~ ~icecutive !>ark Verification of Employment .. FAX SlJl~200 . tf11i1w. ~1\9261.4 · To: from: HR Phone: (Lender) (305) 348-3384. F.ax: (949) 132--6()?~ (305) 348-1777 Date: 0~12016 Employee: .RENE ACOSTA Verifi~tion of E.mploymen~ Re: Order N1.1mber:. 234079 ii Urgent i ,· Veri-Tax, UC (Third Party) on ~half of Third ·Foo~ral Savings & Loan ASsei:iatlon < OFor~evlew 0 Please Comment 0 Please Reply COMMENTS: Please comptete the table below with the requested employment information. If you wouid prefer to provide the information verbally o.r have any questions, please contact Veri-Tax directly at (949) 783..2170. The employee's · loan application is subject to the re~eipt .of this information and your prompt response wi.11 be greatly appreciated. Employe~ Name: RENE ACOSTA Employee SSN: Your Name: VourTltte: Your Phone: Termlf}~ion Date: ~n:iployment Type: Clunemployed oo·nleave ~uUTime · OParttime DOther {Please explain} ·~ketv OUniJkely OAgainst Policy to Disclose Positjop/Trtl~: Proba~i.lity:of <:ontin.ued Emp1oyment: Additional Information: Phone: (949) 783-2170 Email: voe@veri-tax.com fax: (949) 732-6095 HP LaserJet MFP M426fdn Fa:x C·on·firmation May-25-2016 3:07PM Job Date 11 5/25/2016 Time Type Identification 3:05:45?M Send 819497326095 _..... • ·-· ~-· ••• ..,... Duration Pages OK 1: 17 P. ..,,..;;.-1y(.-vv.::i.i,. et vE:rl-taJ{ lO~hrt S<.ltil;)) Verification of Employment· FAX ~.c.\.rnµ ' . FIVln: 'fo: """ 011t" 0Fot~'liew . Cl P1eas.e C<>_mmtri~ COM~ENJS: Pl~se complete the table below wfth the requesh:d ampfoyTnent information. ttyou would preftr to pre.vi® the lilfomiation >ei~olfv or h•ve any qutstloru, pl•= coll1ilct Vori·Tt• diri! !o.~ •pplloation is :su~Jcct to1he receipt of this Information and your pro mot wUI be w•atly appreciated• "'l'<'",. ,,,.~ Mm10\J:J"4!Y Pr-obo~lnty oi Condnuecl £tnp!oxmcni: ~,~1T111tlotl: Phooe: (9491783-2170 OvnukeJy Result FLORIDA I INTERNATIONAL UNIVERSITY April 6, 2016 Attn: Human Resources Payroll I, R. Alexander Acosta, authorize my assistant Rebeca Payo to pick up a copy of my W-2 form. Thank you, . lexander Acosta Dean of the College of Law 03Af383{1 9S :z Ud ·;:' .'11i·! 1 _ 8-· t!dV HiDZ ·i ,'"' f·f ·.; . ... ,l.I J... ; ,. 1 p. . ·, ' Coil.EGE OF LAw Office of the Dean Modesto A. Maidique, 11200 $.W. 8th St., ROB 2015 •Miami, FL 33199 •Tel: 305-348-1118 • F:u:: 30S-348-1159 • W\vw.fiu.edu Pagel of 1 INITIAL FACUI:TY A;?POINTMENT FORM INITIAL APPOINTM 06/29/2009 DATE PREPARED: PREPAREO SY: R. SAEZ ------ EXT: 7-2168 POSITION#; _4_16_1_7_ _ __ POS.tl: 33265 JOJNTOE?ARTMENT:---:,,_-..,---------,,..