Montrice McClain 2020 #2MIAMI-DAD E- EII
OUTSIDE EMPLOYMENT STATEM ENT
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 McClain Montrice N
Mailing Address - Street Number, Street Name, or P.O. Box
1811 NW 69 Street
City, State, Zip
Miami, FL 33147
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)
[] county â–¡Public Health Trust E] Municipal City of Miami Beach
(Municipality)
Department Division
Public Works Operations
Position or Title Employee ID Number Work telephone
Control Room Supervisor 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
Mogul Measures LLC Clothing Boutique $0.00
I hereby swear (or affirm) that the information above is a true and correct statement.
Date signed
I
RECEIVED BY ELECTIONS DEPARTMENT:
[] Hardcopy
tJ tectroniq $EIVED
FEB 23 2023
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency Processed Date/Initials:. Scanned Date/Initials: _
138_01-22 COE 2016