Arnaldo Bugallo 2020MIAMI•DADE OUTSIDE EMPLOYMENT STATEMENT
- f 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 QastNa it Name Middle Nam Initial
2020
Mailing Address — Street Number, Stree ame, P.. Box - JA /4_0
City, State, Zip
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)
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
f ths,§ovrce of Outside Income
Nature of the
Work Performed
Total Amount of Money or
Compensation Received
y (or (firm) that the information above is a true and correct statement.
r f so c�j ng
Date
BY ELECTIONS DEPARTMENT -
El Electronic Copy
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OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials:
13801-22 COE 2016