Item D10 D10
BOARD OF COUNTY COMMISSIONERS
COUNTY of MONROE �� i Mayor Holly Merrill Raschein,District 5
The Florida Keys Mayor Pro Tern James K.Scholl,District 3
Craig Cates,District 1
Michelle Lincoln,District 2
' David Rice,District 4
Board of County Commissioners Meeting
January 31, 2024
Agenda Item Number: D10
2023-1971
BULK ITEM: Yes DEPARTMENT: Tourist Development Council
TIME APPROXIMATE: STAFF CONTACT: Christine Limbert
No.
AGENDA ITEM WORDING: Approval of waivers of standard of conduct provisions of F.S.
112.313 (3) and(7), as allowed under F.S. 112.313 (12) for advisory board members appointed by the
Board of County Commissioners (BOCC). The waivers are for District Advisory Committees (DAC)
members, Chris Fogarty &Audra Hill Wallace and Tourist Development Council(TDC) member Rita
Irwin.
ITEM BACKGROUND:
In accordance with F.S. 112.313(12), as the appointing body, the BOCC may waive potential conflicts
under F.S. 112.313(3) and(7) for advisory board members. DAC members that are appointed by the
TDC may likewise seek waivers of conduct from the TDC.
The Florida Commission on Ethics has created Form 4A- Disclosure of Business Transaction,
Relationship or Interest, which is completed and attached for each member and is allowed to be
approved by the appointing body, which is for these members is the BOCC. Form 4A only needs to be
completed once for the disclosing business transaction, relationship or interest. The advisory board
members currently abstain from voting on such matters and will continue to abstain from voting on
such matters even with waivers granted by the BOCC. Waivers for advisory board members are sought
for the following potential conflicts:
Chris Fogarty, At Large Representative DAC I, contracts with the Key West Women's Club for
construction services and the Key West Women's Club is periodically awarded TDC funding for capital
projects and enters into grant agreements with the County for capital projects.
Audra Hill Wallace, At Large Representative DAC V, contracts or is retained by Dolphins Plus for
Certified Public Accounting (CPA) services and Dolphins Plus is periodically awarded TDC funding for
capital projects and enters into grants agreements with the County for capital projects.
Rita Irwin, Tourist Related TDC Representative, is an employee of Dolphin Research Center(DRC)
and DRC is periodically awarded TDC funding for capital projects and enters into grant agreements
with the County for capital projects.
The Board at its June 15, 2011 meeting approved a request from Harold Wheeler, the former TDC
director, to deny any request for waivers of conflict of interest by TDC Board Members or Advisory
Committee Members. It is recommended that Board approve the waivers as requested and allow for
1156
waivers to be handled on a case by case basis.
PREVIOUS RELEVANT BOCC ACTION:
The advisory board members were previously appointed by the BOCC.
The Board at its June 15, 2011, approved a request to deny any request for waivers of conflict of
interest by TDC Board Members or Advisory Board Members.
INSURANCE REQUIRED:
No
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval.
DOCUMENTATION:
For 4A Disclosure of Business Transaction, Relationship, or Interest- Rita Irwin.pdf
Form 4A Disclosure of Business Transaction, Relationship or Interest Charlotte Quinn.pdf
Form 4A Disclosure of Business Transaction Relationship or Interest Hill Wallace.pdf
Form 4A Disclosure of Business Transaction Relationship or Interest Fogarty (1).pdf
FINANCIAL IMPACT:
N/A
1157
FORM 4A DISCLOSURE OF BUSINESS TRANSACTION, RELATIONSHIP OR INTEREST
LAST NAME-FIRST NAME-MIDDLE INITIAL OFFICE/POSITION HELD
Irwin Rita Chair/Tourist Related Industry
�..,. ..........__ --
MAILING ADDRESS AGENCY OR ADVISORY BOARD
58901 Overseas Highway Tourist Development Council
CITY ZIP COUNTY ADDRESS OF AGENCY
Grassy Key 33050 Monroe 1201 White Street, Suite 102, Key West,FL 33040
HOW TO COMPLETE AND FILE THIS FORM:
Parts A and B of this form serve two different purposes. Part A is for advisory board members who wish to use an exemption in the
ethics laws that is applicable only to advisory board members. Part B is for public officers and employees who wish to use a sepa-
rate exemption that is applicable when the business entity involved is the sole source of supply within the political subdivision. In
order to complete and file this form:
Fill out Part A or Part B, as applicable.
