Dwight M. Nicholas 2014 •
MIAMI.OIAD 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 Nicholas Dwight M
Mailing Address—Street Number,Street Name,or P.O.Box
12743 SW 53rd CT
City,State,Zip ID Number
Miramar, FL 33027 18148
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)
® County/Public Health Trust ill Municipal Miami Beach
(Municipality)
Department Division
Fire Department 1210
Position or Title Work telephone
Captain (305) 673-7120
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
Principal Financial Group
3401 SW 1601h Ave,suite 400 Financial Services 40,000
Miramar,FL 33027
I hereby sw (or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
❑Hardcopy
❑Electronic Copy
Signature of rson Disclosin
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OFFICE USE ONLY Accepted: Y/ N Deficiency: Processed Date/Initials:__. Scanned Date/Initials:
138_01.22 COE 2015