Montrice McClain 2021M IA M I-DAD E. EI
OUTSIDE EMPLOYMENT STATEMENT »um1O IO ms o al440
For Full-time County an d Municipal Employees HO\VJ8 IWVIW 30 LIO
Fol-me county including Puc Hean must) and municipal employees engaging in outside employment must hn a4:;kjh,l.lk or
by July 1st of each year, in accordance with Section 2-11.1(k)2 ) of the Miami-Dade County Code. 03/13038
Disclosure for Tax Year Ending Last Name
2021 McClain
First Name
M ontrice
Middle Name/Initial
N
Mailing Address - Street Number, Street Name, or P.O. Box
1811N W 69 Street
RECEIVED
City, State, Zip
M iam i, FL 33147
FEB 16 2023
lf your home address is exempt from public records pursuant to Florida Statutes $119.07, please see note on the f6fig'p~je and. aheokberg?
Filing as an Employee (check one)
[] count y □Public Health Trust E] Municipal City of M iami Beach
(Municipality)
Department Division
Public W orks Operations
Position or Title Employee ID Number Work telephone
Contro l Room Superv isor 22967 (305) 673-7625
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
McClain Signature Services LLC Notary and Administrative Services $ 500.00
I hereby swear (or affirm) that the information above is a true and correct statement.
2-16 2023
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
□Hardcopy
[ ] Electronic Copy
RECEIVED
FEB 16 2023
CITY OF MIAMI BEACH
O FFI CE OF THE CI TY CL ERK
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: _
138 01-22 COE 2016