HomeMy WebLinkAboutJacqueline M. Railey-2025-Outside Concurrent Employment FormBROWARD COUNTY ELECTED OFFICIAL CODE OF ETHICS OUTSIDE/CONCURRENT EMPLOYMENT
DISCLOSURE FORM FOR MUNICIPAL ELECTED OFFICIALS
Name of Elected Official:___________________________________________
alendar year covered by disclosure form:_______________________________
Name of outside or concurrent
employer
Remuneration received
during covered year
Direct employer contributions to
retirement
Under $1,000
$1,000 - $5,000
$5,001 - $10,000
$10,001 - $25,000
$25,001 - $50,000
$50,001 - $100,000
Over $100,000
Exact Amount _______________
Did you receive any direct employer
contribution to retirement r
eyer during the reporting period?
Yes No
If yes, was this amount incuded in the
ea remuneration a r rae
e e rr
Yes No
Under $1,000
$1,000 - $5,000
$5,001 - $10,000
$10,001 - $25,000
$25,001 - $50,000
$50,001 - $100,000
Over $100,000
Exact Amount _______________
y reee ay re eyer
r reree r
eyerrererer
Yes No
If yes, was this amount incuded in the
ea remuneration a r rae
e e rr
Yes No
Under $1,000
$1,000 - $5,000
$5,001 - $10,000
$10,001 - $25,000
$25,001 - $50,000
$50,001 - $100,000
Over $100,000
Exact Amount _______________
y reee ay re eyer
r reree r
eyerrererer
Yes No
If yes, was this amount incuded in the
ea remuneration arrae
eerr
Yes No
Signature of Eeea :_________________________________
If this form amends a previously filled form, please check this box
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