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Jason Bogk 2022DocuSign Envelope iD: A0243FA6-D814-4D38-BF37-79FB69AC9BF4 MIAMF OUTSIDE EMPLOYMENT STATEMENT For Full-time County and Municipal Employees Full-time County (including Public Health Trt,st) 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 iDisclOsure for Tax Year Ending � Last Name Bogk Milling Address —Street Number, Street Neme, or P.o. 8ox 1©540 SW 123rd Road City Ctnta r.. Miam, FI 33186 First Name Jason Muddle Name/Initial Mt ff your home address is exempt from public records pursuant to Flonda Statutes §119.07, please see note on the following page and check here. F1 Filling as an Employee (check am) ® County ❑ Public Health Trust Department Fire Position or Fireftghteriparamedic E Municipal M,arnl Beach A shift (Municipality) ID Number Work gfphone 19961 (305)673-7130 Please list the sources of outside employment (including self-employment), the nature of the work, and the = 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 "rr (0) for that organization in the section below. If continued on a separate sheet, check here. ❑ Name and Address Nature of the Total Amount of Money or Of the Source of Outside Income Werk Performed I Compettsatfon Received Mount Sinai Medical Center ER Nurse I $50+/hour 4300 Alton Road I hereby swear (or affirm) that the irlorrmwion above is a true and correct statement. Signature of Date signed RECEIVED BY ELECTIONS DEPARTMENT: Hardcopy Electronic Copy OFFICE USE ONLY Accepted: 'i N DeficterlCy, s P*xPsed Date, IniGaas z COE 20+6 Scared Date to *;a s.