Brad Kaine 2020MIAMI-DADE- 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.
Disclosure for Tax Year Ending
2020 en
First Name Middle Name/Initial
L
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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 (check one)
D County [ Public Health Trust R"1unicipal --1:::::-~___,. _ __, __ -.-~_t_'í~~-•~------
Department
Position or Title
dwa_
"5al±5o
Employee ID Number
233
Work telephone
36-73-7/
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 (O) for that organization in the section below. If continued on a separate sheet, check here. D
Name and Address
of the Source of Outside Income
Nature of the
Work Performed
Total Amount of Money or
Compensation Received
vité L
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
O Hardcopy
O Electronic Copy
RECEIVED
4AR 15 2022
CITY OF MIAM I BEACH
OFFICE OF THE CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials.
138_01-22 COE 2016