Pedro Fuentas Outside Employment Statement 2016 MIAMFDAOE OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees
Full-time County and municipal employees engaging in outside
employment must file an annual disclosure report by July 1st of Disclosure for
each year, in accordance with Section 2-11.1(k)(2) of the Miami- Tax Year Ending: 2016
Dade County Code.
Last Name:
Fuentes
First Name: Middle Name:
Pedro
Employee ID#:
20489
Filing as(check one) n Miami-Dade Co. Employee
❑■ Municipal Employee of: City of Miami Beach
Position Title:
Civil Engineer II
County/Municipal Department: County/Municipal Division:
Public Works Engineering
If your home address is exempt from public records Work Telephone:
pursuant to Florida Statutes§ 119.07, please see the
note on the following page and check here: 305-673-7080
Mailing Address (Street Name and Number) Apt. #
162 NE 25th Street 912
City State Zip Code
Miami Florida 33137
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, please check here:
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
Self-employed Sculpting and Painting $0.00
I hereby swear(or affirm)that the aforesaid information is a true and correct statement.
Signature of Person Disclosing Date Si ned
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COE 2014
Outside Employment Statement Page 2
OUTSIDE EMPLOYMENT INFORMATION
Required by the Miami-Dade County Code, Section 2-11.1(k)(2)
OUTSIDE EMPLOYMENT means providing personal services, other than to Miami-Dade
County, or to the respective municipality, that are compensated or traditionally
compensated, including but not limited to, being an employee, an independent contractor,
an agent, or by self-employment.
FILING INSTRUCTIONS
This form must be filed by July 1st of each year. The form should only be filed by
employees who have outside employment to disclose.
Miami-Dade County personnel shall file completed forms with
Miami-Dade Elections Department or P.O Box 521550
2700 NW 87th Ave. Miami, FL 33152-1550
Doral, FL 33172
Or through email: financial.disclosuresCa miamidade.gov
Municipal personnel shall file completed forms with their Respective Municipal Clerk.
For further information, contact the Miami-Dade Elections Department Financial Disclosure
Section at (305) 499-8413 or your respective Municipal Clerk's Office.
Note re: Florida Statutes § 119.07: The role of our office is to receive and maintain forms
filed as public records. If your home address is exempt from disclosure and you do not wish
your home address to be made public, please use your office or other address for your
mailing address. The following persons are exempt from disclosing their home addresses:
active or former law enforcement personnel, including correctional and correctional
probation officers, personnel of the Department of Children and Family Services whose
duties include the investigation of abuse, neglect, exploitation, fraud, theft, or other criminal
activities, personnel of the Department of Health whose duties are to support the
investigation of child abuse or neglect, and personnel of the Department of Revenue or
local governments whose responsibilities include revenue collection and enforcement or
child support enforcement; firefighters; justices and judges; current or former state
attorneys, assistant state attorneys, statewide prosecutors, or assistant statewide
prosecutors; county and municipal code inspectors and code enforcement officers.
COE 2014