt:a'lun: whil:h inures 10 the special
gain of a principal (other Ihan a government agency) by whom he is rctained.
In either case, you should disclose the conflict:
PRIOR TO THE VOTE BEING TAKEN by publicly staling to lhe assembly the nature of your illlerest in the measure on
\\ hich you are abstaining from voting; and
WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and filing this form Wilh the person responsible for recording
Ihe minutes of Ihe meeting, who should incorpurale the form in the minutcs,
APPOINTEl> Ot'FICERS:
A person holding appoilllive counly, municipal, or olher local public office MUST ABSTAIN from voting 011 a measure which
inun:s to his special privat~. gain. Each lucal officer also is prohibiled from knowingly voting on a measun: which inures to the
special gain of a principal (other than a government agency) by \\ hom he is retained.
A person twlding an appointive local office otherwise may pankipate in a matler in which he has a conflict of interesl, but must
disclose the natun: of the conflict before making any atternptlO influence the decisioll by oral or writlen communication, whether
made by Ihe officcr or al his direction.
IF YOU INTEND TO iv'IAKE ANY ATTEMPT 'ID INFLUENCE TilE DECISION PKIOR TO THE MEETING Ar WHICH
THE VOTE WILL BE TAKEN:
· You sbouh.l complete and file this form (before making any altelllpl 10 influence the decision) wilh the person responsible for
recorJing the minutes of the meeting, who will incorporate the form in Ihe minulcs.
· A copy of Ihe form should be provided immediately to the other members of Iht: agcm'}'.
· I h": 1011I) ~hould be Icad publicly at the meeting prior to eomideration of the maltcr in which you have a conflicl of illleresl.
(I I ( '" \ 1 ,II 1/1 "I.
]).\(:1 I
-.-.-----" --- ---------
fORM 88 MEM RANDUM Of VOllNt CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
LAST N,\I\1F--IIRsr NAJ\ll -,'IIPPII NAME NAl\lI' 01 BOARD, ('OUNClI., COMMISSION, AUTHORITY, OR COMJ\llTllE
.
MOORE, GENE BOYNTON BEACH CITY COMMISSION
MAIl.II'<(; \D[)RLSS IIIL BOARD. COllNClI.. COMMISSION. AUTIIORITY, OR COMMIT! EF. ON
WHICII I SERVE IS A UNIT OF:
P. O. Box 910 X ('II Y C()UN I Y OHlER IDCAl AGENCY
Cln ('OUNry
NAME OF 1'01 I TICAl. SUBDIVISION:
Boynton Beach Palm Beach City of Boynton Beach, Flotida
DATE 0"" WHICH VOlE OCCURRlll MY I'OSI flON IS:
1989 X HECTIVE ' , APPOINTIVE
September 19,
WHO MUST FILE FORM 88
This form is for use by any person serving at the COllllty, city, or other locallcvc\ 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 undcr Sectioll 112.3143, Florida Statutes. The requirements of this law are mandatory; although
the use of this part kulaI' form is not rcquired by law, YOll arc 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 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
ELECTED OFFICERS:
A person holding elective county, munidpal, 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 VOrE 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 OFnCERS:
A person holding appointivc county, municipal, or oth('r local public office MUST ABSTAIN from voting on a measurc which
inures to his special private gain. Each 10cal 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 offil:e 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 writlen communication, whether
made by the officer or at his direction.
IF YOU INTEND TO :vIAKE ANY A1TEi\1PT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH
THE VOTE WILL BE TAKEN:
. You should complete.and file this form (before making allY attempt to influence the decision) with the person responsible for
recording the minutes of the meeting, who will incorporatt: the form in the minutes.
. A copy of the form should be provided immediately 10 the other members of the agency.
. The form should be read publicly at the meeting prior to con~idcration of the matter in which you have a conflict of interest.
(I lOIl\I." III ~f,
PAGE I
..
IF YOU MAKE NO ATTEMPT TO INFLUENCE TilE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You shouid disclose or"lIy 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,
Gene Moore
, hereby disclose that on ___
September 19
19 89 .
,-'
(a) A measure came or will come before my agency which (check one)
__ inured to my special private gain; or
-.1l inured to (he special gain of Citrus Glen Partn~rship____~,
. by whom I am retained.
(b) Thc measure before my agency and the nature of my intercst in the mcasure is as follows:
I have previously represented Citrus Glen (Granados Enterprises Enterprises), and
based upon this relationship, abstained from voting regarding site plan modification
coming before the City Commission of Boynton Beach.
-2Ll~j~9
Dale Filed
?---_.
