Nicholas Guasto 2022MIA M l·DADE • ELI
O U 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
2622
First Name
N1wu6
Middle Name/Initial
L.
Mailing Address - Street Number, Street Name, or P.O. Box
)
n
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
Filing as an Employee (check one)
D County D Public Health Trust (ííuntenar ('h ce MA, Bea
(Municipality)
Department ce Division
Position or Title
(l,~ €
Employee ID Number Work telephone
3o5-73-7oe
x2s59¥
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. O
Name and Address Nature of the Total Amount of Money or
of the Source of Outside Income Work Performed Compensation Received
Mo - Door Cout9€
33»7
LAu E!o¢ €sí /vs 7uu e ra 9 6,aee )t39 Ml 27 /, Mew1,f oeox uore)
I hereby swear (or affirm) that the information above is a true and correct statement.
Sigoil:.isclosiog
Oats
RECEIVED BY ELECTIONS DEPARTMENT:
D Hardcopy
D Electronic Copy
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/initials: Scanned Date/Initials.
138_01-22 COE 2016
x
Received April 26, 2022
Office of the City Clerk