Jeff Oris Outside Employment StatementMIAMIDADE OUTSIDE EMPLOYMENT STATEMENT
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 Oris Jeffrey L
Mailing Address — Street Number, Street Name, or P.O. Box
5062 NW 45th Avenue
City, State, Zip
Coconut Creek, FL 33073
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 E] Municipal City of Miami Beach
(Municipality)
Department
Division
Tourism, Culture and Economic Development
Economic Development
Position or Title
Employee ID Number
Work telephone
Economic Development Division Director
20321
(305) 673-7577
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
Nature of the
Total Amount of Money or
of the Source of Outside Income
Work Performed
Compensation Received
Boynton Beach Community Redevelopment Agency
Training
$500.00
710 N. Federal Highway
Boynton Beach FL 33435
Florida Redevelopment Association
Training$3,'5500.00
P. O. Box 1757, 301 S. Bronough Street, Suite 300
Tallahassee, FL 32302-1757
Winter Haven Economic Development Council
Meeting Facilitation
$1,500.00
401 Avenue B NW
Winter Haven, FL 33880
I hereby swear (or affirm) that the information above is a true and correct statement
Signature Pf P o
6/15'//
OFFICE USE ONLY Accepted: Y / N Deficiency:
138 01-22 COE 2016
RECEIVED BY ELECTIONS DEPARTMENT:
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