---,;''-------BUJLDINO'A>JO COOEi: Raf~el Dia2- Ba!lart law.Bldg. 01027 BEMPLOYEE A:;:,~~~o;~ :/ J; Assigned EMPLOYEE Cl.Ass: a-Regular TE~URE ~TATUS:;;c.M,_·M"-.U;;;.he 1 26000\>101 STARi DA.TE 07i01/2009 06/301201°4 5 --- 6 MUSTEQUAL)OO'l. EFFECTIVE DA TE: AM.OUNT 100.00 0;00 0.00 0.00 0.00 0.00 3 4 A~~OCATEO ENO DATE 2 $275,000.0l $0.00 $0.00 $0:00 $0.00 $0.00 100 -------DEPARlMENT/ PROJECTIO START DATE ENO. DATE ·~ 0.00 G.00 0.00 0.00 0.00 0.00 MUST EQUAL lC>l'A I I / CODEICW\S~.TrlLE: 9199· Feculty Administrator APPO!NT.OAT~~:Fl\OM:Q'l/Q,1/2009 TENUREEL!GlBIL!TY: caLcecnv" aARG.uNm N 29 NON-1.jtm STANDARD HOURS: JOB ALLOCATED AMOUNT $0.00 $0.00 . $0.00 $9,od $0.00 $0.00 ():00 APPROVAL: O!R~~:;.;._-=- ""':<'!;,,·•· • ,/ PRIMMY COLU JOINT OEPAR1MENT:. B EMPLOYEE ASSIGNMENT 99: No RANK: ti.'r-:OSiA /. ·-·.=~.:::"';;;.'"~e.:"c:y.:..)~'.:'":::"------------- ROOM#: ::.20:.;1:.:.S--i._-../c.___ _ _ _ _ _ _ _ _ _ _ __ /' . // / ../.!__ Rank AsSigned E.M!'\.OYEteLAss: B· Re9ular T~H.iuRe sTAtus:;;..M_'.:..M.;;cul"'tiy"'o;;;.ar_ _ _ _t/.o.-·____________ PR:O~ TENURE YRS CRED: / Joa CODEJCLASS TfTLE: 91{19. Faculty Administrator. t;J' ADMIN c'ooE1ADM1N 01. Dean _ _ _ _: / . 'TITLE:.;;...;......:.;c.:;::_ ~,..__ _ _ _ _ _ _ __ Fl\J YEARS cRio_rreo: AOMIN iNCREMEHl AMT: CIP CODE: BUDGETED ?JEE\{S: '""'UREEUOIBILIT'f: J_____________ ,. COLlECTIVEBARG.UNl!:_N-"2.;;..9_NO_N_·.,,U}f._IT_ _ EJ ... .;O!t-JTC°OlLEGE: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ aUILDING AND CODEii: Rafael Diaz· E!alfart Law Bldg - 0 fo27 STANDARD HOURS: POSITION#: ..:..4c..:16_1_7_ _ __ -----------,r---------- RE~ORTS TO (EMP'l4'!i!lllililllll!illl\ll!!~'~--:__-_..!F:SO~S.!!.;#:~3~3~2!:!:65~--- PRl~RV DEPT/ORG COJ?E:0315000000· Collega Of Law· TENURE 7-2168 @ "-...~ST!W~ 4 FlRSTNAME:;RENEALe°XANOER EMPLOYEE IOI: 06/29/2009 40 T ~-,.-~--~-~..,,,c-¢-~~--~- s2:2 Weeks (12 MO) APPO>'IT.OATES:FROM:.cm.0112009 .,,,. / ./' TO: 06130/2014 WORKING.Till~;-------:----------- ,,.,,,,U~J.:~A0-R_Y:$275,000.00 .../' BIWEEKLY: ,/ $10,536.40 ..,;- LABOR ALLOCATION EFFECTIVE DATE: _07_10_1""'/2'-00_9'----VEPARTME.Nll PROJECTIO. 1 ~6000010_1 STARf DATE 07/0l/2009 IU.t.OCO..T'EO ENO AMOUNT DAYE 06/30/2tj'1 ~ 100.00 $2?5,000.01 .2 o,oo $0.00 J 0.00 $0.00 A 0.00 S0,00 5 0,00 $0.00 6 6.oo $0.00 .. MUSrfQUAl.10.0'h· OErARTMethJ PROJEClJD. '. SiART DA1E """ DATE 100 % 0.00 0.00 MUST £auAL'tOG% ALLOC.ATEO AMOUNT $0.00 $0.00 0.00 $0.00 0.00 so.oo 0.00 0.00 $0.00 $0.00 0.00 OIRE.CTiONs' 4 Thfs form is uihliproiiaf'Cd by th~ unlt and farwarde-d dlr~c~ly to ASPO 05/061200) S:37 P:-1 ~{\ httn://;:i.c1:!.d~mic.fiu.edu/academ'icbudget/w\vw/Fina1Form.~/It).ilial. Faculty_Appointment_F... 6/29/2009 CHANGE IN STATUS OF FACULTY APPOINTMENT Pagel of 1 INITIAL FORM I CHANGE IN STATUS OAl'l;PR.!P.\f'.Et>: Pt•fP~l),._.:.Oal: FLORIDA INTERNATIONAL UNIVERSITY UT: CHANGE IN STATUS OF FACULTY APPOINTMENT R£MStfDAC.fl0"1tll~ ----- ,,_'I IM1~1) @: CW..'lGE:?ISALAAY ./ ff. 10/31/2013 R.SAE.l ----- lf'f'Cl."(fMNT f\fU!m.\. if ~ C:W.~:i; ~YATl\'E'.J.l'Pl:'i..,~D>'T fletUSOEllll5t;cO:~!IV.IP'i"Wilf1£Hf CiOn~--------------­ $TAl;lJ..Um~Qt.!Rll:cc"'"--------------- 5E~CAJl;"(®'~Ufiillf: _ _ _ _ _ _ _ _ _ _ _ _ _ __ POS.'Tl0"H'4'.l9ER::;::;'1:;:6,:.:1700=0-----------WCAl: _ _ _ _ _ _ _ _ _ _ _ _ _ __ tS.'lUR.!iOFCOOE: _ _ _ _ _ _ _ _ _ _ _ _ _ __ Lt"r.cti&VOE: _ _ _ _ _ _ _ _ _ _ _ _ _ __ ~oo;e~c;:;_--------e-o-c-•-ra-.