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Jason Bogk 2019.» ETI 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 2-11.1k)2) of the Miami-Dade County Code. Disclosure for Tax Year Ending /Last Name 2019 Fir st Name »«. Middle Namo/initial 4 Mailing Address - Street Number, Street. 0S{0 50 () me, or P9. Bo , 4 City, State, Zip 3 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. O Filing as an Employee (cbeck oe) l- { [] County [] Public Health Trust E Municipal nu4"hi !to (Municipality) Department e Division re Position or Title Employee ID Number 1 Work telephone 3es- €73-7/10 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 Nature of the Total Amount of Money or of the Source of Outside Income Work Performed Compensation Received kewkall e« Ils" n · [I75 6' 4} $1t, [w, 3313 Taca a3 t /ye., fla D«k lye medic! Grps ka±ti Ct»kl rhr 1,ewe/, 5¢ lo 20 5+e¢} WowiF, 34127 I I hereby swear (or affirm) that the information above is a true and correct statement. son "Credo.i o.no Date signed 7-7-320 RECEIVED BY ELECTIONS DEPARTMENT: _j Hardcopy [] Electronic Copy REMEMBER TO PRINT, SIGN, AND SUBMIT TO ELECTIONS VIA EMAIL OR HARDCOPY.