Name of Elected Official
BROWARD COUNTY CODE OF ETHICS DISCLOSURE FORM
CHARITABLE CONTRIBUTION FUNDRAISING
Name of the charitable organization:
Event for which funds were solicited (including date):
 
Name(s) of any individual(s) or entity(ies) that promoted the solicitation:
Promoter/Entity Name
 
AUTHORIZATION SIGNATURE
Filed on behalf of City of Weston Mayor or Commissioner: 
Signature:
Date:
If this form amends an earlier-filed form, please state date of earlier form: