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Kevin Millan 2016MI®�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 Millan Kevin Mailing Address — Street Number, Street Name, or P.O. Box 10310 SW 20 Street City, State, Zip Davie, FL 33324 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. 0 Filing as an Employee (check one) ❑ County ❑ Public Health Trust E] Municipal City of Miami Beach (Municipality) Department Division Police Operations Position or Title Employee ID Number Work telephone Detective 14459 (305) 673-7888 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 Institute of Police Technology Management 12000 Alumni Drive Jacksonville, FL 32224 Teaching DUI related classes $3,000.00 I hereby swear (or affirm) that the information above is a true and correct statement. Signature of Person Disclosing Zp Dalldsigned RECEIVED BY ELECTIONS DEPARTMENT: ❑ Hardcopy ❑ Electronic Copy OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: 138 01-22 COE 2016