Francois Betancourt 2014 MIAM E OUTSIDE EMPLOYMENT STATEMENT
couNTs Y 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
2014 Betancourt Francois
Mailing Address—Street Number,Street Name,or P.O.Box
10774 Cypress Bend Drive
City,State,Zip ID Number
Boca Raton, FL 33498 16563
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.FA
Filing as an Employee(check one)
D County/Public Health Trust ® Municipal City of Miami Beach
(Municipality)
Department Division
FIRE RESCUE
Position or Title Work telephone
DIVISION CHIEF (305) 673-7130
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. ❑
Name and Address Nature of the Work Performed Amount of Money or
of the Source of Outside income Compensation Received
U.S. Air Force military $5k yr.
Miami Dade College Adjunct Instructor $3k yr.
950 NW 20 ST Miami, FL 33127
I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMEii'
Hardcopy
[I Electronic Copy ,_ h
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Signature of Person Disclosing `'
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Date signed *)
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OFFICE USE ONLY Accepted: Y/N Deficiency: Processed Date/Initials: Scanned Date/Initials:
138_01-22 COE 2015