Keith Carson 2014 MIAMI••:". •IE, • 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
2014 Carson Keith -
Mailing Address—Street Number,Street Name,or P.O.Box
6615 Boynton Beach Blvd., Suite 310
City,State,Zip ID Number
Boynton Beach, FL 33437 20469
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.❑
Filing as an Employee(check one)
0 County/Public Health Trust CI Municipal City of Miami Beach
(Municipality)
Department Division
Emergency Management Homeland Security and Safety
Position or Title Work telephone
Emergency Managment Specialist (305) 673-7736
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. p
Name and Address Nature of the Work Performed Amount of Money or
of the Source of Outside Income Compensation Received
Palm Beach State College, 4200 Adjunct Instructor $3955.60
Congress Ave., Lake Worth, FL 33461
I hereby swear(or irm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
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❑ Electronic Copy cm -
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Date signed
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials:
138_01-22 COE 2015