/<..// /~.//
///~~ // /1:-2~-
t' ,t
/
/
t'
/
Signaturc
I
I
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1l2.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
CI: fOR:>.1 811 . 10.86
PAGE 2
. 'FORM 88 MEI'~IJRANDUM OF VOTI'" ~ CONFLICT FOR
COUNTY, MUNICIt--AL, AND OTHER LOCAL PUBLIC OFFICERS
LAST NAME-fiRST NAME-MIDDLE NAME NAME OF BOARD. COUNCIL. COMMISSION, AUTHORITY. OR COMMITTEE
Moore, Gene City of Boynton Beach City Commission
MAILI~G ,\\)\)RESS [HE BOARD, COUNCIL. COMMISSION. AUTHORITY. OR COMMITTEE ON
WHICH I SE~VE IS A UNIT OF:
639 East Ocean Avenue, Suite 409 XCHY : , COUNT Y , : OTHER lOCAL AGENCY
CITY COUNTY NAME ot' POLITICAl. SUBl)\VISION:
Boynton Beach Palm Beach
City of Boynton Beach
DATE 0.... WHICH vall:: OCCURRED MY POSITION IS:
September 19, 1989 'x ElECTIVE , - 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 me'mbers 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 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
ELECTED OFFICERS:
A person holding elective county, munil.:ipal, 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 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
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 matler 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 ~1AKE 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 allempt 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 IIlK\1 'II ItI~h
'r't,rc t
IF YOU 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,
Gene Moore
, hereby disclose that on
September 19
,19~:
(a) A measure came or will come before my agency which (check one)
_ inured to my special private gain; or
, ,
_ inured to the special gain of
, by whom 1 am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
That I have, in the past, represented Citrus Glen and Citrus Glen Homeowners Association,
Inc., and I abstained from voting on issue coming before the City Commision of the City
of Boynton Beach for abandonment of public right-of-way and establishment of guard gate.
September 19, 1989
Date Filed
l.....
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~112.317 (1985), A FAILURE TO MAKE AN.Y REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
Cl, FOR:'.! 8H . IO.H6
PAGE 2
FORM 88 M E IV~" RANDU"'l OF VOliN CONFLICT FO~
'COUNTY, MUNDCIPAL, AND OTHER LOCAL PUBLIC OFFICb;RS
LAST "'''ME-FIRST NM,ll--:'ollDllU NAME NAME OF BOARD. COUNCIL, COMMISSION, AUTHORITY, OR COMMITTEE
OLENIK, Robert Jr. rit-u 'r 'C"C";,...,,..,
MAlUM; '\DDJ.:LSS IHt m),\RD, COU"'CIL.. CO~l~IISSION. AUTHORITY. OR COMMITTEE ON
\\'lIll'll I SflWE IS A UNIl OF:
29D Crossings Circle xnn ' ' OTHER lOCAl AGENCY
: , COUNl Y
nn COUNIY NAt-ll OF PUll TICAL SUBDIVISION:
Boynton Beach, Palm Beach Boynton Beach
IJ.\lE 0.... WHll tl \011: on URRlLJ MY POSITION IS: ~/ ElECTIVE
7 - '}' :rj , - 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 commitlee. It applies equally to me'mbers of advisory and non-advisory bodies who are presented
wilh a voting connicl of interest under Seclion 112.3143, Florida Statutes. The requirements of this law are mandatory; although
the use of lhis particular form is nOI required by law, you are encouraged,to use it in making the disclosure required by law.
Your responsibililies under the law when faced with a measure in which you have a connict 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
.
ELECTED OFFICERS:
A person holding eleclive COUIllY, munidpal, 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 (olher 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 asscmbly the nature of your interest in the measure on
which you are abstaining from vOling; 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
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 appoilllivc local office otherwise may participale in a mailer in which he has a conflict of inlerest, but must
disclose the nature of lhe 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 ~1AKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH
THE VOTE \\'ILL BE TAKEN:
· You should complete and file this form (before making any attempl to influence lhe decision) with the person responsible for
recording the minutes of the meeting, who will incorporate the form in the minules.
· A copy of the form should be providcd immediately to the other mcmbers of the agency.
· The form should be read publicly at thc meeling prior to consideration of the matter in which you have a conflict of interest.
t 1 I (H(\1...!1 III H
r..\GE I
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE ~IEETING:
· You should disclose orally the nalure of your connicl in the measure before parricipating.
· You should complete the form and file it within 15 days afler the vote occurs with the person responsible for recording the minutes
of the mecling, who should incorporale the form in the minutes.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I. Robert Olenik, Jr.
, hereby disclose that on
'7 IJ" :'\}
.19_:
(a) A measure came or will come before my agency which (check one)
_ inurcd to my special privatc gain; or
. ,
_ inur~d to the special gain of
. by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
d M t 1 Inc my employer, was included for approval
A payment ma e to 0 oro a, .,
in CONSENT AGENDA, Item
o
Although I have no direct
renumeration from the payment to Motorola, this item is now being
placed as public record to ensure no cQnflict of voting occurred.
