Miguel Anchia 2016iNIAfNF� OUTSIDE EMPLOYMENT STATEMENT
°'bh.1s 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 Anchia Miguel ---
Mailing Address — Street Number, Street Name, or P.O. Box
2300 Pine Tree Drive
City, State, Zip
Miami Beach, FL 33140
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 Emplovee (check one)
❑ County ❑ Public Health Trust El Municipal City of Miami Beach
(Municipality)
Department
Division
Fire Department
Administration
Position or Title
Employee ID Number Work telephone
Deputy Chief
21989 -1 VVV
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 zm (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
Tenet Health - Palmetto General Hospital
2001 W. 68th St. Hialeah, FL 33014
Governing Board Member
$1,750
I hereby swear (or affir ha a information above is a true and correct statement.
Signature of
FA
Date
RECEIVED BY ELECTIONS DEPARTMENT.
Hardcopy
Electronic Copy
OFFICE USE ONLY Accepted: Y / N Deficiency:_ Processed Date/Initials: Scanned OateAnitials:
13801-22 COE 2016