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David Bradley 2016MIAMI.00% 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/In'ti I 2016 � Mailing Address — Street Number, Street Name, or P. Bo l o n/.,r- l© A Ave - State, Zip 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 4 o4 MAcy,, B (Municipality) Department Division L,4 IA6�V Position or Title P- Employee ID Number ark telephone V 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 I Nature of the Work Performed Total Amount of Money or Compensation Received O 9,:)61 AJF: 12-, 5 CZ b Q�.cra 1. y ^ u"' �' j � v 00.0 - 4>2s 000.0- I hereby swear (or affirm) that the information above is a true and correct statement. f3 — •Z< - /I Date signed RECEIVED BY ELECTIONS DEPARTMENT: ❑ Hardcopy ❑ Electronic Copy OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: 13801-22 COE 2016