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