Yarily Sam-Gamil 2018MIAM 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 I Last Name
2018 1 Sam-Gamil
Mailing Address — Street Number, Street Name, or P.O. Box
City, State, Zip
First Name
Yarily
Middle Name/Initial
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 ❑ Municipal City of Miami Beach
(Municipality)
Department
Division
Fire Department
Administration
Position or Title
Employee ID Number
Work telephone
Administrative Services Manager
17905
(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
Offduty4u
Home Improvement and Handyman
Website
"0" start up LLC
I hereby swear (or affirm) that the information above is a true and correct statement.
of Porson Disclosing
ciI)HlI,--)
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