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FORM 8B MEMORANDUM OF VOTING CONFLICT FOR <br />COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS <br />fWkME—FI ST NAME—MIDDLE NAME <br />BAKALLA-EDMUND-DONALD <br />NAME OF BOARD, COUNCIL, COMMISSION, AUTHORITY, OR COMMITTEE <br />PLANNING & ZONING COMMISSION - LPA <br />MAILINGADDRESS <br />P.O. BOX 181022 <br />THE BOARD, COUNCIL, COMMISSION, AU HORITY OR COMMITTEE ON <br />WHICH I SERVE IS A UNIT OF: <br />COUNTY <br />CASSELBEIRRY SEMINOLE <br />'6H- <br />NAME OF POLITICAL SUBDIVISION: <br />City of Casselberry <br />i5ATE 0 _Vonf_6_6�VR�ED <br />3/10/2021 <br />MY POSITION IS: <br />0 ELECTIVE I APPOINTIVE <br />This form is for use by any person serving at the county, city, or other local level of government on anappointed orelected board, council, <br />commission, authority, or committee. It applies to members of advisory and non -advisory bodies who are presented with a voting conflict of <br />interest under Section 112.3143.Florida Statutes. <br />Your responsibilities under the law when faced with voting on a measure in which you have oconflict of interest will vary greatly depending <br />on whether you hold an elective or appointive position. For this reason, please pay close attention to the instructions on this form before <br />completing and filing the form. <br />Aperson holding elective orappointive county, municipal, mother local public office MUST ABSTAIN from voting onameasure which <br />would inure tohis orher special private gain or loss. Each elected or appointed local officer also MUST ABSTAIN from knowingly voting on <br />o measure which would inure to the special gain or |000 of principal (other than a government agency) by whom he or she is retained <br />(including the parent, subsidiary, or sibling organization of a principal by which he or she is retained); to the special private gainor loss of a <br />relative; or to the special private gain or loss of a business associate, Commissioners of community redevelopment agencies (CRAs) under <br />8mn. 183.356 or 163.857. F8., and offinenu of independent special tax districts elected on a one -more, one -vote basis are no|: prohibited <br />from voting inthat capacity. <br />For purposes of this law( o ^na|udve' includes only the officer's father, mother, nun, daughter, huuband, vvife, brother, oioh*c hathepin'|mw, <br />mother-in-law, son-in-law, and daughter-in-law. A "business associate" means any person or entity engaged in or carrying on a business <br />enterprise with the officer maapartner, joint venturer, uomwnerofproperty, orcorporate shareholder (where the shares ofthe corporation <br />are not listed onany national orregional stock mxchanga). <br />In addition to abstaining from voting in the situations described above, you must disclose the conflict: <br />PRIOR TO THE VOTE BEING TAKEN by publicly stating to the assembly the nature of your interest in the measure on which you are <br />abstaining from voting; and <br />WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and filing this form with the person responsible for recording the <br />minutes of the meeting, who should incorporate the form in the minutes, <br />Although you must abstain from voting in the situations described abova, you are not prohibited by SpnUmn 112.3143 from otherwise <br />participating in these matters. However, you must disclose the nature of the conflict before making any attempt to influence the decision, <br />whether orally orinwriting and whether made byyou oratyour direction. <br />IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE <br />" <br />You must complete and file this form (before making any attempt hoinfluence the decision) with the person responsible for recording the <br />minutes of the meeting, who will incorporate the form inthe minutes, (Continued nnpage 2) <br />csFORM aa - EFF. 11ooa PAGE <br />