HomeMy WebLinkAbout6/6/2019 - Elected Official Outside Concurrent EmploymentBROWARD COUNTY ELECTED OFFICIAL CODE OF ETHICS OUTSIDE/CONCURRENT EMPLOYMENT
DISCLOSURE FORM FOR MUNICIPAL ELECTED OFFICIALS
Name of Elected Official: tn� �`\gnO
Calendar year covered by disclosure form: Lc) \ b
Name of outside or concurrent
Remuneration received
Direct employer contributions to
employer
during covered year
retirement
Please state exact amount or check applicable box
[] Under $1,000
Did you receive any direct employer
to retirement from this
0 $1,000 - $5,000
contribution
$5,001 - $10,000
employer during the reporting period?
0 $10,001 - $25,000
[]Yes 'o
$25,001 - $50,000
If yes, was this amount incuded in the
$50,001 - $100,000
exact remuneration amount or range
agpver $100,000
disclosed in the prior column?
Exact Amount
[]Yes 0 No I i�
Q� Q�
Under $1,000
Did you receive any direct employer
$1,000 - $5,000
contribution to retirement from this
5,001 - $10,000
employer during the reporting period?
$10,001 - $25,000
[]Yes Wo
® $25,001 - $50,000
If yes, was this amount incuded in the
$50,001 - $100,000
exact remuneration amount or range
Over $100,000
disclosed in the prior col^um� ?
t � A .
Exact Amount
[]Yes 0 No
Under $1,000
a$1,000 - $5,000
Did you receive any direct employer
contribution to retirement from this
$5,001 - $10,000
employer during the reporting period?
0 $10,001 - $25,000
[]Yes 'No
0 $25,001 - $50,000
If yes, was this amount incuded in the
0 $50,001 - $100,000
exact remuneration amount or rarige
Over $100,000
disclosed in the prior column?
® Exact Amount
[]Yes 0 No IA"1
Signature of Elected Official.qw��'< Date: 0 v�W
If this form amends a previously fill d form, please check this box
7019 JUN - 6 PH 2- 45
RECEIVED
CITY OF TAMARAC
CITY C e n' 1;