Armando Lopez 2019MIAMI-DAD E.
EI
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.
Di sclosure fo r Tax Year Endin g
2019
Last Nam e
LR
First Nam e
ge00o
M iddle Nam e/Initial
M aili ng Address - Str eet Num ber, Street Nam e, or P.O. Box
, 0 62,
/ /
City, St ate, Zip
12o
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. D
Fili ng as an Employee (check one)
[J county DJ Pone Heath must ti mwuntenan CA[\K ]\/At4 {At
, t (iunicialiby
Depart m ent -pt'NE [owes t2 0lo Pt '
Positi on or Title
lu.
Em ployee ID Num ber
10¢
W ork telephone
29_1u 3)2
20,, 212\q
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. D
Nam e and Address
of th e Source of Outs ide Incom e
Natu re of th e
W ork Pe rform ed
Total Am ount of Money or
Com pensation Received
M, {o
634 tu- 92.P'-: 3, 3
. ,
1l
5€40\6> O
I hereby swear (or affirm) that the information above is a true and correct statement. I
p Lb +-°UV
Sign atur e of Pers on Dis cl osin g '
14,o
Date signed
RECEIVED BY ELECTIONS DEPAR TM ENT:
O Hardcopy
O Electronic Copy
RECEIVED
JUL 14 2020
CI TY O F M IAM I BE A CH
OFFICE OF THE OTTY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency: Pro cessed Date/initial s: Scan ned Date/Initials: _
138_01-22 COE 2016