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John C. Clements 2014 ► r 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 2014 CLEMENTS JOHN C Mailing Address—Street Number,Street Name,or P.O.Box 6201 SW 118 AVE City,State,Zip ID Number MIAMI, FL 33183 14275 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.J Filing as an Employee(check one) ® County/Public Health Trust is Municipal CITY OF MIAMI BEACH (Municipality) Department Division POLICE PATROL Position or Title Work telephone POLICE OFFICER (305) 673-7900 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 CANINE COUNTRY CLUB OWNER/PRESIDENT 200,000 6201 SW 118 AVE MIAMI,FL 33183 I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: ❑Hardcopy ❑Electronic Copy ' a w "at) tine of Person Disclosing Date signed n I :5 "7, S J OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: 138_01-22 COE 2015