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Aleksandr Boksner 2015 MIAMI•DADE SOURCE OF INCOME STATEMENT COUNTY Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial 2010 Boksner • Aleksandr Mailing Address—Street Number,Street Name,or P.O.Box 1700 Convention Center Drive City,State,Zip ID Number Miami Beach Florida 33139 If your home address is your mailing address,and your home address is exempt from public records pursuant to Fla.Stat. §119.07,read instructions on the following page and check here.IN Filing as an Employee El County Employee 0 Municipal Employee,Name of Municipality: City of Miami Beach Position held or sought Deputy City Attorney Department where employed Office of the City Attorney Work address Work telephone Term began on 1700 Convention Center Drive, Miami Beach, Florida 33139 (305) 673-7470 2009 Filing as a Board Member ❑ County Board Member 0 Municipal Board Member, Name of Municipality: Board where serving Work address Work telephone Term began on List below every source of income you received,along with the address and the principal activity of each source. Include your public salary. Place the sources of income in descending order,with the largest source first.Also, include any source of income received by another person for your benefit.However,the income of your spouse or any business partner need not be disclosed. If continued on a separate sheet,check here.❑ Name of Source of Income Address Description of the Principal Business Activity City of Miami Beach 1700 Convention Center Drive,Miami Beach,Florida 33139 Municipal Government Town of Surfside 9293 Harding Avenue,Surfside,Florida 33154 Municipal Government City of North Miami Beach 17011 NE 19th Avenue,North Miami Beach,Florida 33162 Municipal Government I hereby swea : ' that the infor - above is a true and correct staCTem '. E !VT..Y ELECTIONS DEPARTMENT: �fl,� r!ill F" V -d _H rd Py �= N Elect onic Copy -mt Ig of person disclosing r_.. AUG 052016 r _.� ry Aleksandr Boksner 08/02/16 G; - Print name Date signed r OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: 138 SP-14 2/13