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Karin Matos 2023m # ,I: Clear From Print Form SOURCE OF INCOME STATEMENT Section 1(@)0/ the of every year Ethics Code that certain employees and public officials file a financial disclosure Statement on a Disclosure tr ax Year nan 2023 tos 'Malting Address -- Street Number, Sf@of j4, / p@ n,, I 1465 Cleveland Rd state, zip Beach, FL 33141 address is your mailing address, and your home address is exempt from public records pursuant to Fla. Stat $119.07, read 0 the following page and check here.D] Filing as an Employee (check ono) First tame Karin Middle Mame/Initial L County [ Public Health Trust [] Municipal: (Municipality) Department Position or Title I Employee ID Number Employment began on/ended on [] county Mar« oact []Municipal; """ (Municipality) Board where serving Neighborhood Resiliency Projects Advisory Committee i lll!'trliate address (if home address is exempt) --------,-w-or-k.-te-lc_p_ho_n_c -----Te-r'm--began on/endedo'n-- below every source ot income you received, along with the address and the principal activity ot each source. Include your public salary. Place the sources of in descending order, with the largest source first Examples of sources of income include: compensation tor services, income from business, gains from property dealings, interest, rents, dividends, pensions, IRA distributions, and social security payments. Also, Include any source of income received person for your benefit However, the income of your spouse or any business partner need not be disclosed. If continued on a separate sheet, check -··-·-· ·""'"' ··---,., Address Description ot the Principal Business Activity Name of Source at Income Karin L. Matos. P 6538 Collins Ave. 1345, Attorney Miami Beach, FL 33141 I hereby swear (or affirm) that the information above is a true and correct statement. Karn L Matos3/3/2024 Sig0ature of Person Disclosing RECEIVED UY ELECTIONS DEPARTMENT: nor«co RECEIVED \Electronic Copy JUN 19 2024 CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK