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Kennedy J. Stephens 2014 • 1 • MIAMID 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 Stephens Kennedy Joseph Mailing Address—Street Number,Street Name,or P.O.Box 8982 W 34 Court City,State,Zip ID Number Hialeah Florida 33018 19543 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 r2 Municipal (Municipality) Department Division City Of Miami Beach Fire Department Position or Title Work telephone FireFighter (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 Miami Dade Community College Lab Manager; Assistant Varries 9 I hereby swear(or affirm)that the info : o •',ve i - ' e and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: ❑Hardcopy ❑Electronic Copy Signature of erson Disci Ing 11 1 � LE :11FJ CI T 'ICSIDI Date gne OFFICE USE ONLY Accepted: Y/N Deficiency: Processed Date/Initials: Scanned Date/Initials: 138_01-22 c OE 2015