Elisa Taylor 2021DocuSign Envelope ID: 81 E2AD9C-1 B29-404A-BBOD-F7BA486E93EF
MIAMI 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 Last Name First Name Middle Name/Initial
2020 Taylor Elise Spina
Mailing Address -Street Number, Street Name, or P.O. Box
6301 Falconsgate Avenue
City, State, Zip
Davie, Florida, 33331
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 □ Public Health Trust !ZI Municipal Miami Beach Police Department
(Municipality)
Department Division
Miami Beach PD Support Services -Training Unit
Position or Title Employee ID Number Work telephone
Lieutenant 15545 (305)673-7884
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
Boulder Crest Foundation Instructor/Psychologist Consultant $0 33735 Snickersvllle Turnpike
Bluemont, VA 20135
540.554.2727
I hereby swear (or affirm) that the information above is a true and correct statement.
Signature of Person Disclosing
S-/ZD/2D22
Date signed
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RECEIVED BY ELECTIONS DEPARTMEN p� w D Hard copy ,.,., :,:: ••
D Electronic Copy f!if [:g RECEIVED
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OFFICE USE ONLY Accepted: Y / N Deficiency: __________ Processed Date/Initials: ______ Scanned Date/Initials: _____ _
138_01 -22 COE 2016