Navarro, George
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"'DADEf
OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees
FULL-TIME COUNTY AND MUNICiPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY Disclosure for
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending:
THE MIAMI-DADE COUNTY CODE.
Name: Last
i~ ~\'J f\ ~Q..p -0
First
G~r-&~
Middle
-
Filing as a (check one):
o Miami-Dade County Employee
L&Municipal Employee of: c.. ~ '~ C~ 'N\~ S\1'Y\l 0~~
Position Title:
LO\('() xY\C\.(J 0 ~R-
County/Municipal Department:
\\'O~ -' 'ff\ (??
"your home address is exempt from public reco~ursuant
to Florida Statutes 9 119.07, please check here: ~
Mailing Address (Street Name and Number)
, W A0~~~e::,TON
City
lV\ \ ~\ (h CdJ
County/Municipal Division:
\=-: \='o~ .
Work Telephone:
1-,"1 ~ ;..""1'\ ~O
Apt. #
Please list the sources of outside employment. the nature of the work and the amounts of money or other
compensation you r~ceived. If continued on a separate sheet. please check here: 0
~
-
State
PL..
-
Zip Code
:;2;-
~.
Name and Address of the Source of
Outside Income
Nature of the Work
Performed
Amount of Money or
Compensation Received
(J, (\. ffior\~lA"w~ NL.-.
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature of ~~r~on DiS. closil1g
IV t2U&Yl ()
Date S,i9red . /
6j;Lfj ~~{)b
10/26/00
...
OUTSIDE EMPLOYMENT AND DISCLOSURE OF BUSINESS INTERESTS
FINALCIAL STATEMENT
FULL-TIME HACOMB EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT OR SERVE AS A DIRECTOR/OFFICER OF A FOR-
PROFIT CORPORA nON MUST FILE AN ANNUAL DIS/SHAREHOLDER
CLOSURE REPORT BY JULY 1sT OF EACH YEAR IN ACCORDANCE
WITH THE SPIRIT OF SECTION 2-11,1 (K)(2) OF THE MIAMI-DADE
COUNTY CODE
Disclosure for
Tax Year Ending:
2004
Name: Last O'Hara
First Michael
Middle P.
Position Title: Director of Special Programs
If your home address is exempt from public records pursuant
to Florida Statutes 9 119.07. please check here: 0
Mailing Address (Street Name and Number)
9233 North Miami Avenue
City State Zip Code
Miami Shores FL 33150
Please list the sources of outside employment, the nature of the work and the amounts of money
or other compensation you received. Please also indicate if you are a Director or Officer of a for-
profit corporation and the name of the corporation.
1 continued on a se arate sheet, lease check here: 0
Name and Address of the Source Nature of Work
of Outside Income Performed
Breffni Academy of Irish Irish Dance Instruction
Dance, Inc. (same as above) * Director of corporation
Work Telephone:
305-532-6401, ext. 3033
Apt. #
Amount of Money or
Com ensation Received
$ 0 for YE 2004
National Foundation for Irish Dance Instruction $ 675 for YE 2004
Advancement of the Arts
800 Brickell Ave, Miami, FL
State of Florida Irish Dance performance $ 879 for YE 2004
200 E. Gaines St, Tallahassee, FL
OUTSIDE EMPLOYMENT INFORMATION
OUTSIDE EMPLOYMENT means the providing of services or capital, other than to HACOMB,
or to the respective municipality, with the intent of earning a profit or income, including but
not limited to, being an employee, an independent contractor, an agent, or by self-
employment.
FILING INSTRUCTIONS
This form must be filed by July I st of each year. The form should only be filed by employees
who have outside employment or are an officer or director or shareholder of a for-profit
corporation.
HACOMB personnel shall file completed forms with the Human Resource Department.