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Board and Committee Training- 27 Feb 2019 - Agenda Packet City of Atlantic Beach Agenda Board and Committee Training Wednesday, February 27, 2019 - 6:00 p.m. Commission Chamber City Hall, 800 Seminole Road Page CALL TO ORDER 1 WELCOME 2 PRESENTATIONS * A. Sunshine Law Sunshine Law, Public Records and Ethics Presentation 3 - 37 B. Public Records C. Ethics Form 1_2018 Form 1F_2019 Form 8B Form 9 39 - 54 D. Overview of Duties and Obligations of Atlantic Beach Boards and Committees Board/Committee Member Professional Development 55 - 66 E. Robert's Rules of Order Robert’s Rules 67 - 78 3 QUESTIONS AND ANSWERS ADJOURNMENT Please note: This meeting will be live-streamed, videotaped and closed-captioned. The video recording will be posted within four business days on the City's website at www.coab.us. To access it, click on the Meeting Videos tab on the home page or contact the City Clerk at 247-5809 or dbartle@coab.us. In accordance with the Americans with Disabilities Act and Section 286.26, Florida Statutes, persons with disabilities needing special accommodation to participate in this meeting should contact the City Clerk’s Office by 5:00 PM, the Friday prior to the meeting. Page 1 of 78 Page 2 of 78 Sunshine Law, Public Records and Ethics for Atlantic Beach Board and Committee Members Brenna M. Durden, City Attorney February 27, 2019 Agenda Item #2A.27 Feb 2019Page 3 of 78 2 a)A Board member gives a speech about issues? b)The City Manager discusses Board business with a Board member? c)Two or more Board members have a phone call to discuss matters that may come before Board? d)Two or more Board members attend a FLC meeting in Tallahassee? A “meeting” for purposes of the Sunshine Law happens when:Agenda Item #2A.27 Feb 2019Page 4 of 78 3 a)All board meetings must be open to the public b)Reasonable notice of a meeting must be given c)Minutes of meeting must be taken and promptly recorded The Three Basic Requirements of the Sunshine Law Agenda Item #2A.27 Feb 2019Page 5 of 78 4 A “meeting” for Sunshine Law purposes can occur a)Via email? b)Via text message? c)In the ladies room/men’s room? d)Through whispers at noticed board meeting? e)All of the above?Agenda Item #2A.27 Feb 2019Page 6 of 78 5 a)Board Member A asking the Planning Director about his conversation with Board Member B on an upcoming agenda item? b)Committee Member A asking the City Attorney what Board Member B thinks about an upcoming purchase of police vehicles? c)Committee Member A asking a City Commissioner how Committee Member B feels about the tree ordinance? Would a Sunshine Law problem be caused by:Agenda Item #2A.27 Feb 2019Page 7 of 78 6 a)True b)False Under some circumstances a meeting of a city staff (no Committee or Board Members present) can be subject to the Sunshine Law.Agenda Item #2A.27 Feb 2019Page 8 of 78 7 a)True b)False Under some circumstances a meeting of one Board Member could be subject to Sunshine Law requirements.Agenda Item #2A.27 Feb 2019Page 9 of 78 8 a)Send an email to another Board Member (on the same Board as me) and ask them to respond or react to the information sent? b)Send an informational email to a fellow Committee Member specifically asking recipient not to respond? c)Forward an email to a fellow Board Member that says unless you forward this email to at least 10 people in the next 24 hours you will be swarmed by locusts? Do I have a Sunshine Law issue when I:Agenda Item #2A.27 Feb 2019Page 10 of 78 9 •Councilman Bowen calls City Attorney –asks him to determine whether other Council members are interested in terminating City Manager. Bowen also speaks to Mayor. •City Attorney calls two Council members –they won’t talk about it with him outside of public meeting. •City Attorney calls Councilman Bowen back to report no support for firing, but also calls City Manager to “suggest” he resign with severance package. Transparency for Florida vs. City of Port St. Lucie 240 So. 3d 780 (Fla. 4th DCA 2018) Super Bowl Sunday -2013 Agenda Item #2A.27 Feb 2019Page 11 of 78 10 In anticipation of reaching agreement, 3 notices are prepared for a 9:00 a.m. meeting of Council scheduled for , Thursday February 7: 1.Hand written notice posted in City Hall on February 6 (21 hours before meeting) –“Special Meeting for Removal of City Manager” 2.Revised posted notice on February 6 (an hour later) –“Discussion of Separation Agreement with City Manager” or “Cancellation of City Manager’s Employment Agreement” 3.Third posted notice –only lists “Discussion of Separation Agreement” Transparency for Florida vs. City of Port St. Lucie Agenda Item #2A.27 Feb 2019Page 12 of 78 11 Two Council Members tell City Attorney they don’t want any discussion or debate on agreement –no line by line description of terms of and reasons for agreement Transparency for Florida vs. City of Port St. Lucie Agenda Item #2A.27 Feb 2019Page 13 of 78 12 •February 7 -meeting starts at 9:00 a.m. •Meeting immediately recesses so City Attorney can work out more changes to agreement •One hour later, meeting reconvenes •Separation agreement is approved unanimously with little discussion. No copies are provided to the public Transparency for Florida vs. City of Port St. Lucie Agenda Item #2A.27 Feb 2019Page 14 of 78 13 •At what points did meeting(s) occur here? •Were matters likely to come before City Council discussed? •Were meeting(s) noticed beforehand? •Was notice given for February 7 meeting adequate? •Are there any public records act issues raised here? Transparency for Florida vs. City of Port St. Lucie Discussion Agenda Item #2A.27 Feb 2019Page 15 of 78 14 •Law must be construed “so as to frustrate all evasive devices” This can be accomplished by embracing the collective inquiry and discussion stages within the terms of the statute •Sunshine Law violation cannot be “cured” by a perfunctory ratification of action taken outside of the sunshine Transparency for Florida vs. City of Port St. Lucie Agenda Item #2A.27 Feb 2019Page 16 of 78 15 Knowing Violation Second Degree Misdemeanor $500 fine and/or 60 days in County Jail All Other violations (unknowing violations) $500 non-criminal fine Attorney fees for Complaining Party Penalties for Violating Sunshine Law Agenda Item #2A.27 Feb 2019Page 17 of 78 16 “Public Record” •§119.011(12)“Public records” means all documents,papers, letters,maps,books,tapes, photographs,films,sound recordings,data processing software,or other material regardless of the physical form, characteristics,or means of transmission,made or received pursuant to law or ordinance or in connection with the transaction of official business by any agency. •Florida courts have interpreted the above to include all materials made or received by an agency in connection with official business which are used to perpetuate, communicate or formalize knowledge.Agenda Item #2A.27 Feb 2019Page 18 of 78 17 What is a “Public Record” under Chapter 119, Florida Statutes? a)Any vinyl, non-digital recording by the Beatles? b)All photographs on a Board Member’s cell phone? c)Any document or other item, regardless of physical form, that is received in connection with transaction of official business by you or the City? d)Social media (text, instagram, blogs, twitter)?Agenda Item #2A.27 Feb 2019Page 19 of 78 18 Public Records Law Chapter 119, Florida Statutes •(1) It is the policy of this state that all state, county and municipal records are open for personal inspection and copying by any person. Providing access to public records is a duty of each agency.Agenda Item #2A.27 Feb 2019Page 20 of 78 19 What must be done with a public record when received? a)Delete it immediately? b)Run it through a shredder? c)Send it to the Library of Congress? d)Make sure it is retained and is available for viewing by the public upon request?Agenda Item #2A.27 Feb 2019Page 21 of 78 20 Retention Requirements All public records must be retained in accordance with a retention schedule adopted by the agency, which must be consistent with the schedules established by the Division of Library and Information Services.Agenda Item #2A.27 Feb 2019Page 22 of 78 21 Electronic Communications Records Retention case: SDE Media v. City of Doral and Daniel Esposito, City Attorney, 25 F.L.W.Supp 243a (Fla. 11th Cir. Ct. May 5, 2017) (online at myfloridalegal.com). City violated public records law “by failing to maintain electronic communications [which were located on city officials’ private cellphones] in a manner that prevents their accidental destruction or deletion by individual city officials.” The Court ordered the defendants to require all City Officials or employees who use electronic devices to communicate regarding matters of official business to conduct those communications only on devices that record those communications onto servers directly accessible by the City’s Public Records Custodian. 21 Agenda Item #2A.27 Feb 2019Page 23 of 78 22 Violations of Public Records Law Knowing Violation First Degree misdemeanor Up to one year in jail Up to $1,000 fine Other Violation (non-knowing) Up to $500 non-criminal fine Payment of Attorneys’ Fees 22 Agenda Item #2A.27 Feb 2019Page 24 of 78 23 Ethics According to Article III, Section 8, Florida Constitution, service in Public Office is which of the following: a)A good thing on your resume? b)A chance to make some real money? c)A public trust? d)Easy work if you can get it?Agenda Item #2A.27 Feb 2019Page 25 of 78 24 Ethics for Public Officers Art. III, Sec. 8, Fla. Constitution “A public office is a public trust. The people have the right to secure and sustain that trust against abuse.”Agenda Item #2A.27 Feb 2019Page 26 of 78 25 Sec. 112.311(1), Fla. Stat. (1) It is essential to proper conduct and operation of government that public officials be independent and impartial and that public office not be used for private gain other than the remuneration provided by law. The public interest, therefore, requires that the law protect against any conflict of interest and establish standards for the conduct of elected officials and government employees in situations where conflicts may exist.Agenda Item #2A.27 Feb 2019Page 27 of 78 26 Conduct Covered in Part III of Chapter 112, Fla. Stat. •Solicitation or acceptance of gifts •Unauthorized compensation •Misuse of public position •Disclosure or use of certain information •Doing business with one’s own agency •Conflicting employment or contractual relationship •Voting conflicts (Form 8B) •Nepotism •Financial disclosure (Form 1)Agenda Item #2A.27 Feb 2019Page 28 of 78 27 Ethics –Section 112.313(2), F.S. Gifts Regarding asking for or receiving items of value from a third party, which statements are true? A Board or Committee Member: a)Is entitled to get as much as they can while in office? b)May not accept anything of value if given for purpose of influencing judgment or vote? c)Can take gifts intended to influence vote as long as Board of Committee Member doesn’t ask for it? d)May not ask for anything of value if purpose is to influence judgment or vote?Agenda Item #2A.27 Feb 2019Page 29 of 78 28 Ethics –Section 112.313(2), F.S. Regarding acceptance of compensation or items of value offered by a third party, which statements are true? A Board or Committee Member: a)Can take it as long as it goes through Board or Committee Member’s spouse? b)Can take it as long as nobody finds out about it? c)Cannot take it if Board or Committee Member knows or should have known it is given to influence his/her vote or other action related to office? 28 Agenda Item #2A.27 Feb 2019Page 30 of 78 29 Gifts –Section 112.3148, F.S. Which of the following “gifts” may be accepted if properly reported? a)A gift I requested from a vendor or lobbyist at my agency? b)A Cadillac Escalade? c)A gift worth more than $100.00 from a vendor or lobbyist at my agency that I didn’t ask for? d)None of the above? 29 Agenda Item #2A.27 Feb 2019Page 31 of 78 30 Section 112.3148, F.S. Scenario I My business sells/rents uniforms and I want the City as a customer. I can or cannot do which of the following: a)Make a deal directly with the agency’s City Manager b)Contract to sell goods or services to the City c)Sell goods or services to the City through a sealed competitive bid process provided I have no hand in developing bid specs 30 Agenda Item #2A.27 Feb 2019Page 32 of 78 31 Section 112.3148, F.S. Scenario II Being a Board or Committee Member allows me to: a)Get out of traffic tickets b)Get free use of the Adele Grage Center c)Intimidate staff members d)Avoid paying tolls on state toll roads e)None of the above 31 Agenda Item #2A.27 Feb 2019Page 33 of 78 32 Scenario III My husband Walter just loves to play golf-he’d rather play golf than eat. As good fortune would have it, George -the owner of land in the City -has invited him on an all-expenses-paid weekend of golf at Arnold Palmer’s Bay Hill Club in Orlando. He even gave him a brand new set of irons to play with and let him keep them! The timing is kind of crazy because George wants to rezone his land where I serve as CDB Chair. George even called me to say “don’t forget who is taking care of your old man’s golfing needs.” It’s okay for my Walter to have a little fun with George paying the tab-isn’t it?Agenda Item #2A.27 Feb 2019Page 34 of 78 33 Scenario –a variation on the previous scenario regarding Walter Assume the prior set of facts, but change it to say that instead of George “offering” to give the trip and the golf clubs to Walter, the board chair “asks” George to provide the trip and the golf clubs to Walter. Would that be a problem?Agenda Item #2A.27 Feb 2019Page 35 of 78 34 Scenario IV My son-in-law is the sole owner of a cleaning service business. He made a proposal to do the cleaning service for the community centers in the City, for the City where I serve as a CARAC committee member. The staff has negotiated a contract with his firm, which is coming up for a vote on our agenda next week. I had nothing to do with any of the selection or contracting process. When this comes up for a vote, what should I do?Agenda Item #2A.27 Feb 2019Page 36 of 78 Thank You Brenna M. Durden, City Attorney Lewis, Longman & Walker, P.A. bdurden@llw-law.com (904) 353-6410 Agenda Item #2A.27 Feb 2019Page 37 of 78 Page 38 of 78 **** BOTH PARTS OF THIS SECTION MUST BE COMPLETED **** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (must check one): DECEMBER 31, 2018 ORSPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR:____________ MANNER OF CALCULATING REPORTABLE INTERESTS: FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details). CHECK THE ONE YOU ARE USING (must check one): COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS FORM 1 PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report, write "none" or "n/a") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY PART B -- SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report, write "none" or "n/a") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2. INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. FOR OFFICE USE ONLY: PART C -- REAL PROPERTY [Land, buildings owned by the reporting person - See instructions] (If you have nothing to report, write "none" or "n/a") CE FORM 1 - Effective: January 1, 2019 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8.202(1), F.A.C. NAME OF OFFICE OR POSITION HELD OR SOUGHT : NAME OF AGENCY : You are not limited to the space on the lines on this form. Attach additional sheets, if necessary. CHECK ONLY IF  CANDIDATE OR  NEW EMPLOYEE OR APPOINTEE MAILING ADDRESS : LAST NAME -- FIRST NAME -- MIDDLE NAME : Please print or type your name, mailing address, agency name, and position below: CITY : ZIP : COUNTY : STATEMENT OF FINANCIAL INTERESTS 2018 Agenda Item #2C. 27 Feb 2019 Page 39 of 78 FILING INSTRUCTIONS: IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE  PART D — INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc. - See instructions] (If you have nothing to report, write "none" or "n/a") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES PART E — LIABILITIES [Major debts - See instructions] (If you have nothing to report, write "none" or "n/a") NAME OF CREDITOR ADDRESS OF CREDITOR PART F — INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report, write "none" or "n/a") BUSINESS ENTITY # 1 BUSINESS ENTITY # 2 NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY I OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing, return the form to that location. To determine what category your position falls under, see page 3 of instructions. Local officers/employees file with the Supervisor of Elections of the county in which they permanently reside. (If you do not permanently reside in Florida, file with the Supervisor of the county where your agency has its headquarters.) Form 1 filers who file with the Supervisor of Elections may file by mail or email. Contact your Supervisor of Elections for the mailing address or email address to use. Do not email your form to the Commission on Ethics, it will be returned. State officers or specified state employees who file with the Commission on Ethics may file by mail or email. To file by mail, send the completed form to P.O. Drawer 15709, Tallahassee, FL 32317-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200, Tallahassee, FL 32303. To file with the Commission by email, scan your completed form and any attachments as a pdf (do not use any