Jani Singer 2022M IA M I-DADE - El
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 for Tax Year Ending Last Name First Name Middle Name/Initial
2022 Singer Jani
M ailing Address - Street Num ber, Street Nam e, or P.O. Box
6103 Aqua Avenue #306
City, State, Zip
Miami Beach, Florida 33141
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
Fili ng as an Employee (check one)
[] county [] Pubic Health Trust [] Municipal Miami Beach
(Municipality)
Department Division
Office of Inspector General
Position or Title Employee ID Number Work telephone
Investigator 23727 (305) 673-7020
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
Nam e and Address Natu re of the Total Amount of Money or
of the Source of Outside Income Work Performed Compensation Received
Petal to the Metal Flower sales $200
610 3 Aqua Ave #306
Miami Beach, Florida 33141
r affirm) that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPAR TMENT:
[] Hardcopy
D Electronic Copy
OFFICE USE ONLY Accepted: Y I N Deficiency: Processed Date/Initials: Scanned Date/initials:.
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