Shavonne Bryant 2023MIAMI-DADE. EI 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
2023
First Name Middle Name/Initial
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.~
Filing as an Employee (check one)
D County [] Public Health Trust ~owe Cul4 6A You /'cl
(Municipality)
Department
Coo- Division
Position or Title
le
Employee ID Number
25085
Work telephone
\
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. []
Name and Address Nature of the Total Amount of Money or
of the Source of Outside Income Work Performed Compensation Received £/:e Cl esdoh0 $3o- e e. $
I hereby swear (or affirm) that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: □Hardcopy □Electronic Copy
OFFICE USE ONLY Accepted: Y / N Deficiency. Processed Date/initials: Scanned Date/Initials: _
138_01-22 COE 2016