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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