jll"~'f ~,,~
Date Filed
~~~<:
Signature
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1l2.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
IMPEACHI\IENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
C"[ FOR'I ~H ' JO"g~
PAGE 2
FORM 88 MEMl"ltlANDUM OF VOTIN~ CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFfiCERS
LAsr N.\ME-F1RSl NAMl'--:\lI111Hl- NAME NAME OF DOARIJ, COUNCIL, COMMISSION, AUTHORITY, OR COto.1MITTEE
Z /1'Y1 /J1 eld/ ,/1 ('It f~ ! j Ice fill' ~1 ~ 20 IJ/ /1 /6,
MAlUM; "IJIJRLSSIIIE 1I0ARIJ, COUNCIL, COMMISSION. AUTHO t: '1', OR COMMITTEE ON
, .- 1,/ tA . WHlll,ll SFRVI, IS A UNII OF:
/ r;J 52 / ' It ' / A - ____f S 'Y-~'I'IY ,) :, COUN1'1' ': OHlER lOCAL AGENCY
CITY COLJNI Y
Br':' //;7 ~c' /(5 f' ((! C I{, -:;- L ""3 3
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 me'mbers 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 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
ELECTED OFFICERS:
A person holding elective county, municipal, or other local publk 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 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 compleling 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 making any attempt to influence the decision by oral or written communication, whether
made by the officer or al 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 allempt 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 \0 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 connict of interest.
(I I r IH \I . Jl I fJ ~h
PAGE I
IF YOU MAKE NO ATTEMPT TO INF.LUENCE 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, Car') ::2,' P1"1111(!,';"11( a, J.f ,hereby disclose that on S Ll n e. ~ 71 / tj R 9
.19_:
(a) A measure camc or will come before my agency which (check one)
_ inurcd to my special private gain; or
. :
_ inurt:d to the special gain of
. by whom I am retained.
(b) Thc measure beforc my agency and the nature of my interest in the measure is as follows:
ke >1 u.~ I< e J H ~ --t {, e M 6..70 J-- a. t-r d 0 -r-t'. efs 'to
Q Co "f/"c.-i of ,'"fd'csi: beGtJ,Y"S~ r f,'vc
/ VI t (.., e Po.. ( ,.." G ed.-C/" L e/r; u.... V' e v: I J E' R l:. f' 11L't S ~ c,.r 1'1i ~ ,. c L..
...th 6..... V\ J vJ -e- s --t 0 f 't ke -r r()..,de u.J "h J 6
t) 0 y
h e,'n 6 co"':;,' d~r e d.
;i h a.1./~
de e-I ct r- e
/$ -tD f:4e
PyoJ\ e. c. t
{:; /:1- 7 /~y
. (
Date Filed
(J~~~
Signature (/
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1I2.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
IMPEACHr-.IENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT. DEMOTION. REDUCTION IN
SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
CE fOR.., ~H ' IO-g~
PAGE 2
.fORI\,1 88 MEr~ORANDU~l Of VOTlr~ ~ CONfLICT FOR
COUNTY, MUNICh-Al, AND OTHER LOCAL PUBLIC OFFICERS
LAST "';""ll-F1RST NAME--:l.IIDI>tl- NAME
NA'IE OF BOARD. COUNCIL. COMMISSION, AUTHORITY. OR COMMITTEE
C"ff.:-'ll k
MAIU:--C. .\l)Df'lSS
I<t' /)(", t
( Ji'. )
(""("
2.. :; - De, (S <; /I )(. 5
on
f3( "tx n Be ci c II r.-
DATE 0'- WHICH \'on: OCCURRED
Ci "Ie
COUNTY
)< ell" : : COUNTY . ! OHlER l.OCAl AGENCY
NA~IE Or POLITICAl. SUBDIVISION:
I~ Inl BetLdl
M'I POSITION IS:
9<- ELECTIVE
,] APPOINTIVE
b-Ic-f{c
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 eJected 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 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
"
ELECTED OFFICERS:
A person holding elective 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.
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 offke 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 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 \1AKE 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 innuence 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 10 the other members of the agency.
· The form should be read publicly at the meeting prior to consideration of Ihe mailer in which you have a connict of interest.
II It''I'1 ,II Ion
r IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
i . 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 recordingtlie minutes
of lh~ meeting. who should incorporate the form in the minutes.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I,
RC'bcYt:'
()fen ,"k Tr.
)
t hereby disclose that on
6-1:,
t 19 8'9
:
(a) A measure came or will come before my agency which (check one)
_ inured to my special private gain; or
_ inured to the special gain of
t by whom r am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
A payment made to Motorola, Inc. my employer, was included for approval
in CONSENT AGENDA, Item P. Although I have no direct renumeration from
the payment to Motorola, this item is now being placed as public record
to ensure no conflict of voting occurred.
h - 9 - g)
Date Filed
~~
Signature ~ .
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1l2.317 (1985), A FAILURE TO MAKE AN"v REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
CE fOR'.: ,fj. IO.8i1
PAGE
FORM 88 MEIV1RANDUi\1, OF VOliN CONfLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
LAST ".\!'-IE-flRST NAIIII'-~lJllI>Ll-_ NAME NAME OF BOARD. COUNCIL. COMMISSION, AUTHORITY. OR COMMITTEE
OLENIK Robert Jr.
