Christopher Roig 2023DocuSign Envelope ID: E01FISAAD-01E8-48CD-A2IF-DAAAC4A1E1A7
MIAMO OUTSIDE EMPLOYMENT STATEMENT
For F_ -t .r. 1 oda.-s +4'_ ;Ipa C^10 Uy@@S
Fu ' re COL ', Including Public Mealfh Tri st) art-,nlcipal employees engaging r outside e^r.iuy7pnt must rile an annual disclosure report
by July 1st of each year hn accordance with Section 2-1, Iik)i2l of the Miam -Dade County Coble
Disclosure tar Tax Year Ending -Last Name = — - - Flrst Name Middle Name/lnitial
r aei3_ _ ROIG CHRISTOPHER A
Mailing Address - Street Number, Street Name, or P.O. Box
14061 SW 48TH STREET
City. Stale. P — _� - - - --
MIAMI,FL 33175
Tyome aderess Is NemQf trnrr cubl:c records D6rsu21-: to Florida Statutes §119.aT please see note on the foiio%,v rg page and check here.
Filing as an Employee (check one)
❑ County p Public Health Trust d Municipal CITY OF MIAMI BEACH
_ _ Mun�trpal+tY+
Department Dlrlelon
MIAMI BEACH_ FIRE DEPARTMENT _ PSCD
PasrHon er Title Employee ID NumEer
COMMUNICATIONS OPERATOR 23277
work telephone - -
(305) 673-7870
Please list the sources of outs de emp dy[niert ^ciun:ng Self -employments. The nature of the work, and the toM amounts At rrrney or other
colrpensabon you reser.-ed for each Source of i;.itsmce e-rployment I no ncome c* rom,censatur• r.as rece red from a partcuiar outside
empibyment, enter Zero lot f0.1-181 organ�tathen n the sector. below 1f continued on a separate sheat, check here. 0
Name and Address Nature of the i Total Amount of Money or
at the Source of Outside Income Work Performed Compensation Received
iLelltr%a I2eecklt' , Inc—
REAL ESTATE SERVICES 0
1a754� � Kt�4w�1 Dr• H�a�_� F✓,�31,Ht� --
ereby SIVE of or a of _' na' or ae�:Le 5 3 %C' 311C LCr.reit Stateltr.:
Signature aarson sclnsing
I I;�/ 2-023
Date signed
OFFICE USE ONLY _ ._
RECEIVED BY ELECTIONS DEPARTMENT
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