Luis Sosa Outside Employment Statement 2016MIAMI•DADE OUTSIDE EMPLOYMENT STATEMENT
tm 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
2016 Sosa Luis A
Mailing Address — Street Number, Street Name, or P.O. Box
11155 sw 138 st
City, State, Zip
Miami, FI 33176
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. ❑
Filinq as an Employee (check one)
County ❑ Public Health Trust Municipal City of Miami Beach
(Municipality)
Department
Division
Building
Plumbing
Position or Title
Employee ID Number
Work telephone
Sr. Plumbing Inspector
21835
(786) 714-2561
Please list the sources of outside employment (including self-employment), the nature of the work, and the total amounts of money or other
compensation you received for each source of outside employment. If no income or compensation was received from a particular outside
employment, enter zero (0) for that organization in the section below. If continued on a separate sheet, check here. ❑
Name and Address
of the Source of Outside Income
Nature of the
Work Performed
Total Amount of Money or
Compensation Received
All 4 One Plumbing, Inc
10795 NW 53rd Street Unit 201
- -- - Sunrise, FL 33351-- - - — - -
Plumbingqualifier/ Consualtant
-
$1100 month) y
I hereby swear (or affirm) that the information above is a true and correct statement.
LluiA. Seen.
Signature of Person Disclosing
5/30/2017
Date signed
RECEIVED BY ELECTIONS DEPARTMENT.,
❑ Hardcopy
Electronic Copy
OFFICE USE ONLY Accepted; Y / N Deficiency, Processed Date/Initlals; Scanned Date/Initlals;
13801-22 COE 2016