other format) and send it to CEForm1@leg.state.fl.us. Do not file by both mail and email. Choose only one filing method. Form 6s will not be accepted via email. Candidates file this form together with their filing papers. MULTIPLE FILING UNNECESSARY: A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections. WHEN TO FILE: Initially, each local officer/employee, state officer, and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment. Appointees who must be confirmed by the Senate must file prior to confirmation, even if that is less than 30 days from the date of their appointment. Candidates must file at the same time they file their qualifying papers. Thereafter, file by July 1 following each calendar year in which they hold their positions. Finally, file a final disclosure form (Form 1F) within 60 days of leaving office or employment. Filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31, 2018. CE FORM 1 - Effective: January 1, 2019. PAGE 2 Incorporated by reference in Rule 34-8.202(1), F.A.C. SIGNATURE OF FILER: Signature: ____________________________________________ Date Signed: ____________________________________________ CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473, or attorney in good standing with the Florida Bar prepared this form for you, he or she must complete the following statement: I, _______________________________________, prepared the CE Form 1 in accordance with Section 112.3145, Florida Statutes, and the instructions to the form. Upon my reasonable knowledge and belief, the disclosure herein is true and correct. CPA/Attorney Signature: ______________________________ Date Signed: _______________________________________ PART G — TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 112.3142, F.S. I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING. Agenda Item #2C. 27 Feb 2019 Page 40 of 78 Examples:— You are the sole proprietor of a dry cleaning business, from which you received more than 10% of your gross income—an amount that was more than $1,500. If only one customer, a uniform rental company, provided more than 10% of your dry cleaning business, you must list the name of the uniform rental company, its address, and its principal business activity (uniform rentals). — You are a 20% partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above. You should list each tenant of the mall that provided more than 10% of the partnership’s gross income, and the tenant’s address and principal business activity.PART C — REAL PROPERTY[Required by s. 112.3145(3)(a)3, F.S.]In this part, list the location or description of all real property in Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5% of the property’s value. You are not required to list your residences. You should list any vacation homes, if you derive income from them.Indirect ownership includes situations where you are a beneficiary of a trust that owns the property, as well as situations where you own more than 5% of a partnership or corporation that owns the property. The value of the property may be determined by the most recently assessed value for tax purposes, in the absence of a more current appraisal.The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property. A street address should be used, if one exists. PART D — INTANGIBLE PERSONAL PROPERTY[Required by s. 112.3145(3)(a)3, F.S.] Describe any intangible personal property that, at any time during the disclosure period, was worth more than 10% of your total assets, and state the business entity to which the property related. Intangible personal property includes things such as cash on hand, stocks, bonds, certificates of deposit, vehicle leases, interests in businesses, beneficial interests in trusts, money owed you, Deferred Retirement Option Program (DROP) accounts, the Florida Prepaid College Plan, and bank accounts. Intangible personal property also includes investment products held in IRAs, brokerage accounts, and the Florida College Investment Plan. Note that the product contained in a brokerage account, IRA, or the Florida College Investment Plan is your asset—not the account or plan itself. Things like automobiles and houses you own, jewelry, and paintings are not intangible property. Intangibles relating to the same business entity may be aggregated; for example, CD’s and savings accounts with the same bank. Calculations: To determine whether the intangible property exceeds 10% of your total assets, total the fair market value of all of your assets (including real property, intangible property, and tangible personal property such as jewelry, furniture, etc.). When making this calculation, do not subtract any liabilities (debts) that may relate to the property. Multiply the total figure by 10% to arrive at the disclosure threshold. List only the intangibles that exceed this threshold amount. The value of a leased vehicle is the vehicle’s present value minus the lease residual (a number which can be found on the lease document). Property that is only jointly owned property should be valued according to the percentage of your joint ownership. Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100%. None of your calculations or the value of the property have to be disclosed on the form. Example: You own 50% of the stock of a small corporation that is worth $100,000, the estimated fair market value of your home and other property (bank accounts, automobile, furniture, etc.) is $200,000. As your total assets are worth $250,000, you must disclose intangibles worth over $25,000. Since the value of the stock exceeds this threshold, you should list “stock” and the name of the corporation. If your accounts with a particular bank exceed $25,000, you should list “bank accounts” and bank’s name.PART E — LIABILITIES[Required by s. 112.3145(3)(b)4, F.S.] List the name and address of each creditor to whom you owed any amount that, at any time during the disclosure period, exceeded your net worth. You are not required to list the amount of any debt or your net worth. You do not have to disclose: credit card and retail installment accounts, taxes owed (unless reduced to a judgment), indebtedness on a life insurance policy owed to the company of issuance, or contingent liabilities. A “contingent liability” is one that will become an actual liability only when one or more future events occur or fail to occur, such as where you are liable only as a guarantor, surety, or endorser on a promissory note. If you are a “co-maker” and are jointly liable or jointly and severally liable, it is not a contingent liability. Calculations: To determine whether the debt exceeds your net worth, total all of your liabilities (including promissory notes, mortgages, credit card debts, judgments against you, etc.). The amount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments. Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D. This is your “net worth.” List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts, etc.). Joint liabilities with others for which you are “jointly and severally liable,” meaning that you may be liable for either your part or the whole of the obligation, should be included in your calculations at 100% of the amount owed.Example: You owe $15,000 to a bank for student loans, $5,000 for credit card debts, and $60,000 (with spouse) to a savings and loan for a home mortgage. Your home (owned by you and your spouse) is worth $80,000 and your other property is worth $20,000. Since your net worth is $20,000 ($100,000 minus $80,000), you must report only the name and address of the savings and loan.PART F — INTERESTS IN SPECIFIED BUSINESSES[Required by s. 112.3145, F.S.]The types of businesses covered in this disclosure include: state and federally chartered banks; state and federal savings and loan associations; cemetery companies; insurance companies; mortgage companies; credit unions; small loan companies; alcoholic beverage licensees; pari-mutuel wagering companies, utility companies, entities controlled by the Public Service Commission; and entities granted a franchise to operate by either a city or a county government.Disclose in this part the fact that you owned during the disclosure period an interest in, or held any of certain positions with, the types of businesses listed above. You are required to make this disclosure if you own or owned (either directly or indirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5% of the total assets or capital stock of one of the types of business entities listed above. You also must complete this part of the form for each of these types of businesses for which you are, or were at any time during the disclosure period, an officer, director, partner, proprietor, or agent (other than a resident agent solely for service of process).If you have or held such a position or ownership interest in one of these types of businesses, list the name of the business, its address and principal business activity, and the position held with the business (if any). If you own(ed) more than a 5% interest in the business, indicate that fact and describe the nature of your interest.PART G — TRAINING CERTIFICATION[Required by s. 112.3142, F.S.] If you are a Constitutional or elected municipal officer whose service began before March 31 of the year for which you are filing, you are required to complete four hours of ethics training which addresses Article II, Section 8 of the Florida Constitution, the Code of Ethics for Public Officers and Employees, and the public records and open meetings laws of the state. You are required to certify on this form that you have taken such training. (End of Percentage Thresholds Instructions.)NOTICE Annual Statements of Financial Interests are due July 1. If the annual form is not filed or postmarked by September 1, an automatic fine of $25 for each day late will be imposed, up to a maximum penalty of $1,500. Failure to file also can result in removal from public office or employment. [s. 112.3145, F.S.]In addition, failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following: disqualification from being on the ballot, impeachment, removal or suspension from office or employment, demotion, reduction in salary, reprimand, or a civil penalty not exceeding $10,000. [s. 112.317, F.S.]1) Elected public officials not serving in a political subdivision of the state and any person appointed to fill a vacancy in such office, unless required to file full disclosure on Form 6.2) Appointed members of each board, commission, authority, or council having statewide jurisdiction, excluding members of solely advisory bodies, but including judicial nominating commission members; Directors of Enterprise Florida, Scripps Florida Funding Corporation, and Career Source Florida; and members of the Council on the Social Status of Black Men and Boys; the Executive Director, Governors, and senior managers of Citizens Property Insurance Corporation; Governors and senior managers of Florida Workers' Compensation Joint Underwriting Association; board members of the Northeast Fla. Regional Transportation Commission; board members of Triumph Gulf Coast, Inc; board members of Florida Is For Veterans, Inc.; and members of the Technology Advisory Council within the Agency for State Technology.3) The Commissioner of Education, members of the State Board of Education, the Board of Governors, the local Boards of Trustees and Presidents of state universities, and the Florida Prepaid College Board.4) Persons elected to office in any political subdivision (such as municipalities, counties, and special districts) and any person appointed to fill a vacancy in such office, unless required to file Form 6.5) Appointed members of the following boards, councils, commissions, authorities, or other bodies of county, municipality, school district, independent special district, or other political subdivision: the governing body of the subdivision; community college or junior college district boards of trustees; boards having the power to enforce local code provisions; boards of adjustment; community redevelopment agencies; planning or zoning boards having the power to recommend, create, or modify land planning or zoning within a political subdivision, except for citizen advisory committees, technical coordinating committees, and similar groups who only have the power to make recommendations to planning or zoning boards, and except for representatives of a military installation acting on behalf of all military installations within that jurisdiction; pension or retirement boards empowered to invest pension or retirement funds or determine entitlement to or amount of pensions or other retirement benefits, and the Pinellas County Construction Licensing Board.6) Any appointed member of a local government board who is required to file a statement of financial interests by the appointing authority or the enabling legislation, ordinance, or resolution creating the board. 7) Persons holding any of these positions in local government: mayor; county or city manager; chief administrative employee or finance director of a county, municipality, or other political subdivision; county or municipal attorney; chief county or municipal building inspector; county or municipal water resources coordinator; county or municipal pollution control director; county or municipal environmental control director; county or municipal administrator with power to grant or deny a land development permit; chief of police; fire chief; municipal clerk; appointed district school superintendent; community college president; district medical examiner; purchasing agent (regardless of title) having the authority to make any purchase exceeding $20,000 for the local governmental unit.8) Officers and employees of entities serving as chief administrative officer of a political subdivision.9) Members of governing boards of charter schools operated by a city or other public entity. 10) Employees in the office of the Governor or of a Cabinet member who are exempt from the Career Service System, excluding secretarial, clerical, and similar positions.11) The following positions in each state department, commission, board, or council: Secretary, Assistant or Deputy Secretary, Executive Director, Assistant or Deputy Executive Director, and anyone having the power normally conferred upon such persons, regardless of title.12) The following positions in each state department or division: Director, Assistant or Deputy Director, Bureau Chief, Assistant Bureau Chief, and any person having the power normally conferred upon such persons, regardless of title.13) Assistant State Attorneys, Assistant Public Defenders, criminal conflict and civil regional counsel, and assistant criminal conflict and civil regional counsel, Public Counsel, full-time state employees serving as counsel or assistant counsel to a state agency, administrative law judges, and hearing officers.14) The Superintendent or Director of a state mental health institute established for training and research in the mental health field, or any major state institution or facility established for corrections, training, treatment, or rehabilitation.15) State agency Business Managers, Finance and Accounting Directors, Personnel Officers, Grant Coordinators, and purchasing agents (regardless of title) with power to make a purchase exceeding $20,000.16) The following positions in legislative branch agencies: each employee (other than those employed in maintenance, clerical, secretarial, or similar positions and legislative assistants exempted by the presiding officer of their house); and each employee of the Commission on Ethics.INSTRUCTIONS FOR COMPLETING FORM 1:INTRODUCTORY INFORMATION (Top of Form): If your name, mailing address, public agency, and position are already printed on the form, you do not need to provide this information unless it should be changed. To change any of this information, write the correct information on the form, and contact your agency's financial disclosure coordinator. You can find your coordinator on the Commission on Ethics website: www.ethics.state.fl.us. NAME OF AGENCY: The name of the governmental unit which you serve or served, by which you are or were employed, or for which you are a candidate. OFFICE OR POSITION HELD OR SOUGHT: The title of the office or position you hold, are seeking, or held during the disclosure period even if you have since left that position. If you are a candidate for office or are a new employee or appointee, check the appropriate box.PUBLIC RECORD: The disclosure form and everything attached to it is a public record. Your Social Security Number is not required and you should redact it from any documents you file. If you are an active or former officer or employee listed in Section 119.071, F.S., whose home address is exempt from disclosure, the Commission will maintain that confidentiality if you submit a written request. DISCLOSURE PERIOD: The tax year for most individuals is the calendar year (January 1 through December 31). If that is the case for you, then your financial interests should be reported for the calendar year 2018; check that box. If you file your IRS tax return based on a tax year that is not the calendar year, you should specify the dates of your tax year in this portion of the form and check the appropriate box. This is the "disclosure period" for your report.WHO MUST FILE FORM 1:CE FORM 1 - Effective: January 1, 2019. Incorporated by reference in Rule 34-8.202, F.A.C. PAGE 6CE FORM 1 - Effective: January 1, 2019. Incorporated by reference in Rule 34-8.202, F.A.C. PAGE 3Agenda Item #2C.27 Feb 2019 Page 41 of 78 PART A — PRIMARY SOURCES OF INCOME[Required by s. 112.3145(3)(b)1, F.S.]Part A is intended to require the disclosure of your principal sources of income during the disclosure period. You do not have to disclose the amount of income received, and you need not list your public salary from serving in the position(s) which requires you to file this form. The income of your spouse need not be disclosed; however, if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks), you should disclose the source of that income if it exceeded the threshold. Please list in this part of the form the name, address, and principal business activity of each source of your income which exceeded $2,500 of gross income received by you in your own name or by any other person for your use or benefit."Gross income" means the same as it does for income tax purposes, even if the income is not actually taxable, such as interest on tax-free bonds. Examples include: compensation for services, income from business, gains from property dealings, interest, rents, dividends, pensions, IRA distributions, social security, distributive share of partnership gross income, and alimony, but not child support.Examples:— If you were employed by a company that manufactures computers and received more than $2,500, list the name of the company, its address, and its principal business activity (computer manufacturing).