HomeMy WebLinkAbout1979 01 30 Regular
FO~...~ 4
MEMORANDUM OF VOTING CONFLICT
ATE ON WHICH VOTE OCCURRED:
I
I _
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PART A
Name:
PELLERIN,
(LAST)
116 Moss Road
(STREET)
Laurent
(FIRST)
Winter Springs, FL
(CITY)
Alfred
(MIDDLE)
Telephone:
327-1300
Address:
32707
(ZIP CODE)
(A/C)
Seminole
(COUNTY)
(NUMBER)
PART B
Agency is a unit of [check one] :
) State of Florida; (~County, City or other Political Subdivision
Name of Agency: City of Winter Sprinqs. FL
Position held in Agency: Counci lman
PART C
MEMORANDUM OF CONFLICT OF INTEREST IN A VOTING SITUATION [Required by Florida Statutes S 112.3143 (1975)]
If you have voted in your official capacity upon any measure in which you had a personal, private, or professional interest which inures to
your special private gain or the special private gain of any principal by whom you are retained, please disclose the nature of your interest
below.
1. Description of the matter upon which you voted in your official capacity:
Possible confliet of interest
by bringing up on the agenda the matter of the property known as the "Old Water and
Sewer Plant" located on Moss Road. I voted to bring it up on the agenda for action
the purpose being to re-zone the property from C-2 to PUD and then amending my motion
to R-l zoning.
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2. Description of the personal, private, or professional interest you have in the above matter which inures to your special private gain or
the special private gain of any principal by whom you are retained:
I am a home owner on Moss Road and am affected by the C-2 zoning.
brought up on Tuesday Council Meeting, 23 JAN 79.
(The matter was
l
3. Person or principal to whom the special gain described above will inure:
a. ( ) Yourself b. ( ) Principal by whom you are retained:
(NAME)
PART D
FILING INSTRUCTIONS
This memorandum must be filed within fifteen (15) days following the meeting during which the voting conflict occurred with the person
responsible for recording the minutes of the meeting, who shall incorporate the memorandum in the meeting minutes. This form need not be
filed merely to indicate the absence of a voting conflict. Florida law permits but does not require you to abstain from voting when a conflict
of interest arises; if you vote, however, the conflict must be disclosed pursuant to the requirements described above.
PART E
~~d*~
Laurent Al~ed Pellerin
26 JAN 79
SIGNATURE OF PERSON DISCLOSING
DATE SIGNED
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES S112.317 (19751. A FAILURE TO MAKE ANY REQUIRED DISCLOSURE CONSTITUTES
GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE
OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
CE FORM 4- EFF. 1/1/77