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Alan Maestu 2021�AMI•DADEAxF< OUTSIDE EMPLOYMENT STATEMENT :'' .x' 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 2021 1 1Q C5:� / l l �� C-, Mailing Address — Street Number, Street Name, or P.O. Box S'71 q S`-' ) 6,b, .s ¢- City, State, Zip w z-� Pol kl T- - 3e 93 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) (0 County ❑ Public Health Trust ❑ Municipal (Municipality) Department Pjami 13rcty� reykti2 p 1mrvf Division pd,�11A eh 9)'V rr'F Position or Title �7 Pr- r- 5 Employee ID Number Work telephone ..f 9-) 3117�'76?G_-qq2—.24(0`1 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 L j ;2V JCVI CC Cie 1 Crn .vl V l► Cool 1601�i e S �L 5 3 I y Pq 1-Vd aln d e4 I -Cf Pci-� I L, Lyell o f I 'p yqc � pv e J i CI (c w eZ k �o�ps I hereby swear (or affirm) that the information above is a true and correct statement. Signature of Person Disclosing d7 /00< 242IL signed RECEIVED BY ELECTIONS DEPARTMENT: ❑ Hardcopy ❑ Electronic Copy 115n1 till OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: 13801-22 COE 2016