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Lori E. Freedline 2015 �--- `--.' 6 C =2d � TA X'- ° # MIAMI•DADE OUTSIDE EMPLOYMENT STATEMENT COUNTY For Full-time County and Municipal Employees Full-time County(including Public Health Trust)and municipal employees engaging in outside employment must file an annual disclosure report by July 1st of each year,in accordance with Section 2-11.1(k)(2)of the Miami-Dade County Code. Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial 201 ' Freedline Lori E. Mailing Address-Street Number,Street Name,or P.O.Box 5161 Collins Avenue #311 City,State,Zip ID Number Miami Beach, FL 33140 10925 If your home address is exempt from public records pursuant to Florida Statutes§119.07,please see note on the following page and check here.1 Filing as an Employee(check one) • ❑ County/Public Health Trust if Municipal Miami Beach (Municipality) Department Division Police Services Position or Title Work telephone Office Associate V (305) 548-5765 Please list the sources of outside employment,the nature of the work,and the amounts of money or other compensation you received. If continued on a separate sheet,check here. El Name and Address Nature of the Work Performed Amount of Money or of the Source of Outside Income Compensation Received Self Employed bookkeeper,computer consultant,instructor, bookkeeping, secretarial, instructor, mentor,grant amount varies per hour tutor,mentor,grant writer,administrative assistant,etc. writer, etc. and per responsibility I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: ❑ Hardcopy ❑ Electronic Copy Signature of Person Disclosing WV 1��fil 510 Date signed :6 OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: 138_01-22 COE 2015