Sign and date the form on the reverse side.
File Part A with the appointing body or person that will be waiving the restrictions of 112.313(3)or(7), Fla.Stat.,
prior to the waiver.
e File Part B with the governing body of the political subdivision in which the reporting person is serving, prior to the
transaction.
PART A- DISCLOSURE OF TRANSACTION OR RELATIONSHIP CONCERNING ADVISORY BOARD MEMBER
WHO MUST COMPLETE THIS PART:
Sections 112.313(3)and 112.313(7), Florida Statutes, prohibit certain business relationships on the part of public officers
and employees, including persons serving on advisory boards. See Part III, Chapter 112, Florida Statutes, and/or the
brochure entitled"A Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees"for more
details on these prohibitions. However, Section 112.313(12), Florida Statutes, permits the appointing official or body to
waive these requirements in a particular instance provided: (a)waiver by the appointing body must be upon a two-thirds
affirmative vote of that body; or(b)waiver by the appointing person must be effected after a public hearing; and (c)in either
case the advisory board member must fully disclose the transaction or relationship which would otherwise be prohibited by
Subsections (3)of(7)of Section 112.313, Florida Statutes. This Part of Form 4A has been prescribed by the Commission
on Ethics for such disclosure,if and when applicable to an advisory board member.
PLEASE COMPLETE THE FOLLOWING:
1. The partnership, directorship, proprietorship, ownership of a material interest, position of officer, employment, or contractual
relationship which would otherwise violate Subsection (3)or(7)of Section 112.313, Florida Statutes, is held by[please
check applicable space(s)]:
(N The reporting person;
( ) The spouse of the reporting person,whose name is m .� ,...— or
( ) A child of the reporting person,whose name is „y„
2. The particular transaction or relationship for which this waiver is sought involves [check applicable space]:
( g y,9 projects Dolphins Research Center.
Supplyingthe following realty, nods, and/or services: Grant Agreements for capital ro'ects with �
( ) Regulation of the business entity by the governmental agency served by the advisory board member.
3. The following business entity is doing business with or regulated by the governmental agency:
Dolphins Research Center,Inc.
4. The relationship of the undersigned advisory board member, or spouse or child of the advisory board member,to the busi-
ness entity transacting this business is[check applicable spaces]:
( )Officer; ( )Partner; ( )Associate; ( )Sole proprietor; ( )Stockholder; ( ) Director; ( )Owner of in excess of 5% of
the assets of capital stock in such business entity; ( )0 Employee; ( ) Contractual relationship with the business entity;
( )Other, please describe:
..........
�...
CE FORM 4A--REV.1.98 [CONTINUED ON REVERSE SIDE]
1158
PART IB .- DISCLOSURE OF INTEREST IN SOLE SOURCE OF SUPPLY
.................
��-U, S-T"........C OMPILETETHIS PART:
Sections 112..313(3)and 112.,313(7), Florida Statutes, prolNbit certain employment and busiiness relationships oin the part ofpub.-
ft officers and eirnployees. See Part Ill, Chapter 112, Morida Statutes, and/or the brochure entitled"A Guide to the Sunshine
Arneindirnent and Code of Etlhucs for Public Officers and Emplloyees"for more details on these piroNbifions.. IHowever, Section
112.313(12)(e), Rodda Statutes, provides an exemption frorn the above-mentioned restrictions iin the event that the business
entity involved is the only source of supply within the poflticall sulbdMsion of the officer or employee, M such cases the officer's
or employee's interest in the Ibusiness entity must be fully diisclosed to the governing body of the political subdivision.. 'TINS Part
of Form 4A has (been prescribed by the Coirnrnissloin an Ethics for such ftclosuire, if and when applicable.
PLEASE COMPILETETHE FOILILOWlNG:
1. The partnership, directorship, proprietorship, ownership of a rnaterlM interest, position of officer, employment, oircontractuW
relationship whlch woWd otherwise violate Subsection (3)or(7)of Section 112313, Roidda Statutes, is held by [(please
checlk applicable sjpace(s)].
The reporting person;
The spouse of the reporting person,whose name is—---—---—.......................... .................. or
Achild of the reporting person,whose name is ............................................
2. The following are the goods, realty, or services being supplHed by a busiiness entity with which the public officer or employee,
or spouse or chiilld of such officer or employee, is involved is:
3. The business entity which is the only source of supply of the goods, reallty, or services within the political subdMsioin iis:
...........
(INAME OF EINTITY) (ADDRESS OF ENTITY)
4, The relationship of the undersigned public officer or eirn&yee, or spouse or child of such officer or employee, to the busii.-
ness entity named in Itern 3 above is [dheclk applicable sjpacesl�
Officer; Partner; Associate; Sole piroprietori Stockholder; Director; Owner of iin excess of 5%of
the assets or capital stock in such business entity; Employee; Cointiractuall relationship with the business entity;
Other, please describe�
... .........
SIGNATURE
..................
SIGNATURE DATE SIGNED DATE FILED
2,
.................................. ..................... ...... —-——----—-—--------------—
..............................................
INOTICE: UNDER PROVISIONS OF FLORIDA STATUTES s.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.
— —------"-----CE FORM 4A--REV.1.98 [CONTINUED FROM FIRST SIDE]
1159
FORM 4A DISCLOSURE OF BUSINESS TRANSACTION, RELATIONSHIP OR INTEREST
LAST NAME-FIRST NAME-MIDDLE INITIAL OFFICE/POSITION HELD
Quinn, Charlotte F. Member-Tourist Related Business Representative
MAILING ADDRESS AGENCY OR ADVISORY BOARD
5550 Overseas Hwy. District Advisory Committee- DAC III
CITY ZIP COUNTY ADDRESS OF AGENCY
Marathon 33050 Monroe 1201 White Street, Suite 102 Key West, FL 33040
HOW TO COMPLETE AND FILE THIS FORM:
Parts A and B of this form serve two different purposes. Part A is for advisory board members who wish to use an exemption in the
ethics laws that is applicable only to advisory board members. Part B is for public officers and employees who wish to use a sepa-
rate exemption that is applicable when the business entity involved is the sole source of supply within the political subdivision. In
order to complete and file this form:
• Fill out Part A or Part B, as applicable.
• Sign and date the form on the reverse side.
• File Part A with the appointing body or person that will be waiving the restrictions of 112.313(3)or(7), Fla. Stat.,
prior to the waiver.
• File Part B with the governing body of the political subdivision in which the reporting person is serving, prior to the
transaction.
PART A - DISCLOSURE OF TRANSACTION OR RELATIONSHIP CONCERNING ADVISORY BOARD MEMBER
WHO MUST COMPLETE THIS PART:
Sections 112.313(3)and 112.313(7), Florida Statutes, prohibit certain business relationships on the part of public officers
and employees, including persons serving on advisory boards. See Part III, Chapter 112, Florida Statutes, and/or the
brochure entitled "A Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees"for more
details on these prohibitions. However, Section 112.313(12), Florida Statutes, permits the appointing official or body to
waive these requirements in a particular instance provided: (a)waiver by the appointing body must be upon a two-thirds
affirmative vote of that body; or(b)waiver by the appointing person must be effected after a public hearing; and (c) in either
case the advisory board member must fully disclose the transaction or relationship which would otherwise be prohibited by
Subsections(3)of(7)of Section 112.313, Florida Statutes. This Part of Form 4A has been prescribed by the Commission
on Ethics for such disclosure,if and when applicable to an advisory board member.
PLEASE COMPLETE THE FOLLOWING:
1. The partnership, directorship, proprietorship, ownership of a material interest, position of officer, employment, or contractual
relationship which would otherwise violate Subsection (3)or(7)of Section 112.313, Florida Statutes, is held by [please
check applicable space(s)]:
(Y� The reporting person;
( ) The spouse of the reporting person, whose name is ; or
( ) A child of the reporting person, whose name is
2. The particular transaction or relationship for which this waiver is sought involves [check applicable space]:
(YQ Supplying the following realty, goods, and/or services: Grant Agreeement for Capital Projects
( ) Regulation of the business entity by the governmental agency served by the advisory board member.
3. The following business entity is doing business with or regulated by the governmental agency:
Florida Key Land&Sea Trust,Inc.