----$TARTOA.1e_____ £Y.l'LOTi1?Cl.A'S!i:_s._•_~.,,,~·-----------­ Aew.;i$TRA1T~""aM9T..o£SC~.=oc..1·"'°'"'""=:....-----------J.t.l.t.1ft.w:m!f.Etr.AMT: _ _ _ _ _ _ _ _ _ _ _ _ _ __ ll.Q.'CH.Af'YT. $-Tl,'fll QAf!; 1CQS."2Q13 aco~AAV-.'Jlr: s~oo.coo.oo A»OUHI.: _ _ _ _ _ _ _ _ _ _ _ _ _ __ 0 i;:v ~s I DEPARTMENT BUDGET (Allocation) EFFECTIVE DATE: 1012912013 c"" ~ ' 2600120001 2600130008 66.66 33.34 0.00 TOT4l.P.ATE :.>) jr"T\ $199,980.0l () S1C0,020.0! fT1 so.co 0.00 so.co 0.00 0.00 $0.00 $0.00 100 """ ~ 10f.tLRATi! O.C-0 0.00 O.CO $0.00 50.00 0.00 $0.00 $0.00 $0.00 UQC4ra 0.00 0.00 Et9 rn CJ ·~ I- h'.l :::it. \2:1 ...,. .:r: c -~ - ;:~ .72'. c:. ,,.,,..,., <...:> XJ l..O EFFECTIVE D A T E : - - - - <<>ST"' -< ~B ...: c C· rr ,.,.. So.oo APPROVAL: """ CIR:Cncns .nttihf!'t;.10~~1111.,.tdbt~ll&t~fc:Nad'i:dlfhi:~rb.t.6?0 Februaiy 4, 2010 4:30 PM ompleted by martind 11/Hil.0(1J:Ilt0l3S231!\ll\I PA\'UOU, UEP'i'. ll/15/2013 S7.•AUlANA http://hr.fiu.edu/oeoolesoft/AA/Change In Status Of Faculty Appointment Form.html 10/31/2013 27:t-~ay 2009. R Alexander Acosta be.ar:Ale.x, I am delighted to.offer you~Hie~position or Oean ·of the :college of Law effective J .ju!y .200.9. f3aseiJ on my expEfC~~tlon '·9f your sucf;ess;'. ! arp offering yo.u a .s.tarl;ing salary of $275;000, The Unhiers!~·f!f,is·a·v~'r)1 attractive benefi(pregTa,ni which is detailed· in ot,1r benefits handbook ~Yhttl{:l~i\r.fiu:odu!jpde~.php?n~me,,;benefifo adrnihistrafion, ii ls 111y expect:ati0ri.lh{'.ityo~J·y.ilf1··$fgnifioant1y·improv~ lhe ~sf)'rib:le &rps offhe:fr:iw ·taciJlty, m~intain the. stt'or1g har pass rate of the. graduates/secµre .external. funding for· ·the college, improve fhe fariklngs dfthe coHege, and bettenintegrate the-. college ·students and.f~clilty irito-.tne mairhcof the Univer..slfy« fn ·order to.as$!st you with thes_e goals,· the Unlv~rsity. WU! not withhold the 30% of the ·law tuition inµrea~e for fJ.iJa.DciaJ; alcfand·wm- provideJtfes"e:recµrring ·funds, ·approxlmately.$340,000 1.. kHlie faW schoi;:il t;&G ·budget in FY·OS/10. It \s inhmded thatthls wib·btndlve yesWl?ppolntment as"bean ..:Howt;iver, ·a:s is the case for -Bil Deans;' yoti wm sefV~'c~t:lti~·ple~sure oHhe Provost :Shb0!.d-you elther:vollin.tarily :or·at the Provost's requestsfr~'p dowrrfrom the-decjnship arany time dutlng t,he appointment period, you wm have·an,appointrnentas aJaculty .member In-th~ College of 'Law for the remak1der~of,fh$;fi'.fe·,y~ar term .and ·an appropriate·safatyfor that position« or ·t~ts app\)lntn1~11t:is categoif4~.a as·e foll time, 't_l,verve monih, ouf llnlrfaculty . .administr?tor po.sit1oh. Univ~rsity $1i'ip'lay~es are requl.re<;ltq,foport any out$l{le activity ·whfoh m(lyibe'consid$red:·a ·corifHcliof interesl.WiU1 'l.miVe.rsity-·eh1pJoym.ent~or an:'.{ r:ampens~t~9. 9utsiq~.PJQ:fe~stonal ac:;th1qy, ifyou.are involveq i!'J any·ou'tsiCfe acthdty·, please notif)i'Jlie iti··advatice. Your appoih1rnei}t:t¢ the pos~ti9ri'·!