Elise Taylor 2022M I A MI
EMI
OUTSIDE EMPLOYMENT STATEMENT
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 fo r Tax Year Ending Last Nam e First Nam e M iddle Nam e/Initial
2022 Taylor Elise s
M aili ng Address - Str eet Num ber, Stre et Nam e, or P.O. Box
6301 Falconsgate Avenue
City, State, Zip
Davie, Florida 33331
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 Miami Beach Police Department
(Municipality)
Departm ent Division
Miami Beach PD Support Services - Training Unit
Position or Titl e Em ployee ID Num ber W ork telephone
Lieutenant 15545 (305) 673-7884
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 separa te sheet, check here. L]
Nam e and Address Nature of the Total Am ount of M oney or
of the Source of Outside Incom e W ork Perform ed Com pensation Received
Boulder Crest Foundation Instructor/Psychologist Consultant $80 per hour 33735 Snickersville Turnpike (540) 554-2727
Bluemont, VA 20135
I hereby swear (or affirm) that the information above is a true and correct statement.
a. 3 · 7@p
Signature of Per~ing
Date si gn ed
RECEIVED BY ELECTIO NS DEPARTM ENT:
[ ] Hard copy
[ ] Ele ctr onic Copy
RECEIVED
MAR 312023
CITY O F MIAM I BEACH
OFFICE OF THE CITY CLERK
OFFICE USE ONLY Accepted: Y I N Deficiency: Pro cessed Date/initi al s: Scann ed Date/Initials: _
138_01-22 COE 2016
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