MAlUM; I\DDRESS
29D Crossings Circle
THI:: II ARD, COUNCIL, COMMISSION, AUTHORITY. OR COMMITTEE n..
WHICH I SERVE IS A UNIT OF:
X ("II Y : , COUNTY , : OHlER LOCAl AGENCY
NAME OF PULlTICAL SUIII)IVISION:
Boynton Beach
Boynton Beach,
COUNTY
Palm Beach
("In
I),...T[ 0'- WHICIl VOII: OCCURRELJ
MY POSITION IS: ~
/__ ElECTIVE
;] 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. 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 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
ELECTED OFFICERS:
A person holding elective county, munidpal, or other local publil; 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 by publicly stating to the assembly the nature of your interest in the measure on
which you are abstaining from voting; and
\\'ITHIN 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
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 maller in which he has a connict of interest, but must
disclose the nature of the conflict before making any attempt to influence the decision byoral or written communication, whether
made by the officer or at his direction.
IF YOU INTEND TO ~1AKE 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 f
recording the minutes of the fneeting, 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.
Illflt/\I'll 11I"~
rAGE I
A ODE iU Du (Yl A
IF YOU MAKE NO ATTEMPT TO INF.LUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. You should disclose orally the nature or your connict 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 rccording the minutes
lhc meeting, who should incorporate the form in lhe minutes.
L
Robert Olenik, Jr.
DISCLOSURE OF lOCAL OFFICER'S INTEREST
Mr\(,C;~
, hereby disclose that on
1.,,1
. 19ft:
I,
(a) A measure came or will come before my agency which (check one)
_ inurcd to my special private gain; or
. ,
_ inur~d to the special gain of
. by whom r am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
~,
A payment made to Motorola, Inc., my employer, was included for approval
in CONSENT AGENDA, ItemJ:' /3, lif, 1..5. Although I have no direct
renumeration from the payment to Motorola, this item is now being
llaced as public record to ensure no conflict of voting occurred.
~f~)\-OQ~~
Signaturc '
-t -~ u', \ t'"\?-,~
Date Filed
riCE: UNDER PROVISIONS OF FLORIDA STATUTES ~1I2.317 (1985), A FAILURE TO MAKE ANY REQUIRED
L,JCLOSURE CONSTITUTES GROUNDS FOR AND MA Y BE PUNISHED BY ONE OR MORE OF THE FOLLOWING:
IMPEACH~'IENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION. REDUCTION IN
SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5.000.
no fOR~' ~H ' 10.8h
PAGE 2
fORM 88 MEMO"ANDUM OF VOTING ~ONFLDCT FOR
COUNTY, MUNICIPA.., AND OTHER LOCAL ~UBLIC OFFICERS
".~I S-\C\IE-F1RST NA~IE-~\lIJ\JLE NAME NAME Or BOARD. COUNCIL. COMMISSION. AUTHORITY. OR COMMITTEE
BLANCHETTE,HAROLD LAWRENCE PLANNING and ZONING BOARD
~IAllISG AIJIJRESS THE BOARD. COUNCIL. COM~\ISSI0N. AUTHORITY, OR COMMITTEE ON
WHICH I SERVE IS A UNIT OF:
905 Mission Hill Road 'XCITY ,; COUNTY i : OTHER LOCAL AGENCY
OTY COUNT'!'
NAME OF POLITICAL SUBDIVISION:
Beach. Florida -
Boynton City of Boynton Beach, Florida
DATE 0:-1 WHICH VOTE <X:CURRED MY POSITION IS:
~l ELECTIVE X 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 equaUy 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 of interest will vary greatly depending
on whether you hold an -eiective 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 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 tban 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 tbe meeting, who should incorporate the form in the minutes.
APPOINTED OFFlCER&
A person holding appointive county, municipal, or other local public office MUST ABSTAIN from ~'oting 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 Il}atter in which he has a connict 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 :\fAKE 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.
II I (Ill\! >lH 1lI.~"
EXHIBIT B
PAGE I
If YOU MAKE NO ATTEMPT TO INFLl ,CE THE DECISION EXCEPT BY DISC
ION OR VOTE 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 STATE OFFICER'S INTEREST
I, Harold L. Blanchette
, hereby disclose that on
May 12
. 19117
:
(a) A measure came or will come before my agency which (c'heck one)
--0:- \
L inured to my special private gain; or
.'." \
_ inured to the special gain of
, by whom I am retained.
(b) The measure before my agency -and the nature of my interest in the measure is as follows:
I personally .otked on preparing the plans for Nelson Lopez.MD
( Office renova~ion and revised Sire Plan located on SE 23rd.
Avenue Boynton Beach. Florida.)
!O
May 12.19-87
. ~-Q.<*
Signature i '
/
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1l2.317 (1985), A FAILURE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MAYBE PUNISHED BY ONE OR l\'IORE OF THE FOLLOWING:
I~IPE.-\CH~IENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN
SAL.-\RY, REPRIMAND, OR A CIVil PENALTY NOT TO EXCEED $5,000.