— If you were a partner in a law firm and your distributive share of partnership gross income exceeded $2,500, list the name of the firm, its address, and its principal business activity (practice of law).— If you were the sole proprietor of a retail gift business and your gross income from the business exceeded $2,500, list the name of the business, its address, and its principal business activity (retail gift sales).— If you received income from investments in stocks and bonds, list each individual company from which you derived more than $2,500. Do not aggregate all of your investment income.— If more than $2,500 of your gross income was gain from the sale of property (not just the selling price), list as a source of income the purchaser’s name, address and principal business activity. If the purchaser’s identity is unknown, such as where securities listed on an exchange are sold through a brokerage firm, the source of income should be listed as "sale of (name of company) stock," for example.— If more than $2,500 of your gross income was in the form of interest from one particular financial institution (aggregating interest from all CD’s, accounts, etc., at that institution), list the name of the institution, its address, and its principal business activity.PART B — SECONDARY SOURCES OF INCOME[Required by s. 112.3145(3)(b)2, F.S.]This part is intended to require the disclosure of major customers, clients, and other sources of income to businesses in which you own an interest. It is not for reporting income from second jobs. That kind of income should be reported in Part A "Primary Sources of Income," if it meets the reporting threshold. You will not have anything to report unless, during the disclosure period:(1) You owned (either directly or indirectly in the form of an equitable or beneficial interest) more than 5% of the total assets or capital stock of a business entity (a corporation, partnership, LLC, limited partnership, proprietorship, joint venture, trust, firm, etc., doing business in Florida); and,(2) You received more than $5,000 of your gross income during the disclosure period from that business entity.If your interests and gross income exceeded these thresholds, then for that business entity you must list every source of income to the business entity which exceeded 10% of the business entity’s gross income (computed on the basis of the business entity's most recently completed fiscal year), the source’s address, and the source's principal business activity.Examples:— You are the sole proprietor of a dry cleaning business, from which you received more than $5,000. If only one customer, a uniform rental company, provided more than 10% of your dry cleaning business, you must list the name of the uniform rental company, its address, and its principal business activity (uniform rentals). — You are a 20% partner in a partnership that owns a shopping mall and your partnership income exceeded the above thresholds. List each tenant of the mall that provided more than 10% of the partnership's gross income and the tenant's address and principal business activity.PART C — REAL PROPERTY[Required by s. 112.3145(3)(b)3, F.S.]In this part, list the location or description of all real property in Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5% of the property’s value. You are not required to list your residences. You should list any vacation homes if you derive income from them.Indirect ownership includes situations where you are a beneficiary of a trust that owns the property, as well as situations where you own more than 5% of a partnership or corporation that owns the property. The value of the property may be determined by the most recently assessed value for tax purposes, in the absence of a more current appraisal.The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property. A street address should be used, if one exists. PART D — INTANGIBLE PERSONAL PROPERTY[Required by s. 112.3145(3)(b)3, F.S.]Describe any intangible personal property that, at any time during the disclosure period, was worth more than $10,000 and state the business entity to which the property related. Intangible personal property includes things such as cash on hand, stocks, bonds, certificates of deposit, vehicle leases, interests in businesses, beneficial interests in trusts, money owed you, Deferred Retirement Option Program (DROP) accounts, the Florida Prepaid College Plan, and bank accounts. Intangible personal property also includes investment products held in IRAs, brokerage accounts, and the Florida College Investment Plan. Note that the product contained in a brokerage account, IRA, or the Florida College Investment Plan is your asset—not the account or plan itself. Things like automobiles and houses you own, jewelry, and paintings are not intangible property. Intangibles relating to the same business entity may be aggregated; for example, CDs and savings accounts with the same bank. Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100%. The value of a leased vehicle is the vehicle’s present value minus the lease residual (a number found on the lease document). PART E — LIABILITIES[Required by s. 112.3145(3)(b)4, F.S.]List the name and address of each creditor to whom you owed more than $10,000 at any time during the disclosure period. The amount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments. You are not required to list the amount of any debt. You do not have to disclose credit card and retail installment accounts, taxes owed (unless reduced to a judgment), indebtedness on a life insurance policy owed to the company of issuance, or contingent liabilities. A “contingent liability” is one that will become an actual liability only when one or more future events occur or fail to occur, such as where you are liable only as a guarantor, surety, or endorser on a promissory note. If you are a “co-maker” and are jointly liable or jointly and severally liable, then it is not a contingent liability.PART F — INTERESTS IN SPECIFIED BUSINESSES[Required by s. 112.3145(6), F.S.]The types of businesses covered in this disclosure include: state and federally chartered banks; state and federal savings and loan associations; cemetery companies; insurance companies; mortgage companies; credit unions; small loan companies; alcoholic beverage licensees; pari-mutuel wagering companies, utility companies, entities controlled by the Public Service Commission; and entities granted a franchise to operate by either a city or a county government. Disclose in this part the fact that you owned during the disclosure period an interest in, or held any of certain positions with the types of businesses listed above. You must make this disclosure if you own or owned (either directly or indirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5% of the total assets or capital stock of one of the types of business entities listed above. You also must complete this part of the form for each of these types of businesses for which you are, or were at any time during the disclosure period, an officer, director, partner, proprietor, or agent (other than a resident agent solely for service of process). If you have or held such a position or ownership interest in one of these types of businesses, list the name of the business, its address and principal business activity, and the position held with the business (if any). If you own(ed) more than a 5% interest in the business, indicate that fact and describe the nature of your interest. PART G — TRAINING CERTIFICATION[Required by s. 112.3142, F.S.] If you are a Constitutional or elected municipal officer whose service began before March 31 of the year for which you are filing, you are required to complete four hours of ethics training which addresses Article II, Section 8 of the Florida Constitution, the Code of Ethics for Public Officers and Employees, and the public records and open meetings laws of the state. You are required to certify on this form that you have taken such training. (End of Dollar Value Thresholds Instructions.)PART A — PRIMARY SOURCES OF INCOME[Required by s. 112.3145(3)(a)1, F.S.]Part A is intended to require the disclosure of your principal sources of income during the disclosure period. You do not have to disclose the amount of income received, and you need not list your public salary received from serving in the position(s) which requires you to file this form, but this amount should be included when calculating your gross income for the disclosure period. The income of your spouse need not be disclosed; however, if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks), you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold.Please list in this part of the form the name, address, and principal business activity of each source of your income which exceeded 5% of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period."Gross income" means the same as it does for income tax purposes, even if the income is not actually taxable, such as interest on tax-free bonds. Examples include: compensation for services, income from business, gains from property dealings, interest, rents, dividends, pensions, IRA distributions, social security, distributive share of partnership gross income, and alimony, but not child support.Examples:— If you were employed by a company that manufactures computers and received more than 5% of your gross income from the company, list the name of the company, its address, and its principal business activity (computer manufacturing).— If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5% of your gross income, then list the name of the firm, its address, and its principal business activity (practice of law).— If you were the sole proprietor of a retail gift business and your gross income from the business exceeded 5% of your total gross income, list the name of the business, its address, and its principal business activity (retail gift sales).— If you received income from investments in stocks and bonds, list each individual company from which you derived more than 5% of your gross income. Do not aggregate all of your investment income.— If more than 5% of your gross income was gain from the sale of property (not just the selling price), list as a source of income the purchaser’s name, address, and principal business activity. If the purchaser's identity is unknown, such as where securities listed on an exchange are sold through a brokerage firm, the source of income should be listed as "sale of (name of company) stock," for example.— If more than 5% of your gross income was in the form of interest from one particular financial institution (aggregating interest from all CD’s, accounts, etc., at that institution), list the name of the institution, its address, and its principal business activity.PART B — SECONDARY SOURCES OF INCOME[Required by s. 112.3145(3)(a)2, F.S.]This part is intended to require the disclosure of major customers, clients, and other sources of income to businesses in which you own an interest. It is not for reporting income from second jobs. That kind of income should be reported in Part A, "Primary Sources of Income," if it meets the reporting threshold. You will not have anything to report unless during the disclosure period:(1) You owned (either directly or indirectly in the form of an equitable or beneficial interest) more than 5% of the total assets or capital stock of a business entity (a corporation, partnership, LLC, limited partnership, proprietorship, joint venture, trust, firm, etc., doing business in Florida); and,(2) You received more than 10% of your gross income from that business entity; and, (3) You received more than $1,500 in gross income from that business entity.If your interests and gross income exceeded these thresholds, then for that business entity you must list every source of income to the business entity which exceeded 10% of the business entity’s gross income (computed on the basis of the business entity’s most recently completed fiscal year), the source’s address, and the source’s principal business activity.Filers have the option of reporting based on either thresholds that are comparative (usually, based on percentage values) or thresholds that are based on absolute dollar values. The instructions on the following pages specifically describe the different thresholds. Check the box that reflects the choice you have made. You must use the type of threshold you have chosen for each part of the form. In other words, if you choose to report based on absolute dollar value thresholds, you cannot use a percentage threshold on any part of the form.MANNER OF CALCULATING REPORTABLE INTERESTIF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLYIF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLYCE FORM 1 - Effective: January 1, 2019. Incorporated by reference in Rule 34-8.202, F.A.C. PAGE 5CE FORM 1 - Effective: January 1, 2019. Incorporated by reference in Rule 34-8.202, F.A.C.. PAGE 4Agenda Item #2C.27 Feb 2019 Page 42 of 78 PART A — PRIMARY SOURCES OF INCOME[Required by s. 112.3145(3)(b)1, F.S.]Part A is intended to require the disclosure of your principal sources of income during the disclosure period. You do not have to disclose the amount of income received, and you need not list your public salary from serving in the position(s) which requires you to file this form. The income of your spouse need not be disclosed; however, if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks), you should disclose the source of that income if it exceeded the threshold. Please list in this part of the form the name, address, and principal business activity of each source of your income which exceeded $2,500 of gross income received by you in your own name or by any other person for your use or benefit."Gross income" means the same as it does for income tax purposes, even if the income is not actually taxable, such as interest on tax-free bonds. Examples include: compensation for services, income from business, gains from property dealings, interest, rents, dividends, pensions, IRA distributions, social security, distributive share of partnership gross income, and alimony, but not child support.Examples:— If you were employed by a company that manufactures computers and received more than $2,500, list the name of the company, its address, and its principal business activity (computer manufacturing).— If you were a partner in a law firm and your distributive share of partnership gross income exceeded $2,500, list the name of the firm, its address, and its principal business activity (practice of law).— If you were the sole proprietor of a retail gift business and your gross income from the business exceeded $2,500, list the name of the business, its address, and its principal business activity (retail gift sales).— If you received income from investments in stocks and bonds, list each individual company from which you derived more than $2,500. Do not aggregate all of your investment income.— If more than $2,500 of your gross income was gain from the sale of property (not just the selling price), list as a source of income the purchaser’s name, address and principal business activity. If the purchaser’s identity is unknown, such as where securities listed on an exchange are sold through a brokerage firm, the source of income should be listed as "sale of (name of company) stock," for example.