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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