Richard Clements Outside Employment StatementMiAMPUSE 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 Clements Richard M
Mailing Address — Street Number, Street Name, or P.O. Box
664 NW 99 Terrace
City, State, Zip
Coral Springs, Florida 33071
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 ❑ Municipal City of Miami Beach
(Municipality)
Department
Division
Miami Beach Police Department
Chiefs Office
Position or Title
Employee ID Number
Work telephone
Deputy Chief of Police
13756
(305) 673-7925
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
Miami Dade College, School of Justice
11380 NW 27 Avenue
Miami, Florida 33167
Adjunct Instructor, Basic Law
Enforcement
$19,828.98
I hereby swear (or affirm) that the information above is a true and correct statement.
Signature of Person Disclosing
3u II
Date signe
RECEIVED BY ELECTIONS DEPARTMENT:
❑ Hardcopy
❑ Electronic Copy
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials:
13801-22 COE 2016