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Daniel Gato 2018MIAMI•DADE OUTSIDE EMPLOYMENT STATEMENT Em 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 2018 Gato Daniel Mailing Address — Street Number, Street Name, or P.O. Box 6044 SW 163 Place City, State, Zip Miami, FL 33193 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 17 Public Health Trust Municipal Miami Beach (Municipality) Department Division Fire Rescue Fire Position or Title Employee ID Number Work telephone Firefighter 20732 (305) 673-7118 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 City College 6565 Taft St #200 Hollywood, FL 33024 Clinical Coordinator $25,000 I hereby swear affirm) that the information above is a true and correct statement. Signature of Person Disclosing G W 11; 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