4. The relationship of the undersigned advisory board member, or spouse or child of the advisory board member, to the busi-
ness entity transacting this business is [check applicable spaces]:
( ) Officer; ( ) Partner; ( )Associate; ( ) Sole proprietor; ( ) Stockholder; ( ) Director; ( ) Owner of in excess of 5%of
the assets of capital stock in such business entity; (X) Employee; ( ) Contractual relationship with the business entity;
( )Other, please describe:
CE FORM 4A--REV.1-98 [CONTINUED ON REVERSE SIC 1160
PART B - DISCLOSURE OF INTEREST IN SOLE SOURCE OF SUPPLY
WHO MUST COMPLETE THIS PART:
Sections 112.313(3) and 112.313(7), Florida Statutes, prohibit certain employment and business relationships on the part of pub-
lic officers and employees. See Part 111, Chapter 112, Florida Statutes, and/or the brochure entitled "A Guide to the Sunshine
Amendment and Code of Ethics for Public Officers and Employees"for more details on these prohibitions. However, Section
1 12-313(12)(e), Florida,Statutes, provides an exemption from the above-mentioned restrictions in the event that the business
entity involved is the only source of supply within the political subdivision of the officer or employee, In such cases the officer's
or ernployee's interest in the business entity must be fully disclosed',to the governing body of the political subdivision. This Part
of Form 4A has been prescribed by the Commission on Ethics for such disclosure, if and when applicable.
PLEASE COMPLETE THE FOLLOWING,
1 The partnership, directorship, proprietorship, ownership of a material interest, position of officer, employment, or Contractual
relationship which would otherwise violate Subsection (3) or(7)of Section 112,313, Florida Statutes, is held by[please
check applicable space(s)]:
The reporting person;
The spouse of the reporting person,whose name or
A child of the reporting person, whose name is
Z The following are the goods, realty, or services being supplied by a business entity with which the public officer or employee,
or spouse or child of such officer or employee, is involved is:
...........
1 The business entity which is the only source of supply of the goods, realty, or services within the political subdivision is,
...........
(NAME OF ENTITY) (ADDRESS OF ENTITY)
4. The relationship of the undersigned public officer or employee,or SPOUse or child of such officer or employee, to the busi-
ness entity named in Item 3 above is [check applicable spaces]:
( )Officer; ( ) Partner; ( )Associate; ( )Sole proprietor; ( ) Stockholder; Director,- Owner of in excess of 5%, of
the assets or capital stock in such business entity; Employee; Contractual relationship with the business entity;
Other,please describe:
SIGNATURE
SIGNATURE DA rE SIGNED DATE FILED
PROVIS9ONS OF FLORIDA STATUI ES 112'.317,A FAILURE TO MAKE ANY REQUIRED DISCLOSURE CONSTITUTES GROUNDS FOR AND
.M BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT,REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT,DEMOrION,
REDl,9CT{C)N'IN SALARY REPRIMAND,OR A CIVIL PENAL1Y NO] TO EXCEED$10.000.
CE FORM 4A-REV.1-90 [CONTINUED FROM FIRST SIDEI
1161
FORM 4A DISCLOSURE OF BUSINESS TRANSACTION, RELATIONSHIP OR INTEREST
LAST NAME-FIRST NAME-MIDDLE INITIAL OFFICE/POSITION HELD
Wallace Hill, Audra Member- At Large Representative
MAILING ADDRESS AGENCY OR ADVISORY BOARD
102411 Overseas Highway District Advisory Committee- DAC V
CITY ZIP COUNTY ADDRESS OF AGENCY
Key Largo 33037 Monroe 1201 White Street, Suite 102 Key West, FL 33040
HOW TO COMPLETE AND FILE THIS FORM:
Parts A and B of this form serve two different purposes. Part A is for advisory board members who wish to use an exemption in the
ethics laws that is applicable only to advisory board members. Part B is for public officers and employees who wish to use a sepa-
rate exemption that is applicable when the business entity involved is the sole source of supply within the political subdivision. In
order to complete and file this form:
• Fill out Part A or Part B, as applicable.
• Sign and date the form on the reverse side.
• File Part A with the appointing body or person that will be waiving the restrictions of 112.313(3)or(7), Fla. Stat.,
prior to the waiver.
• File Part B with the governing body of the political subdivision in which the reporting person is serving, prior to the
transaction.
