Amanda Regalado 2020MIA M I-DADE . EI
OU T S ID E E M P L O Y M E N T STAT E M E N T
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
2020 pal lo (Aroclo -I
Mailing Address - Street Number, Street Nam e, or P.O. Box
4-44I Swl 39Sr
City, State, Zip
Ml 4o n rN ? FL 3302¥
If your home address is exempt from public records pursuant to Florida Statutes $119.07, please see note on the following page and check her~
Filing as an Employee (check one)
O County [] Public Health Trust k7 wontena» C ri OF = Lr-Al A H
(Municipality)
Department Division
Pc Pr-AINI_ INiVCSTi+Tor-JS
Position or Title Employee ID Number Work telephone 25«
2210i
(30s
C r-A A(ST 93-99)
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
Name and Address Nature of the Total Amount of Money or
of the Source of Outside Income Work Performed Compensation Received
or orar '4to s F7 4 S IS+u-lo+ lo,7.2 dssqdik '«+
I hereby swear (or affirm) that the information above is a true and correct statement.
Signature of Person Disclosing
s/4/2
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
O Hardcopy
O Electronic Copy
OFFICE USE ONLY Accepted: Y I N Deficiency: Processed Date/initials: Scanned Date/initials:
138_01 -22 COE 2016
X
Received May 25, 2021
Office of the City Clerk