— If more than $2,500 of your gross income was in the form of interest from one particular financial institution (aggregating interest from all CD’s, accounts, etc., at that institution), list the name of the institution, its address, and its principal business activity.PART B — SECONDARY SOURCES OF INCOME[Required by s. 112.3145(3)(b)2, F.S.]This part is intended to require the disclosure of major customers, clients, and other sources of income to businesses in which you own an interest. It is not for reporting income from second jobs. That kind of income should be reported in Part A "Primary Sources of Income," if it meets the reporting threshold. You will not have anything to report unless, during the disclosure period:(1) You owned (either directly or indirectly in the form of an equitable or beneficial interest) more than 5% of the total assets or capital stock of a business entity (a corporation, partnership, LLC, limited partnership, proprietorship, joint venture, trust, firm, etc., doing business in Florida); and,(2) You received more than $5,000 of your gross income during the disclosure period from that business entity.If your interests and gross income exceeded these thresholds, then for that business entity you must list every source of income to the business entity which exceeded 10% of the business entity’s gross income (computed on the basis of the business entity's most recently completed fiscal year), the source’s address, and the source's principal business activity.Examples:— You are the sole proprietor of a dry cleaning business, from which you received more than $5,000. If only one customer, a uniform rental company, provided more than 10% of your dry cleaning business, you must list the name of the uniform rental company, its address, and its principal business activity (uniform rentals). — You are a 20% partner in a partnership that owns a shopping mall and your partnership income exceeded the above thresholds. List each tenant of the mall that provided more than 10% of the partnership's gross income and the tenant's address and principal business activity.PART C — REAL PROPERTY[Required by s. 112.3145(3)(b)3, F.S.]In this part, list the location or description of all real property in Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5% of the property’s value. You are not required to list your residences. You should list any vacation homes if you derive income from them.Indirect ownership includes situations where you are a beneficiary of a trust that owns the property, as well as situations where you own more than 5% of a partnership or corporation that owns the property. The value of the property may be determined by the most recently assessed value for tax purposes, in the absence of a more current appraisal.The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property. A street address should be used, if one exists. PART D — INTANGIBLE PERSONAL PROPERTY[Required by s. 112.3145(3)(b)3, F.S.]Describe any intangible personal property that, at any time during the disclosure period, was worth more than $10,000 and state the business entity to which the property related. Intangible personal property includes things such as cash on hand, stocks, bonds, certificates of deposit, vehicle leases, interests in businesses, beneficial interests in trusts, money owed you, Deferred Retirement Option Program (DROP) accounts, the Florida Prepaid College Plan, and bank accounts. Intangible personal property also includes investment products held in IRAs, brokerage accounts, and the Florida College Investment Plan. Note that the product contained in a brokerage account, IRA, or the Florida College Investment Plan is your asset—not the account or plan itself. Things like automobiles and houses you own, jewelry, and paintings are not intangible property. Intangibles relating to the same business entity may be aggregated; for example, CDs and savings accounts with the same bank. Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100%. The value of a leased vehicle is the vehicle’s present value minus the lease residual (a number found on the lease document). PART E — LIABILITIES[Required by s. 112.3145(3)(b)4, F.S.]List the name and address of each creditor to whom you owed more than $10,000 at any time during the disclosure period. The amount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments. You are not required to list the amount of any debt. You do not have to disclose credit card and retail installment accounts, taxes owed (unless reduced to a judgment), indebtedness on a life insurance policy owed to the company of issuance, or contingent liabilities. A “contingent liability” is one that will become an actual liability only when one or more future events occur or fail to occur, such as where you are liable only as a guarantor, surety, or endorser on a promissory note. If you are a “co-maker” and are jointly liable or jointly and severally liable, then it is not a contingent liability.PART F — INTERESTS IN SPECIFIED BUSINESSES[Required by s. 112.3145(6), F.S.]The types of businesses covered in this disclosure include: state and federally chartered banks; state and federal savings and loan associations; cemetery companies; insurance companies; mortgage companies; credit unions; small loan companies; alcoholic beverage licensees; pari-mutuel wagering companies, utility companies, entities controlled by the Public Service Commission; and entities granted a franchise to operate by either a city or a county government. Disclose in this part the fact that you owned during the disclosure period an interest in, or held any of certain positions with the types of businesses listed above. You must make this disclosure if you own or owned (either directly or indirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5% of the total assets or capital stock of one of the types of business entities listed above. You also must complete this part of the form for each of these types of businesses for which you are, or were at any time during the disclosure period, an officer, director, partner, proprietor, or agent (other than a resident agent solely for service of process). If you have or held such a position or ownership interest in one of these types of businesses, list the name of the business, its address and principal business activity, and the position held with the business (if any). If you own(ed) more than a 5% interest in the business, indicate that fact and describe the nature of your interest. PART G — TRAINING CERTIFICATION[Required by s. 112.3142, F.S.] If you are a Constitutional or elected municipal officer whose service began before March 31 of the year for which you are filing, you are required to complete four hours of ethics training which addresses Article II, Section 8 of the Florida Constitution, the Code of Ethics for Public Officers and Employees, and the public records and open meetings laws of the state. You are required to certify on this form that you have taken such training. (End of Dollar Value Thresholds Instructions.)PART A — PRIMARY SOURCES OF INCOME[Required by s. 112.3145(3)(a)1, F.S.]Part A is intended to require the disclosure of your principal sources of income during the disclosure period. You do not have to disclose the amount of income received, and you need not list your public salary received from serving in the position(s) which requires you to file this form, but this amount should be included when calculating your gross income for the disclosure period. The income of your spouse need not be disclosed; however, if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks), you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold.Please list in this part of the form the name, address, and principal business activity of each source of your income which exceeded 5% of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period."Gross income" means the same as it does for income tax purposes, even if the income is not actually taxable, such as interest on tax-free bonds. Examples include: compensation for services, income from business, gains from property dealings, interest, rents, dividends, pensions, IRA distributions, social security, distributive share of partnership gross income, and alimony, but not child support.Examples:— If you were employed by a company that manufactures computers and received more than 5% of your gross income from the company, list the name of the company, its address, and its principal business activity (computer manufacturing).— If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5% of your gross income, then list the name of the firm, its address, and its principal business activity (practice of law).— If you were the sole proprietor of a retail gift business and your gross income from the business exceeded 5% of your total gross income, list the name of the business, its address, and its principal business activity (retail gift sales).— If you received income from investments in stocks and bonds, list each individual company from which you derived more than 5% of your gross income. Do not aggregate all of your investment income.— If more than 5% of your gross income was gain from the sale of property (not just the selling price), list as a source of income the purchaser’s name, address, and principal business activity. If the purchaser's identity is unknown, such as where securities listed on an exchange are sold through a brokerage firm, the source of income should be listed as "sale of (name of company) stock," for example.— If more than 5% of your gross income was in the form of interest from one particular financial institution (aggregating interest from all CD’s, accounts, etc., at that institution), list the name of the institution, its address, and its principal business activity.PART B — SECONDARY SOURCES OF INCOME[Required by s. 112.3145(3)(a)2, F.S.]This part is intended to require the disclosure of major customers, clients, and other sources of income to businesses in which you own an interest. It is not for reporting income from second jobs. That kind of income should be reported in Part A, "Primary Sources of Income," if it meets the reporting threshold. You will not have anything to report unless during the disclosure period:(1) You owned (either directly or indirectly in the form of an equitable or beneficial interest) more than 5% of the total assets or capital stock of a business entity (a corporation, partnership, LLC, limited partnership, proprietorship, joint venture, trust, firm, etc., doing business in Florida); and,(2) You received more than 10% of your gross income from that business entity; and, (3) You received more than $1,500 in gross income from that business entity.If your interests and gross income exceeded these thresholds, then for that business entity you must list every source of income to the business entity which exceeded 10% of the business entity’s gross income (computed on the basis of the business entity’s most recently completed fiscal year), the source’s address, and the source’s principal business activity.Filers have the option of reporting based on either thresholds that are comparative (usually, based on percentage values) or thresholds that are based on absolute dollar values. The instructions on the following pages specifically describe the different thresholds. Check the box that reflects the choice you have made. You must use the type of threshold you have chosen for each part of the form. In other words, if you choose to report based on absolute dollar value thresholds, you cannot use a percentage threshold on any part of the form.MANNER OF CALCULATING REPORTABLE INTERESTIF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLYIF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDSTHE FOLLOWING INSTRUCTIONS APPLYCE FORM 1 - Effective: January 1, 2019. Incorporated by reference in Rule 34-8.202, F.A.C. PAGE 5CE FORM 1 - Effective: January 1, 2019. Incorporated by reference in Rule 34-8.202, F.A.C.. PAGE 4Agenda Item #2C.27 Feb 2019 Page 43 of 78 Examples:— You are the sole proprietor of a dry cleaning business, from which you received more than 10% of your gross income—an amount that was more than $1,500. If only one customer, a uniform rental company, provided more than 10% of your dry cleaning business, you must list the name of the uniform rental company, its address, and its principal business activity (uniform rentals). — You are a 20% partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above. You should list each tenant of the mall that provided more than 10% of the partnership’s gross income, and the tenant’s address and principal business activity.PART C — REAL PROPERTY[Required by s. 112.3145(3)(a)3, F.S.]In this part, list the location or description of all real property in Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5% of the property’s value. You are not required to list your residences. You should list any vacation homes, if you derive income from them.Indirect ownership includes situations where you are a beneficiary of a trust that owns the property, as well as situations where you own more than 5% of a partnership or corporation that owns the property. The value of the property may be determined by the most recently assessed value for tax purposes, in the absence of a more current appraisal.The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property. A street address should be used, if one exists. PART D — INTANGIBLE PERSONAL PROPERTY[Required by s. 112.3145(3)(a)3, F.S.] Describe any intangible personal property that, at any time during the disclosure period, was worth more than 10% of your total assets, and state the business entity to which the property related. Intangible personal property includes things such as cash on hand, stocks, bonds, certificates of deposit, vehicle leases, interests in businesses, beneficial interests in trusts, money owed you, Deferred Retirement Option Program (DROP) accounts, the Florida Prepaid College Plan, and bank accounts. Intangible personal property also includes investment products held in IRAs, brokerage accounts, and the Florida College Investment Plan. Note that the product contained in a brokerage account, IRA, or the Florida College Investment Plan is your asset—not the account or plan itself. Things like automobiles and houses you own, jewelry, and paintings are not intangible property. Intangibles relating to the same business entity may be aggregated; for example, CD’s and savings accounts with the same bank. Calculations: To determine whether the intangible property exceeds 10% of your total assets, total the fair market value of all of your assets (including real property, intangible property, and tangible personal property such as jewelry, furniture, etc.). When making this calculation, do not subtract any liabilities (debts) that may relate to the property. Multiply the total figure by 10% to arrive at the disclosure threshold. List only the intangibles that exceed this threshold amount. The value of a leased vehicle is the vehicle’s present value minus the lease residual (a number which can be found on the lease document). Property that is only jointly owned property should be valued according to the percentage of your joint ownership. Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100%. None of your calculations or the value of the property have to be disclosed on the form. Example: You own 50% of the stock of a small corporation that is worth $100,000, the estimated fair market value of your home and other property (bank accounts, automobile, furniture, etc.) is $200,000. As your total assets are worth $250,000, you must disclose intangibles worth over $25,000. Since the value of the stock exceeds this threshold, you should list “stock” and the name of the corporation. If your accounts with a particular bank exceed $25,000, you should list “bank accounts” and bank’s name.PART E — LIABILITIES[Required by s. 112.3145(3)(b)4, F.S.] List the name and address of each creditor to whom you owed any amount that, at any time during the disclosure period, exceeded your net worth. You are not required to list the amount of any debt or your net worth. You do not have to disclose: credit card and retail installment accounts, taxes owed (unless reduced to a judgment), indebtedness on a life insurance policy owed to the company of issuance, or contingent liabilities. A “contingent liability” is one that will become an actual liability only when one or more future events occur or fail to occur, such as where you are liable only as a guarantor, surety, or endorser on a promissory note. If you are a “co-maker” and are jointly liable or jointly and severally liable, it is not a contingent liability. Calculations: To determine whether the debt exceeds your net worth, total all of your liabilities (including promissory notes, mortgages, credit card debts, judgments against you, etc.). The amount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments. Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D. This is your “net worth.” List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts, etc.). Joint liabilities with others for which you are “jointly and severally liable,” meaning that you may be liable for either your part or the whole of the obligation, should be included in your calculations at 100% of the amount owed.Example: You owe $15,000 to a bank for student loans, $5,000 for credit card debts, and $60,000 (with spouse) to a savings and loan for a home mortgage. Your home (owned by you and your spouse) is worth $80,000 and your other property is worth $20,000. Since your net worth is $20,000 ($100,000 minus $80,000), you must report only the name and address of the savings and loan.PART F — INTERESTS IN SPECIFIED BUSINESSES[Required by s. 112.3145, F.S.]The types of businesses covered in this disclosure include: state and federally chartered banks; state and federal savings and loan associations; cemetery companies; insurance companies; mortgage companies; credit unions; small loan companies; alcoholic beverage licensees; pari-mutuel wagering companies, utility companies, entities controlled by the Public Service Commission; and entities granted a franchise to operate by either a city or a county government.Disclose in this part the fact that you owned during the disclosure period an interest in, or held any of certain positions with, the types of businesses listed above. You are required to make this disclosure if you own or owned (either directly or indirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5% of the total assets or capital stock of one of the types of business entities listed above. You also must complete this part of the form for each of these types of businesses for which you are, or were at any time during the disclosure period, an officer, director, partner, proprietor, or agent (other than a resident agent solely for service of process).If you have or held such a position or ownership interest in one of these types of businesses, list the name of the business, its address and principal business activity, and the position held with the business (if any). If you own(ed) more than a 5% interest in the business, indicate that fact and describe the nature of your interest.PART G — TRAINING CERTIFICATION[Required by s. 112.3142, F.S.] If you are a Constitutional or elected municipal officer whose service began before March 31 of the year for which you are filing, you are required to complete four hours of ethics training which addresses Article II, Section 8 of the Florida Constitution, the Code of Ethics for Public Officers and Employees, and the public records and open meetings laws of the state. You are required to certify on this form that you have taken such training. (End of Percentage Thresholds Instructions.)NOTICE Annual Statements of Financial Interests are due July 1. If the annual form is not filed or postmarked by September 1, an automatic fine of $25 for each day late will be imposed, up to a maximum penalty of $1,500. Failure to file also can result in removal from public office or employment. [s. 112.3145, F.S.]In addition, failure to make any required disclosure constitutes grounds for and may be punished by one or more of the following: disqualification from being on the ballot, impeachment, removal or suspension from office or employment, demotion, reduction in salary, reprimand, or a civil penalty not exceeding $10,000. [s. 112.317, F.S.]1) Elected public officials not serving in a political subdivision of thestate and any person appointed to fill a vacancy in such office, unless required to file full disclosure on Form 6.2) Appointed members of each board, commission, authority, orcouncil having statewide jurisdiction, excluding members of solely advisory bodies, but including judicial nominating commission members; Directors of Enterprise Florida, Scripps Florida Funding Corporation, and Career Source Florida; and members of the Council on the Social Status of Black Men and Boys; the Executive Director, Governors, and senior managers of Citizens Property Insurance Corporation; Governors and senior managers of Florida Workers' Compensation Joint Underwriting Association; board members of the Northeast Fla. Regional Transportation Commission; board members of Triumph Gulf Coast, Inc; board members of Florida Is For Veterans, Inc.; and members of the Technology Advisory Council within the Agency for State Technology.3)The Commissioner of Education, members of the State Boardof Education, the Board of Governors, the local Boards of Trustees and Presidents of state universities, and the Florida Prepaid College Board.4) Persons elected to office in any political subdivision (such asmunicipalities, counties, and special districts) and any person appointed to fill a vacancy in such office, unless required to file Form 6.5) Appointed members of the following boards, councils,commissions, authorities, or other bodies of county, municipality, school district, independent special district, or other political subdivision: the governing body of the subdivision; community college or junior college district boards of trustees; boards having the power to enforce local code provisions; boards of adjustment; community redevelopment agencies; planning or zoning boards having the power to recommend, create, or modify land planning or zoning within a political subdivision, except for citizen advisory committees, technical coordinating committees, and similar groups who only have the power to make recommendations to planning or zoning boards, and except for representatives of a military installation acting on behalf of all military installations within that jurisdiction; pension or retirement boards empowered to invest pension or retirement funds or determine entitlement to or amount of pensions or other retirement benefits, and the Pinellas County Construction Licensing Board.6) Any appointed member of a local government board who isrequired to file a statement of financial interests by the appointing authority or the enabling legislation, ordinance, or resolution creating the board.7) Persons holding any of these positions in local government:mayor; county or city manager; chief administrative employee or finance director of a county, municipality, or other political subdivision; county or municipal attorney; chief county or municipal building inspector; county or municipal water resources coordinator; county or municipal pollution control director; county or municipal environmental control director; county or municipal administrator with power to grant or deny a land development permit; chief of police; fire chief; municipal clerk; appointed district school superintendent; community college president; district medical examiner; purchasing agent (regardless of title) having the authority to make any purchase exceeding $20,000 for the local governmental unit.8) Officers and employees of entities serving as chief administrativeofficer of a political subdivision.9) Members of governing boards of charter schools operated by acity or other public entity. 10) Employees in the office of the Governor or of a Cabinet memberwho are exempt from the Career Service System, excluding secretarial, clerical, and similar positions.11) The following positions in each state department, commission,board, or council: Secretary, Assistant or Deputy Secretary, Executive Director, Assistant or Deputy Executive Director, and anyone having the power normally conferred upon such persons, regardless of title.12) The following positions in each state department or division:Director, Assistant or Deputy Director, Bureau Chief, Assistant Bureau Chief, and any person having the power normally conferred upon such persons, regardless of title.13)Assistant State Attorneys, Assistant Public Defenders, criminalconflict and civil regional counsel, and assistant criminal conflict and civil regional counsel, Public Counsel, full-time state employees serving as counsel or assistant counsel to a state agency, administrative law judges, and hearing officers.14) The Superintendent or Director of a state mental health instituteestablished for training and research in the mental health field, or any major state institution or facility established for corrections, training, treatment, or rehabilitation.15) State agency Business Managers, Finance and AccountingDirectors, Personnel Officers, Grant Coordinators, and purchasing agents (regardless of title) with power to make a purchase exceeding $20,000.16) The following positions in legislative branch agencies: eachemployee (other than those employed in maintenance, clerical, secretarial, or similar positions and legislative assistants exempted by the presiding officer of their house); and each employee of the Commission on Ethics.INSTRUCTIONS FOR COMPLETING FORM 1:INTRODUCTORY INFORMATION (Top of Form): If your name, mailing address, public agency, and position are already printed on the form, you do not need to provide this information unless it should be changed. To change any of this information, write the correct information on the form, and contact your agency's financial disclosure coordinator. You can find your coordinator on the Commission on Ethics website: www.ethics.state.fl.us. NAME OF AGENCY: The name of the governmental unit which you serve or served, by which you are or were employed, or for which you are a candidate. OFFICE OR POSITION HELD OR SOUGHT: The title of the office or position you hold, are seeking, or held during the disclosure period even if you have since left that position. If you are a candidate for office or are a new employee or appointee, check the appropriate box.PUBLIC RECORD: The disclosure form and everything attached to it is a public record. Your Social Security Number is not required and you should redact it from any documents you file. If you are an active or former officer or employee listed in Section 119.071, F.S., whose home address is exempt from disclosure, the Commission will maintain that confidentiality if you submit a written request. DISCLOSURE PERIOD: The tax year for most individuals is the calendar year (January 1 through December 31). If that is the case for you, then your financial interests should be reported for the calendar year 2018; check that box. If you file your IRS tax return based on a tax year that is not the calendar year, you should specify the dates of your tax year in this portion of the form and check the appropriate box. This is the "disclosure period" for your report.WHO MUST FILE FORM 1:CE FORM 1 - Effective: January 1, 2019. Incorporated by reference in Rule 34-8.202, F.A.C.PAGE 6CE FORM 1 - Effective: January 1, 2019. Incorporated by reference in Rule 34-8.202, F.A.C.PAGE 3Agenda Item #2C.27 Feb 2019 Page 44 of 78 LAST NAME — FIRST NAME — MIDDLE NAME: FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2. INSTRUCTIONS on who must file this form and how to fill it out begin on page 3 of this packet. CHECK ONE OF THE FOLLOWING (see “Who Must File” on page 3): LOCAL OFFICERSTATE OFFICER SPECIFIED STATE EMPLOYEE LIST OFFICE OR POSITION HELD: ______________________________ __________________________________________________________ __ MAILING ADDRESS: CITY: ZIP: COUNTY: NAME OF REPORTING PERSON’S AGENCY: CE Form 1F Effective: January 1, 2019 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8.208(2), F.A.C. PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report, write “none” or “n/a”) NAME OF SOURCE SOURCE’S DESCRIPTION OF THE SOURCE’S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY PART B -- SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of income to businesses owned by reporting person - See instructions] (If you have nothing to report, write “none” or “n/a”) NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS’ INCOME OF SOURCE ACTIVITY OF SOURCE PART C -- REAL PROPERTY [Land, buildings owned by the reporting person - See instructions] (If you have nothing to report, write “none” or “n/a”) FORM 1F FINAL STATEMENT OF 2019 FINANCIAL INTERESTS (TO BE FILED WITHIN 60 DAYS OF LEAVING PUBLIC OFFICE OR EMPLOYMENT) ***BOTH PARTS OF THIS SECTION MUST BE COMPLETED*** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS MY FINANCIAL INTERESTS FOR THE PERIOD BETWEEN JANUARY 1, 2019 AND THE LAST DATE I HELD THE PUBLIC OFFICE OR EMPLOYMENT DESCRIBED ABOVE, WHICH DATE WAS _________________________________ , 2019. (Date must be prior to 12/31/19) MANNER OF CALCULATING REPORTABLE INTERESTS: FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (must check one): COMPARATIVE (PERCENTAGE) THRESHOLDS OR DOLLAR VALUE THRESHOLDS Agenda Item #2C. 27 Feb 2019 Page 45 of 78 PART D — INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc. - See instructions] (If you have nothing to report, write “none” or “n/a”) TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE  PART E — LIABILITIES [Major debts - See instructions] (If you have nothing to report, write “none” or “n/a”) NAME OF CREDITOR ADDRESS OF CREDITOR CE Form 1F Effective: January 1, 2019 PAGE 2 Incorporated by reference in Rule 34-8.208(2), F.A.C. PART F — INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report, write “none” or “n/a”) BUSINESS ENTITY # 1 BUSINESS ENTITY # 2 NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY I OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST FILING INSTRUCTIONS: SIGNATURE OF FILER: Signature: ____________________________________________ Date Signed: ____________________________________________ CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473, or attorney in good standing with the Florida Bar prepared this form for you, he or she must complete the following statement: I,__________________________________________, prepared the CE Form 1 in accordance with Section 112.3145, Florida Statutes, and the instructions to the form. Upon my reasonable knowledge and belief, the disclosure herein is true and correct. CPA/Attorney Signature ______________________________ Date Signed _______________________________________ WHEN TO FILE: At the end of office or employment each local officer, state officer, and specified state employee is required to file a final disclosure form (Form 1F) within 60 days of leaving office or employment, unless he or she takes another position within the 60-day period that requires filing financial disclosure on Form 1 or Form 6. WHERE TO FILE: Local officers file with the Supervisor of Elections of the county in which they permanently reside. (If you do not permanently reside in Florida, file with the Supervisor of the county where your agency has its headquarters.) Form 1 filers who file with the Supervisor of Elections may file by mail or email. Contact your Supervisor of Elections for the mailing address or email address to use. Do not email your form to the Commission on Ethics, it will be returned. State officers or specified state employees who file with the Commission on Ethics may file by mail or email. To file by mail, send the completed form to P.O. Drawer 15709, Tallahassee, FL 32317-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200, Tallahassee, FL 32303. To file with the Commission by email, scan your completed form and any attachments as a pdf (do not use any other format) and send it to CEForm1@leg.state.fl.us. Do not file by both mail and email. Choose only one filing method. To determine what category your position falls under, see the “Who Must File” Instructions on page 3. NOTE: If you are leaving office or employment during the first half of 2019, you may not have filed Form 1 for 2018. In that case, this is not the last form you will file. Form 1F covers January 1, 2019, through your last day of office or employment. You will be required to file Form 1 for 2018 by July 1, 2019, and risk being fined if you do not file Form 1 by the filing deadline, even if you have already filed the CE Form 1F. Agenda Item #2C. 27 Feb 2019 Page 46 of 78 WHO MUST FILE FORM 1F, Final Statement of Financial Interests: All persons who fall within the categories of “state officers,” “local officers,” and “specified state employees” are required to file Form 1F within 60 days of leaving that position unless they take another position within the 60-day period that requires filing either Form 1 or Form 6. Positions within these categories are listed below. Persons required to file full financial disclosure (Form 6 -- see that form for a list of persons who are required to file it) should file Form 6F rather than Form 1F as their final financial disclosure. 1) Elected public officials not serving in a political subdivision of the state and any person appointed to fill a vacancy in such office, unless required to file full disclosure on Form 6. 2) Appointed members of each board, commission, authority, or council having statewide jurisdiction, excluding members of solely advisory bodies, but including judicial nominating commission members; Directors of Enterprise Florida, Scripps Florida Funding Corporation, and Career Source Florida; and members of the Council on the Social Status of Black Men and Boys; the Executive Director, Governors, and senior managers of Citizens Property Insurance Corporation; Governors and senior managers of Florida Workers’ Compensation Joint Underwriting Association; board members of the Northeast Fla. Regional Transportation Commission; board members of Triumph Gulf Coast, Inc; board members of Florida Is For Veterans, Inc.; and members of the Technology Advisory Council within the Agency for State Technology. 3) The Commissioner of Education, members of the State Board of Education, the Board of Governors, the local Boards of Trustees and Presidents of state universities, and the Florida Prepaid College Board. 4) Persons elected to office in any political subdivision (such as municipalities, counties, and special districts) and any person appointed to fill a vacancy in such office, unless required to file Form 6. 