PART A - DISCLOSURE OF TRANSACTION OR RELATIONSHIP CONCERNING ADVISORY BOARD MEMBER
WHO MUST COMPLETE THIS PART:
Sections 112.313(3)and 112.313(7), Florida Statutes, prohibit certain business relationships on the part of public officers
and employees, including persons serving on advisory boards. See Part III, Chapter 112, Florida Statutes, and/or the
brochure entitled "A Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees"for more
details on these prohibitions. However, Section 112.313(12), Florida Statutes, permits the appointing official or body to
waive these requirements in a particular instance provided: (a)waiver by the appointing body must be upon a two-thirds
affirmative vote of that body; or(b)waiver by the appointing person must be effected after a public hearing; and (c) in either
case the advisory board member must fully disclose the transaction or relationship which would otherwise be prohibited by
Subsections(3)of(7)of Section 112.313, Florida Statutes. This Part of Form 4A has been prescribed by the Commission
on Ethics for such disclosure,if and when applicable to an advisory board member.
PLEASE COMPLETE THE FOLLOWING:
1. The partnership, directorship, proprietorship, ownership of a material interest, position of officer, employment, or contractual
relationship which would otherwise violate Subsection (3)or(7)of Section 112.313, Florida Statutes, is held by [please
check applicable space(s)]:
(X) The reporting person;
( ) The spouse of the reporting person, whose name is ; or
( ) A child of the reporting person, whose name is
2. The particular transaction or relationship for which this waiver is sought involves [check applicable space]:
(X) Supplying the following realty, goods, and/or services: CPA Services for Dolphins Plus Oceanside Marine Mammal Responder
Inc.
( ) Regulation of the business entity by the governmental agency served by the advisory board member.
3. The following business entity is doing business with or regulated by the governmental agency:
Dolphin Plus Oceanside Mraine Mamal Responder,Inc.
4. The relationship of the undersigned advisory board member, or spouse or child of the advisory board member, to the busi-
ness entity transacting this business is [check applicable spaces]:
( ) Officer; ( ) Partner; ( )Associate; ( ) Sole proprietor; ( ) Stockholder; ( ) Director; ( ) Owner of in excess of 5%of
the assets of capital stock in such business entity; ( ) Employee; (X ) Contractual relationship with the business entity;
( )Other, please describe:
CE FORM 4A--REV.1-98 [CONTINUED ON REVERSE SIC 1162
PART B - DISCLOSURE OF INTEREST IN SOLE SOURCE OF SUPPLY
WHO MUST COMPLETE THIS PART:
Sections 112.313(3) and 112.313(7), Florida Statutes, prohibit certain employment and business relationships on the part of pub-
lic officers and employees. See Part III, Chapter 112, Florida Statutes, and/or the brochure entitled "A Guide to the Sunshine
Amendment and Code of Ethics for Public Officers and Employees"for more details on these prohibitions. However, Section
112.313(12)(e), Florida Statutes, provides an exemption from the above-mentioned restrictions in the event that the business
entity involved is the only source of supply within the political subdivision of the officer or employee. In such cases the officer's
or employee's interest in the business entity must be fully disclosed to the governing body of the political subdivision. This Part
of Form 4A has been prescribed by the Commission on Ethics for such disclosure, if and when applicable.
PLEASE COMPLETE THE FOLLOWING:
1. The partnership, directorship, proprietorship, ownership of a material interest, position of officer, employment, or contractual
relationship which would otherwise violate Subsection (3)or(7)of Section 112.313, Florida Statutes, is held by [please
check applicable space(s)]:
( ) The reporting person;
( ) The spouse of the reporting person, whose name is ; or
( ) A child of the reporting person, whose name is
2. The following are the goods, realty, or services being supplied by a business entity with which the public officer or employee,
or spouse or child of such officer or employee, is involved is:
3. The business entity which is the only source of supply of the goods, realty, or services within the political subdivision is:
(NAME OF ENTITY) (ADDRESS OF ENTITY)
4. The relationship of the undersigned public officer or employee, or spouse or child of such officer or employee, to the busi-
ness entity named in Item 3 above is [check applicable spaces]:
( ) Officer; ( ) Partner; ( )Associate; ( ) Sole proprietor; ( ) Stockholder; ( ) Director; ( ) Owner of in excess of 5% of
the assets or capital stock in such business entity; ( ) Employee; ( ) Contractual relationship with the business entity;
( )Other, please describe:
SIGNATURE
SIGNATURIF DATE SIGNED DATE FILED
- 12/28/23
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES s. 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.
CE FORM 4A--REV.1-98 [CONTINUED FROM FIRST SIDE]
1163
FORM 4A DISCLOSURE OF BUSINESS TRANSACTION, RELATIONSHIP OR INTEREST
LAST NAME-FIRST NAME-MIDDLE INITIAL OFFICE/POSITION HELD
Fogarty, Christopher T. Member- At Large Representative Member
MAILING ADDRESS AGENCY OR ADVISORY BOARD
P.O. Box 1488 District Advisory Committee- DAC I
CITY ZIP COUNTY ADDRESS OF AGENCY
Key West 33041 Monroe 1201 White Street, Suite 102 Key West, FL 33040
HOW TO COMPLETE AND FILE THIS FORM:
Parts A and B of this form serve two different purposes. Part A is for advisory board members who wish to use an exemption in the
ethics laws that is applicable only to advisory board members. Part B is for public officers and employees who wish to use a sepa-
rate exemption that is applicable when the business entity involved is the sole source of supply within the political subdivision. In
order to complete and file this form:
• Fill out Part A or Part B, as applicable.
• Sign and date the form on the reverse side.
• File Part A with the appointing body or person that will be waiving the restrictions of 112.313(3)or(7), Fla. Stat.,
prior to the waiver.
• File Part B with the governing body of the political subdivision in which the reporting person is serving, prior to the
transaction.
PART A - DISCLOSURE OF TRANSACTION OR RELATIONSHIP CONCERNING ADVISORY BOARD MEMBER
WHO MUST COMPLETE THIS PART:
Sections 112.313(3)and 112.313(7), Florida Statutes, prohibit certain business relationships on the part of public officers
and employees, including persons serving on advisory boards. See Part III, Chapter 112, Florida Statutes, and/or the
brochure entitled "A Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees"for more
details on these prohibitions. However, Section 112.313(12), Florida Statutes, permits the appointing official or body to
waive these requirements in a particular instance provided: (a)waiver by the appointing body must be upon a two-thirds
affirmative vote of that body; or(b)waiver by the appointing person must be effected after a public hearing; and (c) in either
case the advisory board member must fully disclose the transaction or relationship which would otherwise be prohibited by
Subsections(3)of(7)of Section 112.313, Florida Statutes. This Part of Form 4A has been prescribed by the Commission
on Ethics for such disclosure,if and when applicable to an advisory board member.
PLEASE COMPLETE THE FOLLOWING:
1. The partnership, directorship, proprietorship, ownership of a material interest, position of officer, employment, or contractual
relationship which would otherwise violate Subsection (3)or(7)of Section 112.313, Florida Statutes, is held by [please
check applicable space(s)]:
(X) The reporting person;
( ) The spouse of the reporting person, whose name is ; or
( ) A child of the reporting person, whose name is
2. The particular transaction or relationship for which this waiver is sought involves [check applicable space]:
(X) Supplying the following realty, goods, and/or services: Construction Services to Key West Woman's Club,Inc.
( ) Regulation of the business entity by the governmental agency served by the advisory board member.
3. The following business entity is doing business with or regulated by the governmental agency:
Key West Woman's Club,Inc.
4. The relationship of the undersigned advisory board member, or spouse or child of the advisory board member, to the busi-
ness entity transacting this business is [check applicable spaces]:
( ) Officer; ( ) Partner; ( )Associate; ( ) Sole proprietor; ( ) Stockholder; ( ) Director; ( ) Owner of in excess of 5%of
the assets of capital stock in such business entity; ( ) Employee; (X) Contractual relationship with the business entity;
( )Other, please describe:
CE FORM 4A--REV.1.98 [CONTINUED ON REVERSE SIC 1164
PART B - DISCLOSURE OF INTEREST IN SOLE SOURCE OF SUPPLY
WHO MUST COMPLETE THIS PART:
Sections 112.313(3) and 112.313(7), Florida Statutes, prohibit certain employment and business relationships on the part of pub-
lic officers and employees. See Part III, Chapter 112, Florida Statutes, and/or the brochure entitled "A Guide to the Sunshine
Amendment and Code of Ethics for Public Officers and Employees"for more details on these prohibitions. However, Section
112.313(12)(e), Florida Statutes, provides an exemption from the above-mentioned restrictions in the event that the business
entity involved is the only source of supply within the political subdivision of the officer or employee. In such cases the officer's
or employee's interest in the business entity must be fully disclosed to the governing body of the political subdivision. This Part
of Form 4A has been prescribed by the Commission on Ethics for such disclosure, if and when applicable.