(:E fOR\1 -!I . W.~/i
PAGE ~
I
.AST N'\.ME-FI~ST NAME-MIDDle. NAME
~~EA:.,7
WI:JLfH4K
-FORM 88 MEMOr \NDUM OF VOTING ~ONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL rUBLIC OFFICERS
NAME OF BOARD: COUNCil. COMMISSION. AUTHORITY, 9R COMMITTEE
'pL ~ ,v.tV /;' ~ L. '2P ,.v , ,..."
THE UOARo. COUNCil, COMMISSION. AUTHORITY, OR C M ITTEE ON
WHICH I SEKVI: IS A UNIT OF:
J.
MAlll:"." .'\DDI{ESS
35C.~
~,q.~z p~ J'oe.J/,;f
Y ("II Y
: , <:OUrHY
.' OTHEK I.cKAl AGENCY
{'OUN"rv
NAME OF pOLITICAL SUBDIVISION:
MY POSITION IS:
,_ ELECTIVE
j( 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 responsibilities under the-Iaw 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 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 inures
to his special private gain. Each local officer aIs9 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 by 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 re<:ording
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 mauer 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 ~esponsible 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 1111(\1 -It Ifl."~
PAGE I
.IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
. Yo~ should disclose orally the nature of your conflicr in the measure before participating.-
. You should complete the form and file it within 15 days after the vote <x:curs with the person responsible for recording the minutes
of rhe meeting, who should incorporate the form in the minutes.
.-
~ISCLOSURE OF LOCAL OFFICER'S INTEREST
I. Rb.LA-T 7 ~;f~.$'AA-/ , hereby disclose that on /1'.z:;d... ~r:=- "#h, 'L
. 19
?J:
(a) A measure came or will come before my agency which (check one)
__ inured to my special private gain; or
. .
_ inured to the special gain of
. by whom I am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
~d
6P
dl ~ 4ft? - - .,: '" :.-
,
/ ~' ~..a Y
(J ~ .fr'.-9~1:J.&~~"<'/r
%~~
~~z;s_~~.
--- ./
tj/;t/;t7
Dare Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1I2.317 (1985), A FAILURE TO MAKE AN'Y REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
CE FOR:\I 8B - IO.gb
PAGE
FORM 88 MEMIlRANDUM OF VOliN" CONFLICT FOR
COUNTY, MUNICI~....L, AND OTHER LOCAL PUBLIC OFFICERS
LAST NAME=FiRST NAME-MIDOLI:: NAME NAME OF BOARD, COUNCIL. COMMISSION, AUTHORITY, OR COMMITTEE
Cp. S 50)..l~~ ~ N\G\<" mA-IOR.
MAiliNG AOORESS THE BOARD. COUNCIL.. COMMISSION, AUTHORITY. OR COMMITTEE ON
/O~ WHICH I SERVI: IS A UNIT OF:
2.554 S".(.j, cr X CITY : ! COUNTY ; ~ OfHEK l.CKAl AGENCY
C1H COUNTY
r;] EF;c H ffiL'1 13E/:Jd-1 NAMI: OF POLlTK'Al SUBDIVISION:
130 y~ '/ON - ~-
DATE 0:-. WHICH VOrl: o<'TURREO MY POSITION IS:
:::r;;. ,u0 (:) R ~ J ..23 ,q~7 X ELECTIVE . - APPOINTtVE
~
, 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 present~
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 of interest will vary greatly depending
on whether you hol~ 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. '
.' 'l.~ ,."
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 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 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
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 maHer in which he has a conflict of interest. but must
disclose the nature of the conflict before making any auempt to influence [he decision by oral or written communication, whether
made by the officer or at his direction.
IF YOU INTEND TO \1AKE 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 altempt 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 I'OK\llI!J "lilt>
.
IF YOU 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, tJ. c.l<- CA-SSA ~~~
" -.. . hereby disclose that on JP. jJJ P> fl f ~:5
. 19 ~7 :
(a) A measure came or will com~ before my agency which (check one)
.\V . . . .~. r~:' ').H~:".'--'<"; ~:::~~.-;! 11r.i~':", "h; ~.'J,:J ;{~l1....j... ~:~l lii ~..l"... ,~
~ lOured to;~y speaal pnvat~ gal~:,~rfrC ,;'-~; . <:i~;Ir:'::lj:H ,..:.p~_~i:\:', d'::'
;...o;.(l....-:;.', :.. ' '. .,,, .,.,..- ""'.t
--:.:.- inured to the special gain of
. -~''<',\''.'\l (~lj;) .~d :k,...: . -.(~ ~ n~lol ~id~i
: .Oi (1);';l:tl Jl~I" ., -".;"; ~ r;~.~ ~'"
, by whom r am retained:
(b) The measure before my agency and th~ nature of my interest in the measure is as follows: ':d
~ p~ ~"'.1 -fl4,;-
As A ?OS~I~LIO C,,~\~"''1"~ r()~ (f>f:);/tJe OF l~oy,.Jrl.J1V
CO.Jr-lc,,'L I.I,JHICJ.I .I Cffl}i~ ;-/He> 70 VEl'IOc OJJ
/tV"::) Ml ol1+z:-i2 ,. - (lA;"~~'~;",,"E- '1i>'.' 'BE fU32.G ;::j;' I~LE
E Lc; 7:,j1J (n:Al2- ;'87) ?EIC. o;'1j t'fiA,2 Jil?, ~
f{Pr~~~ C /,J FlJ;";Cc"'':"-r/4 ';;~~L. \;)ECIS"J~.
