HomeMy WebLinkAbout1979 07 24 Regular
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DATE ON WHICH VOTE OCCURRED:
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FORM 4
MEMORANDUM OF VOTING CONFLICT
24 JUL
,19 79
,-.oART A
Name:
PELLERIN
(LAST)
116 Moss Road
(STR EET)
Laurent
(FIRST)
Alfred
(MIDDLE)
Telephone: 327-1300
(A/C) (NUMBER)
32707 Seminole
(ZIP CODE) (COUNTY)
Address:
winter Springs, FL
(CITY)
PART B
Agency is a unit of [check one] :
) State of Florida; (XX County, City or other Political Subdivision
Name of Agency: city of winter Springs, FL
Position held in Agency: Councilman
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: Voted on 3 motions involving the
prnpprry ownen hy Mr Binford which is located accross the street from my home (zoning issue)
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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:
Home is located accross the street from where zoninq issue is concerned. I was opposed
to the zoning change from C-2 to C-l and from C-2 to remain as C-2. I voted to support
the change from C-2 to PUD which failed.
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Person or principal to whom the special gain described above will inure:
a, (XX) Yourself b. ( ) Principal by whom you are retained:
(NAME)
PART D
FILING INSTRUCTIONS
r lis 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. Flori t require you to abstain from voting when a conflict
of interest arises; if you vote, however, the conflict must uirements described above.
PART E
."" 2 6 '979 ,
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S GNATU E OF PERSON DISCLOSING
26 JULY 1979
OTYof WittlER SPRmGS
tHY HAll
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES 9112.317 (1975), 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.
DATE SIGNED
CE FORM 4- EFF. 1/1/77