PLEASE COMPLETE THE FOLLOWING:
1. The partnership, directorship, proprietorship, ownership of a material interest, position of officer, employment, or contractual
relationship which would otherwise violate Subsection (3)or(7)of Section 112.313, Florida Statutes, is held by [please
check applicable space(s)]:
( ) The reporting person;
( ) The spouse of the reporting person, whose name is ; or
( ) A child of the reporting person, whose name is
2. The following are the goods, realty, or services being supplied by a business entity with which the public officer or employee,
or spouse or child of such officer or employee, is involved is:
3. The business entity which is the only source of supply of the goods, realty, or services within the political subdivision is:
(NAME OF ENTITY) (ADDRESS OF ENTITY)
4. The relationship of the undersigned public officer or employee, or spouse or child of such officer or employee, to the busi-
ness entity named in Item 3 above is [check applicable spaces]:
( ) Officer; ( ) Partner; ( )Associate; ( ) Sole proprietor; ( ) Stockholder; ( ) Director; ( ) Owner of in excess of 5%of
the assets or capital stock in such business entity; ( ) Employee; ( ) Contractual relationship with the business entity;
( )Other, please describe:
,, Au„nr «.
u��r�MfW�Iu UO . ......
.. ,. IAMWww.'1 VVIWW4lVWVV ,,.. .mr mmmrmm�i,,.. .. yE III I/MAW�„ P O;:o G,:,a..
� 1
Old, 11,^ 76 voie� Wyk
r
m
1.1
He eo,
� � a� ��, � �, ����Y' �M ��"�°%�S'1.�1ddiu 4�4`�i Z �A"?� I�����Wi �I'`P' "✓. �{��iw �P 9"V' W)i I1V�.�
1165
Liz Yongue
From: Gomez-Krystal <Gomez-Krystal@MonroeCounty-FL.Gov>
Sent: Wednesday, January 17, 2024 1:14 PM
To: Ballard-Lindsey; County Commissioners and Aides; Kevin Madok; Pamela G. Hancock;
Senior Management Team and Aides; Liz Yongue; InternalAudit
Cc: Gastesi-Roman; Shillinger-Bob; Williams-Jethon; Cioffari-Cheryl; Livengood-Kristen;
Rubio-Suzanne; Pam Radloff; County-Attorney; Allen-John; Danise Henriquez; Saenz-
Stephanie; Hurley-Christine; Rosch-Mark; Gambuzza-Dina; Beyers-John
Subject: Item D10 BOCC 01/31/2024 REVISED BACK-UP
Good afternoon,
Please be advised,the agenda item back-up has been revised for item D10.
"Approval of waivers of standard of conduct provisions of F.S. 112.313(3)and(7), as allowed under F.S. 112.313(12)for
advisory board members appointed by the Board of County Commissioners(BOCC). The waivers are for District Advisory
Committees(DAC)members, Chris Fogarty&Audra Hill Wallace and Tourist Development Council(TDC)member Rita
Irwin. "
The agenda item back-up for Charlotte Quinn has been removed.
Sincerely,
Executive Administrator
Monroe County Administrator's Office
1100 Simonton Street, Suite 2-205
Key West, FL 33040
(305)292-4441 (Office)
(305)850-8694(Cell)
Courier Stop#1
Notary Public
w.r onryec_ u�n1yy: .....gpy
PLEASE NOTE: FLORIDA HAS A VERY BROAD RECORDS LAW. MOST WRITTEN COMMUNICATIONS TO OR FROM THE COUNTY REGARDING COUNTY BUSINESS
ARE PUBLIC RECORDS AVAILABLE TO THE PUBLIC AND MEDIA UPON REQUEST. YOUR EMAIL COMMUNICATION MAY BE SUBJECT TO PUBLIC DISCLOSURE.
1