5) Appointed members of the following boards, councils, commissions, authorities, or other bodies of county, municipality, school district, independent special district, or other political subdivision: the governing body of the subdivision; community college or junior college district boards of trustees; boards having the power to enforce local code provisions; boards of adjustment; community redevelopment agencies; planning or zoning boards having the power to recommend, create, or modify land planning or zoning within a political subdivision, except for citizen advisory committees, technical coordinating committees, and similar groups who only have the power to make recommendations to planning or zoning boards, and except for representatives of a military installation acting on behalf of all military installations within that jurisdiction; pension or retirement boards empowered to invest pension or retirement funds or determine entitlement to or amount of pensions or other retirement benefits, and the Pinellas County Construction Licensing Board. 6) Any appointed member of a local government board who is required to file a statement of financial interests by the appointing authority or the enabling legislation, ordinance, or resolution creating the board. 7) Persons holding any of these positions in local government: mayor; county or city manager; chief administrative employee or finance director of a county, municipality, or other political subdivision; county or municipal attorney; chief county or municipal building inspector; county or municipal water resources coordinator; county or municipal pollution control director; county or municipal environmental control director; county or municipal administrator with power to grant or deny a land development permit; chief of police; fire chief; municipal clerk; appointed district school superintendent; community college president; district medical examiner; purchasing agent (regardless of title) having the authority to make any purchase exceeding $20,000 for the local governmental unit. 8) Officers and employees of entities serving as chief administrative officer of a political subdivision. 9) Members of governing boards of charter schools operated by a city or other public entity. 10) Employees in the office of the Governor or of a Cabinet member who are exempt from the Career Service System, excluding secretarial, clerical, and similar positions. 11) The following positions in each state department, commission, board, or council: Secretary, Assistant or Deputy Secretary, Executive Director, Assistant or Deputy Executive Director, and anyone having the power normally conferred upon such persons, regardless of title. 12) The following positions in each state department or division: Director, Assistant or Deputy Director, Bureau Chief, Assistant Bureau Chief, and any person having the power normally conferred upon such persons, regardless of title. 13) Assistant State Attorneys, Assistant Public Defenders, criminal conflict and civil regional counsel, and assistant criminal conflict and civil regional counsel, Public Counsel, full-time state employees serving as counsel or assistant counsel to a state agency, administrative law judges, and hearing officers. 14) The Superintendent or Director of a state mental health institute established for training and research in the mental health field, or any major state institution or facility established for corrections, training, treatment, or rehabilitation. 15) State agency Business Managers, Finance and Accounting Directors, Personnel Officers, Grant Coordinators, and purchasing agents (regardless of title) with power to make a purchase exceeding $20,000. 16) The following positions in legislative branch agencies: each employee (other than those employed in maintenance, clerical, secretarial, or similar positions and legislative assistants exempted by the presiding officer of their house); and each employee of the Commission on Ethics. INSTRUCTIONS FOR COMPLETING FORM 1F: INTRODUCTORY INFORMATION (Top of Form): NAME OF AGENCY: The name of the governmental unit which you served or by which you were employed. OFFICE OR POSITION HELD OR SOUGHT: The title of the office or position you held during the disclosure period. DISCLOSURE PERIOD: This statement reflects your financial interests for the period between January 1 and the last day of your public office or employment in 2019. Please write the last day of your office or employment in this part of the form. This date should be prior to December 31, 2019. The Form 1F cannot be used to report financial interests for a period covering the entire 2019 calendar year, nor should this form be used to report your financial interests for a period beyond 2019. PUBLIC RECORD: The disclosure form and everything attached to it is a public record. Your Social Security Number is not required and you should redact it from any documents you file. If you are an active or former officer or employee listed in Section 119.071, F.S., whose home address is exempt from disclosure, the Commission will maintain that confidentiality if you submit a written request. CE Form 1F Effective: January 1, 2019 PAGE 3 Incorporated by reference in Rule 34-8.208(2), F.A.C. Agenda Item #2C. 27 Feb 2019 Page 47 of 78 PART A — PRIMARY SOURCES OF INCOME [Required by s. 112.3145(3)(b)1, F.S.] Part A is intended to require the disclosure of your principal sources of income during the disclosure period. You do not have to disclose the amount of income received, and you need not list your public salary from serving in the position(s) which requires you to file this form. The income of your spouse need not be disclosed; however, if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks), you should disclose the source of that income if it exceeded the threshold. Please list in this part of the form the name, address, and principal business activity of each source of your income which exceeded $2,500 of gross income received by you in your own name or by any other person for your use or benefit. “Gross income” means the same as it does for income tax purposes, even if the income is not actually taxable, such as interest on tax-free bonds. Examples include: compensation for services, income from business, gains from property dealings, interest, rents, dividends, pensions, IRA distributions, social security, distributive share of partnership gross income, and alimony, but not child support. Examples: — If you were employed by a company that manufactures computers and received more than $2,500, list the name of the company, its address, and its principal business activity (computer manufacturing). — If you were a partner in a law firm and your distributive share of partnership gross income exceeded $2,500, list the name of the firm, its address, and its principal business activity (practice of law). — If you were the sole proprietor of a retail gift business and your gross income from the business exceeded $2,500, list the name of the business, its address, and its principal business activity (retail gift sales). — If you received income from investments in stocks and bonds, list each individual company from which you derived more than $2,500. Do not aggregate all of your investment income. — If more than $2,500 of your gross income was gain from the sale of property (not just the selling price), list as a source of income the purchaser’s name, address, and principal business activity. If the purchaser’s identity is unknown, such as where securities listed on an exchange are sold through a brokerage firm, the source of income should be listed as “sale of (name of company) stock,” for example. — If more than $2,500 of your gross income was in the form of interest from one particular financial institution (aggregating interest from all CD’s, accounts, etc., at that institution), list the name of the institution, its address, and its principal business activity. PART B — SECONDARY SOURCES OF INCOME [Required by s. 112.3145(3)(b)2, F.S.] This part is intended to require the disclosure of major customers, clients, and other sources of income to businesses in which you own an interest. It is not for reporting income from second jobs. That kind of income should be reported in Part A “Primary Sources of Income,” if it meets the reporting threshold. You will not have anything to report unless, during the disclosure period: (1) You owned (either directly or indirectly in the form of an equitable or beneficial interest) during the disclosure period more than 5% of the total assets or capital stock of a business entity (a corporation, partnership, LLC, limited partnership, proprietorship, joint venture, trust, firm, etc., doing business in Florida); and, (2) You received more than $5,000 of your gross income during the disclosure period from that business entity. If your interests and gross income exceeded these thresholds, then for that business entity you must list every source of income to the business entity which exceeded 10% of the business entity’s gross income (computed on the basis of the business entity’s most recently completed fiscal year), the source’s address, and the source’s principal business activity. Examples: — You are the sole proprietor of a dry cleaning business, from which you received more than $5,000. If only one customer, a uniform rental company, provided more than 10% of your dry cleaning business, you must list the name of the uniform rental company, its address, and its principal business activity (uniform rentals). — You are a 20% partner in a partnership that owns a shopping mall and your partnership income exceeded the above thresholds. List each tenant of the mall that provided more than 10% of the partnership’s gross income and the tenant’s address and principal business activity. PART C — REAL PROPERTY [Required by s. 112.3145(3)(b)3, F.S.] In this part, list the location or description of all real property in Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5% of the property’s value. You are not required to list your residences. You should list any vacation homes if you derive income from them. Indirect ownership includes situations where you are a beneficiary of a trust that owns the property, as well as situations where you own more than 5% of a partnership or corporation that owns the property. The value of the property may be determined by the most recently assessed value for tax purposes, in the absence of a more current appraisal. The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property. A street address should be used, if one exists. PART D — INTANGIBLE PERSONAL PROPERTY [Required by s. 112.3145(3)(b)3, F.S.] Describe any intangible personal property that, at any time during the disclosure period, was worth more than $10,000 and state the business entity to which the property related. Intangible personal property includes things such as cash on hand, stocks, bonds, certificates of deposit, vehicle leases, interests in businesses, beneficial interests in trusts, money owed you, Deferred Retirement Option Program (DROP) accounts, the Florida Prepaid College Plan, and bank accounts. Intangible personal property also includes investment products held in IRAs, brokerage accounts, and the Florida College Investment Plan. Note that the product contained in a brokerage account, IRA, or the Florida College Investment Plan is your asset—not the account or plan itself. Things like automobiles and houses you own, jewelry, and paintings are not intangible property. Intangibles relating to the same business entity may be aggregated; for example, CDs and savings accounts with the same bank. Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100%. The value of a leased vehicle is the vehicle’s present value minus the lease residual (a number found on the lease document). As noted on the form, filers have the option of reporting based on either thresholds that are comparative (usually, based on percentage values) or thresholds that are based on absolute dollar values. The instructions on the following pages specifically describe the different thresholds. Check the box that reflects the choice you have made. You must use the type of threshold you have chosen for each part of the form. In other words, if you choose to report based on absolute dollar value thresholds, you cannot use a percentage threshold on any part of the form. MANNER OF CALCULATING REPORTABLE INTEREST IF YOU HAVE CHOSEN DOLLAR VALUE THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY CE Form 1F Effective: January 1, 2019 PAGE 4 Incorporated by reference in Rule 34-8.208(2), F.A.C. Agenda Item #2C. 27 Feb 2019 Page 48 of 78 PART E — LIABILITIES [Required by s. 112.3145(3)(b)4, F.S.] List the name and address of each creditor to whom you owed more than $10,000 at any time during the disclosure period. The amount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments. You are not required to list the amount of any debt. You do not have to disclose credit card and retail installment accounts, taxes owed (unless reduced to a judgment), indebtedness on a life insurance policy owed to the company of issuance, or contingent liabilities. A “contingent liability” is one that will become an actual liability only when one or more future events occur or fail to occur, such as where you are liable only as a guarantor, surety, or endorser on a promissory note. If you are a “co-maker” and are jointly liable or jointly and severally liable, then it is not a contingent liability. PART F — INTERESTS IN SPECIFIED BUSINESSES [Required by s. 112.3145(6), F.S.] The types of businesses covered in this disclosure include: state and federally chartered banks; state and federal savings and loan associations; cemetery companies; insurance companies; mortgage companies; credit unions; small loan companies; alcoholic beverage licensees; pari-mutuel wagering companies, utility companies, entities controlled by the Public Service Commission; and entities granted a franchise to operate by either a city or a county government. Disclose in this part of the form the fact that you owned during the disclosure period an interest in, or held any of certain positions with, the types of businesses listed above. You must to make this disclosure if you own or owned (either directly or indirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5% of the total assets or capital stock of one of the types of business entities listed above. You also must complete this part of the form for each of these types of businesses for which you are, or were at any time during the disclosure period, an officer, director, partner, proprietor, or agent (other than a resident agent solely for service of process). If you have or held such a position or ownership interest in one of these types of businesses, list the name of the business, its address and principal business activity, and the position held with the business (if any). If you own(ed) more than a 5% interest in the business, indicate that fact and describe the nature of your interest. (End of Dollar Value Thresholds Instructions.) PART A — PRIMARY SOURCES OF INCOME [Required by s. 112.3145(3)(a)1, F.S.] Part A is intended to require the disclosure of your principal sources of income during the disclosure period. You do not have to disclose the amount of income received, and you need not list your public salary received from serving in the position(s) which requires you to file this form, but this amount should be included when calculating your gross income for the disclosure period. The income of your spouse need not be disclosed; however, if there is joint income to you and your spouse from property you own jointly (such as interest or dividends from a bank account or stocks), you should include all of that income when calculating your gross income and disclose the source of that income if it exceeded the threshold. Please list in this part of the form the name, address, and principal business activity of each source of your income which exceeded 5% of the gross income received by you in your own name or by any other person for your benefit or use during the disclosure period. “Gross income” means the same as it does for income tax purposes, even if the income is not actually taxable, such as interest on tax-free bonds. Examples include: compensation for services, income from business, gains from property dealings, interest, rents, dividends, pensions, IRA distributions, social security, distributive share of partnership gross income, and alimony, but not child support. Examples: — If you were employed by a company that manufactures computers and received more than 5% of your gross income from the company, list the name of the company, its address, and its principal business activity (computer manufacturing). — If you were a partner in a law firm and your distributive share of partnership gross income exceeded 5% of your gross income, list the name of the firm, its address, and its principal business activity (practice of law). — If you were the sole proprietor of a retail gift business and your gross income from the business exceeded 5% of your total gross income, list the name of the business, its address, and its principal business activity (retail gift sales). — If you received income from investments in stocks and bonds, you list each individual company from which you derived more than 5% of your gross income. Do not aggregate all of your investment income. — If more than 5% of your gross income was gain from the sale of property (not just the selling price), list as a source of income the purchaser’s name, address, and