David Sola 2021Full-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
Mailing Address – Street Number, Street Name, or P.O. Box
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)
*County * Public Health Trust * Municipal ____________________________________________________
(Municipality)
Department Division
Position or Title Employee ID Number Work telephone
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
of the Source of Outside Income
Nature of the
Work Performed
Total Amount of Money or
Compensation Received
OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees
I hereby swear (or affirm) that the information above is a true and correct statement.
_______________________________________________________________________
Signature of Person Disclosing
_________________________
Date signed
OFFICE USE ONLY Accepted: Y / N Deficiency:________________________________ Processed Date/Initials:__________________ Scanned Date/Initials: __________________
RECEIVED BY ELECTIONS DEPARTMENT:
*Hardcopy
*Electronic Copy
138_01-22 COE 2016
2021 Sola David
2310 Pinetree Dr
Miami Beach, FL 33139
4 City of Miami Beach
Fire Rescue Fire Rescue
Fire Lieutenant 19952 (305) 673-7118
City College
6565 Taft Street #200
Hollywood, FL 33021
EMS Program Director. Provide management
and oversight for all EMS certificate and
degree programs.
100k
7/1/22
x
Received July 11, 2022
Office of the City Clerk