Victor White 2018MUkMI•DA.DE 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
2018 White Victor A
Mailing Address — Street Number, Street Name, or P.O. Box
8337 SW 182 Terrace
City, State, Zip
Palmetto Bay, FL 33157
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 El Public Health Trust r7l Municipal Miami Beach
(Municipality)
Department
Division
Miami Beach Fire Department
Suppression
Position or Title
Employee ID Number
Work telephone
Lieutenant
19545
(305) 673-7120
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
American Medical Academy
12215 SW 112 Street Miami, Florida 33186
Instructor for EMT and Paramedic
programs
3,000
I hereby swear ("affirm) that/the information above is a true and correct statement.
Signature of Person Disclosing
2 M�
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