principal business activity. If the purchaser’s identity is unknown, such as where securities listed on an exchange are sold through a brokerage firm, the source of income should be listed as “sale of (name of company) stock,” for example. — If more than 5% of your gross income was in the form of interest from one particular financial institution (aggregating interest from all CD’s, accounts, etc., at that institution), list the name of the institution, its address, and its principal business activity. PART B — SECONDARY SOURCES OF INCOME [Required by s. 112.3145(3)(a)2, F.S.] This part is intended to require the disclosure of major customers, clients, and other sources of income to businesses in which you own an interest. It is not for reporting income from second jobs. That kind of income should be reported in Part A, “Primary Sources of Income,” if it meets the reporting threshold. You will not have anything to report unless during the disclosure period: (1) You owned (either directly or indirectly in the form of an equitable or beneficial interest) more than 5% of the total assets or capital stock of a business entity (a corporation, partnership, LLC, limited partnership, proprietorship, joint venture, trust, firm, etc., doing business in Florida); and, (2) You received more than 10% of your gross income from that business entity; and, (3) You received more than $1,500 in gross income from that business entity. If your interests and gross income exceeded these thresholds, then for that business entity you must list every source of income to the business entity which exceeded 10% of the business entity’s gross income (computed on the basis of the business entity’s most recently completed fiscal year), the source’s address, and the source’s principal business activity. IF YOU HAVE CHOSEN COMPARATIVE (PERCENTAGE) THRESHOLDS THE FOLLOWING INSTRUCTIONS APPLY CE Form 1F Effective: January 1, 2019 PAGE 5 Incorporated by reference in Rule 34-8.208(2), F.A.C. Agenda Item #2C. 27 Feb 2019 Page 49 of 78 Examples: — You are the sole proprietor of a dry cleaning business, from which you received more than 10% of your gross income—an amount that was more than $1,500. If only one customer, a uniform rental company, provided more than 10% of your dry cleaning business, you must list the name of the uniform rental company, its address, and its principal business activity (uniform rentals). — You are a 20% partner in a partnership that owns a shopping mall and your partnership income exceeded the thresholds listed above. You should list each tenant of the mall that provided more than 10% of the partnership’s gross income, and the tenant’s address and principal business activity. PART C — REAL PROPERTY [Required by s. 112.3145(3)(a)3, F.S.] In this part, list the location or description of all real property in Florida in which you owned directly or indirectly at any time during the disclosure period in excess of 5% of the property’s value. You are not required to list your residences. You should list any vacation homes, if you derive income from them. Indirect ownership includes situations where you are a beneficiary of a trust that owns the property, as well as situations where you own more than 5% of a partnership or corporation that owns the property. The value of the property may be determined by the most recently assessed value for tax purposes, in the absence of a more current appraisal. The location or description of the property should be sufficient to enable anyone who looks at the form to identify the property. A street address should be used, if one exists. PART D — INTANGIBLE PERSONAL PROPERTY [Required by s. 112.3145(3)(a)3, F.S.] Describe any intangible personal property that, at any time during the disclosure period, was worth more than 10% of your total assets, and state the business entity to which the property related. Intangible personal property includes things such as cash on hand, stocks, bonds, certificates of deposit, vehicle leases, interests in businesses, beneficial interests in trusts, money owed you, Deferred Retirement Option Program (DROP) accounts, the Florida Prepaid College Plan, and bank accounts. Intangible personal property also includes investment products held in IRAs, brokerage accounts, and the Florida College Investment Plan. Note that the product contained in a brokerage account, IRA, or the Florida College Investment Plan is your asset—not the account or plan itself. Things like automobiles and houses you own, jewelry, and paintings are not intangible property. Intangibles relating to the same business entity may be aggregated; for example, CD’s and savings accounts with the same bank. Calculations: To determine whether the intangible property exceeds 10% of your total assets, total the fair market value of all of your assets (including real property, intangible property, and tangible personal property such as jewelry, furniture, etc.). When making this calculation, do not subtract any liabilities (debts) that may relate to the property. Multiply the total figure by 10% to arrive at the disclosure threshold. List only the intangibles that exceed this threshold amount. The value of a leased vehicle is the vehicle’s present value minus the lease residual (a number which can be found on the lease document). Property that is only jointly owned property should be valued according to the percentage of your joint ownership. Property owned as tenants by the entirety or as joint tenants with right of survivorship should be valued at 100%. None of your calculations or the value of the property have to be disclosed on the form. Example: You own 50% of the stock of a small corporation that is worth $100,000, the estimated fair market value of your home and other property (bank accounts, automobile, furniture, etc.) is $200,000. As your total assets are worth $250,000, you must disclose intangibles worth over $25,000. Since the value of the stock exceeds this threshold, you should list “stock” and the name of the corporation. If your accounts with a particular bank exceed $25,000, you should list “bank accounts” and bank’s name. PART E — LIABILITIES [Required by s. 112.3145(3)(b)4, F.S.] List the name and address of each creditor to whom you owed any amount that, at any time during the disclosure period, exceeded your net worth. You are not required to list the amount of any debt or your net worth. You do not have to disclose: credit card and retail installment accounts, taxes owed (unless reduced to a judgment), indebtedness on a life insurance policy owed to the company of issuance, or contingent liabilities. A “contingent liability” is one that will become an actual liability only when one or more future events occur or fail to occur, such as where you are liable only as a guarantor, surety, or endorser on a promissory note. If you are a “co-maker” and are jointly liable or jointly and severally liable, it is not a contingent liability. Calculations: To determine whether the debt exceeds your net worth, total all of your liabilities (including promissory notes, mortgages, credit card debts, judgments against you, etc.). The amount of the liability of a vehicle lease is the sum of any past-due payments and all unpaid prospective lease payments. Subtract the sum total of your liabilities from the value of all your assets as calculated above for Part D. This is your “net worth.” List each creditor to whom your debt exceeded this amount unless it is one of the types of indebtedness listed in the paragraph above (credit card and retail installment accounts, etc.). Joint liabilities with others for which you are “jointly and severally liable,” meaning that you may be liable for either your part or the whole of the obligation, should be included in your calculations at 100% of the amount owed. Example: You owe $15,000 to a bank for student loans, $5,000 for credit card debts, and $60,000 (with spouse) to a savings and loan for a home mortgage. Your home (owned by you and your spouse) is worth $80,000 and your other property is worth $20,000. Since your net worth is $20,000 ($100,000 minus $80,000), you must report only the name and address of the savings and loan. PART F — INTERESTS IN SPECIFIED BUSINESSES [Required by s. 112.3145, F.S.] The types of businesses covered in this disclosure include: state and federally chartered banks; state and federal savings and loan associations; cemetery companies; insurance companies; mortgage companies; credit unions; small loan companies; alcoholic beverage licensees; pari-mutuel wagering companies, utility companies, entities controlled by the Public Service Commission; and entities granted a franchise to operate by either a city or a county government. Disclose in this part the fact that you owned during the disclosure period an interest in, or held any of certain positions with, the types of businesses listed above. You must make this disclosure if you own or owned (either directly or indirectly in the form of an equitable or beneficial interest) at any time during the disclosure period more than 5% of the total assets or capital stock of one of the types of business entities listed above. You also must complete this part of the form for each of these types of businesses for which you are, or were at any time during the disclosure period, an officer, director, partner, proprietor, or agent (other than a resident agent solely for service of process). If you have or held such a position or ownership interest in one of these types of businesses, list the name of the business, its address and principal business activity, and the position held with the business (if any). If you own(ed) more than a 5% interest in the business, indicate that fact and describe the nature of your interest. (End of Percentage Thresholds Instructions.) CE Form 1F Effective: January 1, 2019 PAGE 6 Incorporated by reference in Rule 34-8.208(2), F.A.C. Agenda Item #2C. 27 Feb 2019 Page 50 of 78 FORM 8B MEMORANDUM OF VOTING CONFLICT FOR COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS CE FORM 8B - EFF. 11/2013 PAGE 1 Adopted by reference in Rule 34-7.010(1)(f), F.A.C. LAST NAME—FIRST NAME—MIDDLE NAME MAILING ADDRESS CITY COUNTY DATE ON WHICH VOTE OCCURRED NAME OF BOARD, COUNCIL, COMMISSION, AUTHORITY, OR COMMITTEE THE BOARD, COUNCIL, COMMISSION, AUTHORITY OR COMMITTEE ON WHICH I SERVE IS A UNIT OF: ‰ CITY ‰ COUNTY ‰ OTHER LOCAL AGENCY NAME OF POLITICAL SUBDIVISION: MY POSITION IS: ‰ ELECTIVE ‰ 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 to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes. Your responsibilities under the law when faced with voting on 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 and filing the form. INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES A person holding elective or appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which would inure to his or her special private gain or loss. Each elected or appointed local officer also MUST ABSTAIN from knowingly voting on a measure which would inure to the special gain or loss of a principal (other than a government agency) by whom he or she is retained (including the parent, subsidiary, or sibling organization of a principal by which he or she is retained); to the special private gain or loss of a relative; or to the special private gain or loss of a business associate. Commissioners of community redevelopment agencies (CRAs) under Sec. 163.356 or 163.357, F.S., and officers of independent special tax districts elected on a one-acre, one-vote basis are not prohibited from voting in that capacity. For purposes of this law, a “relative” includes only the officer’s father, mother, son, daughter, husband, wife, brother, sister, father-in-law, 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 enterprise with the officer as a partner, joint venturer, coowner of property, or corporate shareholder (where the shares of the corporation are not listed on any national or regional stock exchange). * * * * * * * * * * * * * * * * ELECTED OFFICERS: In addition to abstaining from voting in the situations described above, you must 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: Although you must abstain from voting in the situations described above, you are not prohibited by Section 112.3143 from otherwise participating in these matters. However, you must disclose the nature of the conflict before making any attempt to influence the decision, whether orally or in writing and whether made by you or at your direction. IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE TAKEN: • You must 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. (Continued on page 2) Agenda Item #2C. 27 Feb 2019 Page 51 of 78 CE FORM 8B - EFF. 11/2013 PAGE 2 Adopted by reference in Rule 34-7.010(1)(f), F.A.C. DISCLOSURE OF LOCAL OFFICER'S INTEREST I, _________________________________________, hereby disclose that on ______________________________________, 20 ____ : (a) A measure came or will come before my agency which (check one or more) ___ inured to my special private gain or loss; ___ inured to the special gain or loss of my business associate, _______________________________________________________ ; ___ inured to the special gain or loss of my relative,_________________________________________________________________ ; ___ inured to the special gain or loss of ________________________________________________________________________ , by whom I am retained; or ___ inured to the special gain or loss of _____________________________________________________________________ , which is the parent subsidiary, or sibling organization or subsidiary of a principal which has retained me. (b) The measure before my agency and the nature of my conflicting interest in the measure is as follows: If disclosure of specific information would violate confidentiality or privilege pursuant to law or rules governing attorneys, a public officer, who is also an attorney, may comply with the disclosure requirements of this section by disclosing the nature of the interest in such a way as to provide the public with notice of the conflict. ___________________________________________________ _______________________________________________ Date Filed Signature NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317, 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 $10,000. APPOINTED OFFICERS (continued) • A copy of the form must be provided immediately to the other members of the agency. • The form must be read publicly at the next meeting after the form is filed. IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING: • You must disclose orally the nature of your conflict in the measure before participating. • You must 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 must incorporate the form in the minutes. A copy of the form must be provided immediately to the other members of the agency, and the form must be read publicly at the next meeting after the form is filed. Agenda Item #2C. 27 Feb 2019 Page 52 of 78 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME -- FIRST NAME -- MIDDLE NAME: NAME OF AGENCY: MAILING ADDRESS: OFFICE OR POSITION HELD: CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE): YEAR MARCH JUNE SEPTEMBER  DECEMBER 20___ Please list below each gift, the value of which you believe to exceed $100, accepted by you during the calendar quarter for which this statement is being fi led. You are required to describe the gift and state the monetary value of the gift, the name and address of the person making the gift, and the date(s) the gift was received. If any of these facts, other than the gift description, are unknown or not applicable, you should so state on the form. As explained more fully in the instructions on the reverse side of the form, you are not required to disclose gifts from relatives or certain other gifts. You are not required to fi le this statement for any calendar quarter during which you did not receive a reportable gift. DATE RECEIVED DESCRIPTION OF GIFT MONETARY VALUE NAME OF PERSON MAKING THE GIFT ADDRESS OF PERSON MAKING THE GIFT CHECK HERE IF CONTINUED ON SEPARATE SHEET If any receipt for a gift listed above was provided to you by the person making the gift, you are required to attach a copy of that receipt to this form. You may attach an explanation of any differences between the information disclosed on this form and the information on the receipt. CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM I, the person whose name appears at the beginning of this form, do depose on oath or affi rmation and say that the information disclosed herein and on any attachments made by me constitutes a true accurate, and total listing of all gifts required to be reported by Section 112.3148, Florida Statutes. _________________________________________ SIGNATURE OF REPORTING OFFICIAL STATE OF FLORIDA COUNTY OF _______________________________ Sworn to (or affi rmed) and subscribed before me this _______________ day of ______________________, 20____________ by _______________________________________________________ __________________________________________________________ (Signature of Notary Public-State of Florida) __________________________________________________________ (Print, Type, or Stamp Commissioned Name of Notary Public) Personally Known _______ OR Produced Identifi cation Type of Identifi cation Produced _________________________________ PART A –– STATEMENT OF GIFTS PART B –– RECEIPT PROVIDED BY PERSON MAKING THE GIFT PART C –– OATH PART D –– FILING INSTRUCTIONS Form 9 CE FORM 9 - EFF. 1/2007 (Refer to Rule 34-7.010(1)(g), F.A.C.)