Joseph B. Keit 2014 . M -•
•
MIAM DE 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 Keit Joseph B
Mailing Address—Street Number,Street Name,or P.O.Box
1685 NW 67th Ave
City,State,Zip ID Number
Margate, FL 33063 19730
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 0 Municipal Miami Beach
(Municipality)
Department Division
Miami Beach Fire Department Fire Department
Position or Title Work telephone
Firefighter/Driver Engineer (305)673-7118
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
Joe Keit Kung Fu Owner of Martial Arts school 12 000 annual
2755 South Federal Highway Unit 1 ,
Boynton Beach.FL 33435
I hereby swear(or a )that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
❑Hardcopy
f r _* ❑Electronic Copy
Signature of Pere Disclosing
G
Date signed
1l iJ.! ' rr 4! 1 )41Il
LC •H '-45 , I UI1 Lit'/
OFFICE USE ONLY Accepted: Y/ N Deficiency: Processed Date/Initials: Scanne ate n t alt;:
138_01-22 COE 2015