Jessica Gonzalez 2016MIAMI•DADE OUTSIDE EMPLOYMENT STATEMENT
-n 2i � 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 Gonzalez Jessica Michelle
Mailing Address — Street Number, Street Name, or P.O. Box
2973 NW 99 AVE
City, State, Zip
Doral, FL, 33172
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)
0 County ❑ Public Health Trust ❑ Municipal City of Miami Beach
(Municipality)
Department
Division
Planning Department
$1,750 per course
taught
Position or Title
Employee ID Number
Work telephone
Clerk of Boards
20648
(305) 673-2594
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
Barry University
11300 NE 2nd AVE, Miami Shores, FI, 33161
Adjunct Professor
$1,750 per course
taught
I hereby swear (or affirm) that the information above is a true and correct statement.
of Person
0Oo2gl-T
Date si ned
7VED BY ELECTIONS DEPARTMENT:
Hardcopy
❑ Electronic Copy
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials:
138 01-22 COE2016