(Rev. 6/2016) (See reverse side for instructions)  This form, when duly signed and notarized, must be fi led with the Commission on Ethics, P.O. Drawer 15709, Tallahassee, Florida 32317-5709; physi- cal address: 325 John Knox Road, Building E, Suite 200, Tallahassee, Florida 32303. The form must be fi led no later than the last day of the calendar quarter that follows the calendar quarter for which this form is fi led (For example, if a gift is received in March, it should be disclosed by June 30.) Agenda Item #2C. 27 Feb 2019 Page 53 of 78 flowers, or floral arrangements; services provided by persons pursuant to a professional license or certificate; other personal services for which a fee is normally charged by the person providing the services; and any other similar service or thing having an attributable value and not already described. • The following are NOT reportable as gifts on this form: salary, benefits, services, fees, commissions, gifts, or expenses associated primarily with your employment, business, or service as an officer or director of a corporation or organization; contributions or expenditures reported pursuant to the election laws, campaign-related personal services provided without compensation by individuals volunteering their time, or any other contribution or expenditure by a political party; an honorarium or an expense related to an honorarium event paid to you or your spouse; an award, plaque, certificate, or similar personalized item given in recognition of your public, civic, charitable, or professional service; an honorary membership in a service or fraternal organization presented merely as a courtesy by such organization; the use of a governmental agency’s public facility or public property for a public purpose. Also exempted are some gifts from state, regional, and national organizations that promote the exchange of ideas between, or the professional development of, governmental officials or employees. HOW DO I DETERMINE THE VALUE OF A GIFT? • The value of a gift provided to you is determined using the actual cost to the donor, and, with respect to personal services provided by the donor, the reasonable and customary charge regularly charged for such service in the community in which the service is provided. Taxes and gratuities are not included in valuing a gift. If additional expenses are required as a condition precedent to the donor’s eligibility to purchase or provide a gift and the expenses are primarily for the benefit of the donor or are of a charitable nature, the expenses are not included in determining the value of the gift. • Compensation provided by you to the donor within 90 days of receiving the gift shall be deducted from the value of the gift in determining the value of the gift. • If the actual gift value attributable to individual participants at an event cannot be determined, the total costs should be prorated among all invited persons. A gift given to several persons may be attributed among all of them on a pro rata basis. Food, beverages, entertainment, etc., provided at a function for more than ten people should be valued by dividing the total costs by the number of persons invited, unless the items are purchased on a per-person basis, in which case the per-person cost should be used. • Transportation should be valued on a round-trip basis unless only one- way transportation is provided. Round-trip transportation expenses should be considered a single gift. Transportation provided in a private conveyance should be given the same value as transportation provided in a comparable commercial conveyance. • Lodging provided on consecutive days should be considered a single gift. Lodging in a private residence should be valued at $44 per night. • Food and beverages consumed at a single sitting or event are a single gift valued for that sitting or meal. Other food and beverages provided on a calendar day are considered a single gift, with the total value of all food and beverages provided on that date being the value of the gift. • Membership dues paid to the same organization during any 12-month period are considered a single gift. • Entrance fees, admission fees, or tickets are valued on the face value of the ticket or fee, or on a daily or per event basis, whichever is greater. If an admission ticket is given by a charitable organization, its value does not include the portion of the cost that represents a contribution to that charity. • Except as otherwise provided, a gift should be valued on a per occurrence basis. FOR MORE INFORMATION The gift disclosures made on this form are required by Sec. 112.3148, Florida Statutes. Questions may be addressed to the Commission on Ethics, P.O. Drawer 15709, Tallahassee, Florida 32317-5709 or by calling (850) 488-7864; information is provided at: www.ethics.state.fl.us. WHO MUST FILE THIS FORM? • Any individual, including a candidate upon qualifying, who is required by law to file full and public disclosure of his financial interests on Commission on Ethics Form 6, except Judges. (See Form 6 for a list of persons required to file that form.) • Any individual, including a candidate upon qualifying, who is required by law to file a statement of financial interests on Commission on Ethics Form 1. (See Form 1 for a list of persons required to file that form.) • Any procurement employee of the executive branch or judicial branch of state government. This includes any employee of an officer, department, board, commission, council, or agency of the executive branch or judicial branch of state government who has participated in the preceding 12 months through decision, approval, disapproval, recommendation, preparation of any part of a purchase request, influencing the content of any specification or procurement standard, rendering of advice, investigation, or auditing or in any other advisory capacity in the procurement of contractual services or commodities as defined in s. 287.012, F.S., if the cost of such services or commodities exceeds or is expected to exceed $10,000 in any fiscal year. NOTE: Gifts that formerly were allowed under Section 112.3148, F.S., now may be prohibited under Sections 11.045, 112.3215, and 112.31485, F.S. WHAT GIFTS ARE REPORTABLE? • Any gift (as defined below) you received which you believe to be in excess of $100 in value, EXCEPT: 1) Gifts from the following RELATIVES: father, mother, son, daughter, brother, sister, uncle, aunt, first cousin, nephew, niece, husband, wife, father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in- law, sister-in-law, stepfather, stepmother, stepson, stepdaughter, stepbrother, stepsister, half brother, half sister, grandparent, great grandparent, grandchild, great grandchild, step grandparent, step great grandparent, step grandchild, step great grandchild, a person who is engaged to be married to you or who otherwise holds himself or herself out as or is generally known as the person whom you intend to marry or with whom you intend to form a household, or any other natural person having the same legal residence as you. 2) Gifts which you are prohibited from accepting by Sections 112.313(4) and 112.3148(4), Florida Statutes. These include any gift which you know or, with the exercise of reasonable care, should know was given to influence a vote or other action in which you are expected to participate in your official capacity; it also includes a gift worth over $100 from a vendor doing business with your agency, a political committee under the elections law, from a lobbyist who lobbies your agency or who lobbied your agency within the past 12 months, or from a partner, firm, employer, or principal of such a lobbyist. 3) Gifts worth over $100 for which there is a public purpose, given to you by an entity of the legislative or judicial branch, a department or commission of the executive branch, a water management district created pursuant to s. 373.069, South Florida Regional Transportation Authority, a county, a municipality, an airport authority, or a school board; or a gift worth over $100 given to you by a direct- support organization specifically authorized by law to support the governmental agency of which you are an officer or employee. These gifts must be disclosed on Form 10. • A “gift” is defined to mean that which is accepted by you or by another in your behalf, or that which is paid or given to another for or on behalf of you, directly, indirectly, or in trust for your benefit or by any other means, for which equal or greater consideration is not given within 90 days after receipt of the gift. A “gift” includes real property; the use of real property; tangible or intangible personal property; the use of tangible or intangible personal property; a preferential rate or terms on a debt, loan, goods, or services, which rate is below the customary rate and is not either a government rate available to all other similarly situated government employees or officials or a rate which is available to similarly situated members of the public by virtue of occupation, affiliation, age, religion, sex, or national origin; forgiveness of an indebtedness; transportation (unless provided to you by an agency in relation to officially approved governmental business), lodging, or parking; food or beverage; membership dues; entrance fees, admission fees or tickets to events, performances, or facilities; plants, PART E –– INSTRUCTIONS CE FORM 9 - EFF. 1/2007 (Refer to Rule 34-7.010(1)(g), F.A.C.)(Rev. 6/2016) Agenda Item #2C. 27 Feb 2019 Page 54 of 78 Atlantic Beach Volunteer Board/Committee Members Professional Development 2019 Agenda Item #2D.27 Feb 2019Page 55 of 78 Citizen Involvement “All of us are smarter than one of us.” •Community Development Board •Environmental Stewardship •Cultural Arts and Recreation •Pension Boards •Board Member Review •Police volunteers •Ad hoc-Parking Agenda Item #2D.27 Feb 2019Page 56 of 78 Membership Generally- •3 year term, may serve nine years. Terms usually end on 31 December •Faithful attendance, inform Committee Chair of an absence. Three unexcused absences in a row triggers suspension. •If you must resign midterm, inform your chairman and the city clerk in writing. Agenda Item #2D.27 Feb 2019Page 57 of 78 Member’s Duties •Attend annual briefing on Code of Ethics, Sunshine Law, Gift reporting, Public Records Law. •Disclose ex parte communications. Recuse yourself in case of conflict of interest. •Be familiar with the documents related to your particular board. •Coordinate with staff liaison to submit agenda items. •Base decisions on the Code, facts, and what is best for all neighborhoods and the City as a whole.Agenda Item #2D.27 Feb 2019Page 58 of 78 Obligations… •Some of your personal information will be public, for example your board/committee application, financial reporting, email, phone number, etc. •File Form 1-Statement of Financial Interests (CDB and Pension Board members). •File Form 9-Quarterly Gift Disclosure-(Gifts over $100)(CDB, both Pension Boards-as applicable). •File Form 8B-Memorandum of Voting Conflict for County, Municipal, and Other Local Public Officers Agenda Item #2D.27 Feb 2019Page 59 of 78 …Obligations •Complete annual Ethics and Sunshine Law Law training. •Observe Sunshine and Public Records Laws in matters likely to come before the Board/Committee, including social media posts/comments or chance meetings in Publix.Agenda Item #2D.27 Feb 2019Page 60 of 78 Effective Meetings •Be prepared. Review the agenda and read the minutes before the meeting. •Conduct research as needed and contact staff with questions prior to the meeting •Follow the agenda. •Speak clearly into the microphone for the streaming audience. •Every member should have a chance to speak on every topic. •Observe Robert’s Rules of Order.Agenda Item #2D.27 Feb 2019Page 61 of 78 Duties of the Chair… •Quorum = majority of members •Coordinate with staff liaison to set the agenda for the meeting. •Keep records of attendance. •Inform the City Clerk of vacancies. •Encourage members to make decision based on Code and the facts, also what is best for the neighborhoods and the City as a whole.Agenda Item #2D.27 Feb 2019Page 62 of 78 …Duties of the Chair •Present committee reports to Commission when scheduled. •Invite public comment prior to a vote. •Comply with: •Robert’s Rules •Sunshine Law •Public Records Law •Ethics Law Agenda Item #2D.27 Feb 2019Page 63 of 78 Relationship with City staff •The City Clerk maintains official minutes, tracks board/committee applications, membership and vacancies, and coordinates with State and/or appropriate board members about filing Form 1 and Form 1F. •The City Manager controls schedules and projects. •No board/committee meetings on the weekend. •Boards/Committees may not task any employee. Agenda Item #2D.27 Feb 2019Page 64 of 78 City staff assignments Each board/committee is supported by a staff liaison for tasks such as: notice meetings, reserve/ set up meeting rooms, prepare agendas and materials for the meeting, audio/video recording, and taking minutes. –City Clerk: Commission, Code Enforcement, Parking, Board Member Review –Planning Director: ESC and Community Development –Director of Cultural Arts and Special Events: Cultural Arts and Recreation Advisory Committee –Finance Director: General and Police Pension Boards Agenda Item #2D.27 Feb 2019Page 65 of 78 City Manager Planning Director Finance City Engineer Public Utilities Public Works City Clerk Pubic Safety Deputy City Mgr Code Enf Cultural Arts and Special Events Comm Devel Police Pension Board City Attorney Cult Arts Rec Committee ESC General Pension Board Trees Bd Mbr Review Code Enf/ Magistrate Agenda Item #2D.27 Feb 2019Page 66 of 78 Robert’s Rules of Order for small boards Agenda Item #2E.27 Feb 2019Page 67 of 78 Board Selection Process •Submit an application, describe your skills. Applications remain on file 2 years. •3 year terms end on 31 December. May serve 3 terms. •Board Member Review Committee interviews candidates when a vacancy occurs. They try to match candidate qualifications with Board mission and job description •Paperwork and training in Nov/Dec in preparation for 1 Jan appointment Agenda Item #2E.27 Feb 2019Page 68 of 78 Purposes of Parliamentary Procedure •Gives every member a chance to be heard. •Allows everyone to participate. •Establish and maintain order in a meeting. •Prevents confusion when discussing meeting’s agenda. •Keeps meeting moving. •Discuss one subject at a time. •Allow full and free discussion of each idea presented. •Treat all members with justice and courtesy. •Carry out the rule of the majority, and respect the rights of the minority. •Bring together the wishes of all group members to form a cooperating, united organization.Agenda Item #2E.27 Feb 2019Page 69 of 78 Role of Members •Come prepared, having read minutes and packet. •Follow parliamentary procedures –Obtain permission to speak •Stick to the agenda •Respect the view of others •Vote based on Code, the facts, the good of the city as a whole.Agenda Item #2E.27 Feb 2019Page 70 of 78 Role of the Chair •Moderator •Judge •Grant the floor to speakers •Enforce order and decorum •Debates last, votes last Agenda Item #2E.27 Feb 2019Page 71 of 78 Agendas •Lays out order of business and items to be considered. Set format. •Prepared days in advance. Sent to committee members and notifications made to the Public. •For COAB boards, agendas coordinated and published by staff liaison.Agenda Item #2E.27 Feb 2019Page 72 of 78 Making motions •The member making the motion should be the first to speak •A member may not speak against their own motion.Agenda Item #2E.27 Feb 2019Page 73 of 78 Amending Motions “I move we amend the motion by striking out or inserting _________” “Second” (If no second, the motion fails) •The chair restates the amendment. •Discussion ensues. •The chair calls for a vote ON THE AMENDMENT ONLY. Return to discussion of the ORIGINAL MOTION as amended.Agenda Item #2E.27 Feb 2019Page 74 of 78 Motion Fails •Tie vote: motion fails •Lack of a second: motion fails •Motion to postpone/defer: motion dies this session Agenda Item #2E.27 Feb 2019Page 75 of 78 2/3 Votes Required •Unless specified by founding documents, most votes pass on a simple majority •Some Robert’s Rules situations require 2/3 vote –Modify an adopted rule or the Agenda –Modify the extent of debate –Amend or rescind something already adopted Agenda Item #2E.27 Feb 2019Page 76 of 78 Permitted Interruptions •Point of personal privilege –Comfort, safety, amplification, visuals •Point of Order –Are correct assembly rules being followed? •Request for Information –From current speaker •Point of Parliamentary Inquiry –City Attorney and City Clerk COAB Parliamentarians Agenda Item #2E.27 Feb 2019Page 77 of 78 How to discontinue Consideration Lay on the Table a motion on the floor Temporary,in face of immediate urgency No set time to resume Will of the majority No debate May be taken off the table later Postpone to a Certain time To a day, meeting, or event Automatically added to that agenda Limited debate on propriety of motion Postpone Indefinitely Kills item for the session. Must be moved again in a different meeting Agenda Item #2E.27 Feb 2019Page 78 of 78