I0:t (jJvA-L Fir J4. /,"iJ 5
/5~ -rih? V? co.;,;. t~~
VDld G CDJLl>
'I,
; m'~~.J~ :;;:Li 7'.<
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. "..,':!-
...... .
'. .
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it 1 t
< '~ ~;~~'
q :t.~,
"
21; Sf!?
, ,
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~IJ2.317 (1985), A FAIWRE TO MAKE ANY REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
CE FORM 88 . IO.M6
f
COUNTY, MUNICIP. . AND OTHER LocA. PUBLIC OFFICERS
j
LAST NAME-FIRsr NAME-MIODU: NAME NAME OF BOARD, ('OUNClL. COMMISSION, AUTHORITY. OR COMMITHE
BLANCHETTE, HAROLD LM~RENCE COMMUNITY APPEARANCE BOARD
MAILING MlURESS THE HOARD. COUNCil., COMMISSION. AUTHORITY. OR COMMITTEE ON
WHICH I SERVE IS A UNIT OF:
905 Mission Hill Road .. nryX l ! ('OUNTY , ~ OTHER I.OCAl. AGENCY
cln ("(>UN'TV
NAME OF POLITICAL SUBDIVISION:
Boynton Beach Florida CITY of BOYNTON BEACH FLORIDA
IMoTE ON WHICH VOU: OC'(.'URRED MY POSITION IS:
Lr ELECTIVE ~ APPOINTIVE
ORM 88
MEMORANDUM OF VOTINQ CONFLICT FOR
WHO Must FILE FORM 88
This form is for use by any person serving at the county, city, Ol~ other local leVel of government on an appointed or elected board.
council, commission, authority, or commiuee. If applies equally to members of advisory and non.advisory bodies who are presented
with a voting conDict 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 arc~ 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 connict 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
ELECTED OFFICERS:
A person holding elective 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.
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 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 maller in which he has a connict of interest, but must
disclose the nature of the conflict before making any attempt to innuence 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 altempt to innuence the decision) with the person ~esponsible for
recording the minutes of the meeting, who will incorporate the form in the minutes.
· A copy of the form should be provided immediately 10 the other members of the agency.
· The form should be read publicly at the meeting prioT to consideralion of the matter in which you have a conniet of interest.
( I. HIlt" IlH 1/1. 11ft
ADDENDUM C
PAGE ,
I
. IF YOU MAKE NO ATTEMPT TO II'II'LUENCE 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 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. , HAROLD L. BLANCHETTE
. hereby disclose that on
NOVEMBER 17,1986 . 19 86
,(a) A measure came or will come before myragency which (check one)
.;JL inured to my special private gain: or
, .
.} ._ inured to the special gain of
. by whom I' am retained.
(b) The measure before my agency and the nature of my interest in the measure is as follows:
I
, .
t
COSTRUCTION PLANS WERE PREPARED BY ME FOR THE RENOVATION OF A BUILDING
OWNED BY DR. NELSON LOPEZ AT SE" 23rd.AVENUE BOYNTON BEACH.
TnLSE PLANS W~R~ R~QUIRED TO COI~ BEFORE THE COI~~UNITY APPEARANCE
bOARD FOH APPROVAL BEFORE WORK COULD CO~lliffiNCE ON BUILDING.
>
Date Filed
Signature
NOVElf~ER 20,1986
"NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1I2.317 (1985), A FAILURE TO MAKE AN'v REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
C"E fORM 88 . 10-116
PAGE;
J-UKM UB MtMORANDUM OF VOTING CONFLICT FOR
CQUft-..JTY, MUNICIP~ l AND OTHER LOCI" PUBLIC OFFICERS
LAST NAME-FIRST NAME-I\IIUDt.t: NAME NAME 01' "OARD. COUNCIL. COMMISSION. AU1IIORUV. OR COMMIlII:E
905 Mission Hill Road
nn'
COUNTY
COMMUNITY APPEARANCE BOARD
THE BOARD, COUNCIl., COMMISSION. AUTHORITY. OR COMMITIEE ON
WHIt'H i SERVE IS A UNIT OF:
; . ntYx ! I COUNTY . ! OTHEK lOCAl. AGENCY
NAME 01' POLITICAL SUBDIVISION:
BLANCHETTE, HAROLD LMmENCE
MAllIN<.. ADDRESS
Bo nton Beach Florida
DATE ON \\'HI<."II vorE O('(,'URRED
CITY of BOYNTON BEACH FLORIDA
MY POSITION IS:
D
U ELECTIVE
~ APPOINTIVE
WHO MUST FILE FORM 88
This form is for use by any person serving at the county, city, or other locall~el 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 connict 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
ELECfED OFFICERS:
A person holding elective county, municipal, or other local public office MUST ABSTAIN from voting on a measure which inures
to his special private gain. Each local officer als9 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 connict:
PRIOR TO THE VarE 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 IS DAYS AFfER THE VOrE 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 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 ~~AKE 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.
( I. I'fllt:\1 JIlt '".M"
PAGE I
. IF YOU 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 liIe it ~ithin 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..,. HAROLD L. BLANCHETTE
. hereby disclose that on
December 15,
. 19 86
. .
".(a) A measure came or will come before my agency which (check one)
.~iDured to my special private gain; or '
. t...... 'f1.~':,:.", . ; ~ i !0;'I.'0 .,..
, .
J .---: inured to the special gain of
. by whom I am retained.
I .
(b) The measure before my' agency and the nature of my interest in the measure is as follows:
1, ," t
I personally worked on preparing the plans for the
CONRAD ROBINSON WAREHOUSE for IRRIGATION SYSTEMS
Located at Industrial Avenue and being built by
SCOWDEN CONSTRUCTION.
I
..
.
...t,' .'
, .,., .~
"
...."",., ., ~ _! ~,
f. \,..> t;
4
,-"
..,' 'I! ."-, '1-"
~ ' .,
Decembilr 15/19Q€;
Date Filed ,
~OTICE: UNDER PROVISIONS OF FLORIDA STATUTES ~1I2.317 (1985), A FAILURE TO MAKE AN"v REQUIRED
DISCLOSURE CONSTITUTES GROUNDS FOR AND MA Y 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.
CE FORM 88 . 10.86
DA~I: "
State of Florida
Kenneth L. Connor
el,,,;,,,,,,,,
Lawrence A. Gonzalez
l:,..,...,Iif...Vin"',,,,
Commission on ~tFrics
R\Xllll 2105, TIlt.' C.lpit\ll . P.O. Box 6 . Tall.lh.1SSt.'t.', Florida 32302-0006 . (904) 488-7864
Martha W. Barnett
Myron J Brodie
Henry E. Davis
Robert J Eigen
Mark Herron
W1rren H. Jernigan
Karen S. Matteson
James M. Seneff, Jr.
i-1EMORANDUM
FROM:
~ency Disclosure Coordinators
City Attorneys, County Attorneys and
School Board Attorneys
Lawrence A. Gonzale~
Executive Director
TO:
SUBJEC'r:
Change in Voting Conflict Law Effective October 1, 1986
DATE:
September 25, 1986
Legislation enacted during the 1986 Session of the Florida Legislature
bars any appointed public officer from participating in any matter
which inures to his special private gain or the special gain of any
principal by whom he is retained without first disclosing the nature
of his interest in the matter. (See Session Law Chapter 86-148
enclosed.) For purposes of this law, participation means any attempt
to influence the decision on a matter by oral or written communication
either by the officer or at his direction.
The new law made no change in Section 112.3143(3), Florida Statutes,
which prohibits each public officer, whether elected or appointed,
from voting on a measure which inures to his special private gain* or
from knowingly voting on any measure which inures to the special gain
of a principal by whom he is retained.
Disclosure of voting conflicts by local officers should be made on
"Form 8B, Nemorandum of Voting Conflict for County, Municipal and
Other Local Public Officers." Effective October 1, 1986, this new
*For an in-depth look at
interpreted, see L. Gonzalez and
Interest under Florida's Code
Employees, 15 Stetson Law Review
how "special private gain" has been
P. Claypool, Voting Conflicts of
of Ethics for Public Officers and
675 (1986).
,i . .
Change in Voting Conflict Law
Page 2
Se?tember 25, 1986
form will supersede the Commission on Ethics' "Form 4, Memorandum of
Voting Conflict." A copy of Form 8B is enclosed.
Instructions for making the disclosures required by the newly revised
law appear on the form. As a failure to comply with this law may
subject a public officer to a maximum civil penalty of $5000 and
removal from office, each local officer who serves as a member of a
board, commission, council, or other collegial body within your agency
or unit of government should be given a copy of the new form and
advised of the new restrictions and disclosure requirements.
Finally, the new law requires each body which appoints public officers
to consider the number and nature of the memoranda of conflict
previously filed by an officer who is being considered for appointment
or re-appointment to office.
Questions concerning the use of Form
application of Section 112.3143, Florida
Chapter 86-148, may be directed to the
address shown on the letterhead.
8B or an interpretation or
Statutes, as amended by
Commission on Ethics at the
Enclosures
~
~
l
CHAPTER 66-146
filing, shall imrnediate1Y--~ovided to th~!~~2~~~~
~~~cy~_~shall be reao publicly at tr,e ~!!~~_~!:9_EE12~.-.i~-s!:e.
~~':~~E.~!:~~.~!?~_ ~1.~~_2a t ~:.-..!S? !:.._E~pg_~~s ...2L!..!l.~_~ _E~ ~9 ~.~~~~~.':.
~~'-:E~!pate" mr:'ans~y atte(T,nt to influp.nce th;.,....<!.!:S1..~~y
oral or written commun1cation whether made by ~he off1cer or at his
dIrection.
Committee Substitute for Senate Bill No. 971
An act relating to public officers and employees; amending
s. 112.321. F.S.; prescribing the qualifications of
me~bers of the Commission on Ethics; amending s.
112.3143. F.S.; requiring disclosure of conflicts of
interest by appointed public officers: requiring
appointing bodies to consider certain records prior to
appointment: providing an effective date.
Be It Enacted by the Legislature of the State of Florida:
Section 1. Subsection (1) of section 112.321, Florida Statutes,
is amended to read:
14) Whenever a public officer or fqrmer public officer i~'
~~:>nsldered f~~..E22~ent~aopointment to publlC offlce. the
~p~i~~l~~y shall conslder the number and nature of the memoranda
of confllct previo~iled under this sectIOn-Ey~d-or11cer.
Section 3. This act shall take effect October 1. 1986.
112,321 Membership, terms; travel expenses: staff.--
Approved by the Governor June 24, 1966.
Filed in Office Secretary of State June 24, 1966.
(1) The commission shall be composed of nine members. Five of
these members shall be appointed by the Governor, no more than three
of whom shall be from the same political party, subject to
confirmation by the Senate. One member appointed by the Governor
shall be a former city or county official!-~~~l_be !-!~~mber
of a local planning or zoning board which has only advisory duties.
Two members shall be appointed QY the Speaker of the House of
Representatives. and two members shall be appointed by the President
of the Senate. Neither the Speaker of the House of Representatives
nor the President of the Senate shall appoint more than one member
from the same political party. No member may hold any public
employment. All members shall serve 2-year terms, except that ,four
of the initial members appointed by the Governor shall serve l-year
terms. All succeeding appointments shall be for 2 years. No member
shall serve more than two full terms in succession. Any member of
the commission may be removed for cause by majority vote of the
Governor. the President of the Senate, the Speaker of the House of
Representatives. and the Chief Justice of the Supreme Court.
........t...................,.........................,..............
* This publication was produced at a base cost of $19.02 per page
* for 1500 copies or $.0126 per single page for the purpose of
* informing the public of Acts passed by the Legislature. ·
......._t............................................................
Section 2. Subsection (2) of section 112.3143, Florida Statutes,
is amended, and subsection (4) is added to said section, to read:
112,3143 Voting conflicts.--
(2J~ Except as provided in subsection (3), no public officer is
prohiblted from voting in his official capacity on any matter.
However, any public officer voting in his official capacity upon any
measure which inures to his spepial private gain or the special gain
of any principal by whom he is retained shall, within 15 days after
the vote occurs, disclose the nature of his interest as a public
record in a memorandum filed with the person responsible for
recording the minutes of the meeting, who shall incorporate the
memorandum in the minutes.
i2l..__~_~pp.o i nt ed publ i~~fiiE.~!_s!.!!.1..LP'!!..~!~E~~~~ma t t~.!.
wh !clLl nu re~~....:u2~c i a l-p~va te~9~.!.!:..2.r .,..!!1_~_;?~E~~ga i n_-Ef ~.!!i'.
~HiH21~t~f e~~o~ nhe t~: !~~~ ~ ~{~. ~~~g~u tJiH~s-~H~~~aic~-~TnD~~k~
nature---Of~e- coiilTTct-siia iT1mm,:;dcTii--a-wr ltten mernoraiidUni~rrP.d
wi t~_p!.!: son re~E<)n~.!ire-fof reci!~d l!!'it~!mIiiUt~~~L~!etTiig
m~~_~~~~!!~?J:.P2.!ated -..!!:!~_!!linu!..~s:-rr .!:1!.!U!!~$.!2s11re _!~
:.!:!-U.ill.:L!!;aoe or~.!.!_.L'!L~_~et1n9.~_~!!~~(L by the ~~!'!.!.!. the
!!.;jl~~em?!~~~~_~ ~ sc 10~~~9.._~_~_t!_~~~~~ the_~onf !!Et~~a Il~!
0}~'" it h _1~!?_~.'i~_0~!:~E~-'-~?_~_!!:;P?~1E.!.L.-!~rec~ i n~
ml nutes of the mee~d shall be 1ncorpordted 1n the mlnlltes. A
copy of such memorandum, whTCh-shiIr--become a public record upon
1
2
ConING: words ~tri~~~n nr~ d~l~tion~; wordR und~rtin~d ~r~ addition~.
rnntNC':: wnrt1~.~"r;.t"k"l"l ArfS ti"lf'''';('\f'\C':.! Ur"l,..",~ .,,,,.1,,,.1;,,,.,,,, ,,.("0 ,,"'.~;~l..,f'\~