~· ~qntingeiif upbJ'.l.'YOUr:abillty JO: prod\Jce.:p-roper identi~~fai1·d':ef1:ipioyn1e'hfeligib!Hty {loct.frnent~ wlthi'n 3 days ·9f:yaur emp!_oyment and :u-pon. our r~.ceivlng an=offici~l :transcript from the awarding institution ofyour highest ,degree. · .I lopJs,Jprward toiwor~!hg with you.lo btiild·ah out$tanding· Coilege :oflav,i:, 'Please lndi~ate yourapc_~p.ta·nce b,y sigr1ing ~nd returning (]n.e copy of this-letter by;27'May 2009, ' . QH!c"t t)ft4t'Pt\Jwm .. . . . .. .. \3V.f~~:dt•J l'.1.:\li:'• Miaini, 1~1, :n rn~ • Td! !itt~;-;~,il>·:.>.l.~i;I • Fi!.>:: .Joj:·~~.!i~2?'~ili ~ ;;;-,~w.fili.e1h 1"'",11~\i.~'.:t~..J:F-iti'"<'·~~.';:.:~.::SS~~~:i.r.~/O~,~~· t~.H·~Sf..f ~~ • t:~'r~.!.'~E.ti.,~J!'a'~~~"'l ACCEPTED Alexander Ac'o?Sta Clara Martinez From: Sent: R. Alexander Acosta Tuesday, August 11, 2009 1:58 PM Clara Martinez Re: W-4 To: Subject: I apologize.lam manied. Canu pis adjust the system. Thank. you. From: Clara Martinez To: R. Alexander Acosta Sent: Tue Aug 1111:57:03 2009 Subject: W-4 Dr. Acosta, We have received a new W-4 you send us, nothing was marked on box #3 on the W-4 The system will automatically default into single if this Is not what you want please let me know . • . Fedflial · < ... ·..•..... ··,...·..,.,·•._._......,.·-·..._..,,....,.,.,...,.........._...,....._.._--,--___,-~---,..,........,~...,._...,._~_,_------. < ~Si~S:§Jll l.~Sjrjgre_·····~···._. . . . . .,..,.,.._...,.._._.,....._,..,....,._.___~__,,.._,.-----~~-~~ ~s-:[ffi· A~~$:CJ or%:0 F~l3l~OIJI ss!Med Bl01;~ 0 fl . Thank you Clara L Martinez OHR/Payroll 2i?i;ripl$t~'al) v{ci_rliS~e~~s tha~.apply; !-lowever,.you Pf:!.fPOl!.t-f°-PF:le\e)"o.l'fT!.W.:,t;~·1h.~t your .employer can.withhold.the correct federel'income t~oriiVourc1-l'ay; coiisi9er~ccirrip!elil)g -~ n!'~ Form. W:4:each year and,when your persona! or te,x liiiari6iar sitiiallon ctmnges: - . E~~~pH~~ fi'.~m·,~ii~lding; it you are exempt, complete only lines:,r, 2."3, 4/and 7 .i!W:s;9r.· !~.ii t9rm.~o-ii!!!ii:tate ii. .Your.:exempvon for.2009.expire·s'F,ebruary~16,,2010. See · may clalrn.fewer,(or zero) allowances.:_For regular wages/withholding must be basei:I on ·auowanc·es ~O.u c.1?1m~g)lfa rTl!}Y ji6t 11at or" percent~ge of.wages. !>ea ·a-mount He~d o(iiou~ehoid. G~n.e.~tiy, Y£\!l!!S.Y..c)aim !'!'l~.9; oj, !i'?.~s.en~.l!!.!!IJ.119, ~!'!t~-~ ·oh Yuo: Nonresident alien. If you are a nonresident alien; see the ln.stiuCtioris for Form 8233 before completing this Forrn.W-4. Checkyour wlthholillng. After your.Form W-4 takes effect, use.Pub. 919 t6 see hciw the amount you ire having YJit_\lheld compares to your projected total tax for 2009. See Pub. 919; especially 1.fyou(earhings exceed $130,000 (Single) or'$180,000 (Married). P.ersonal Allowances Worksheet (Keep·fal"your records.) l A Enter "1" for yourself if 119 o_ne"else can:ciaim you:as a,dependent. o' You are''slrigie and . additional.lax. If.you have pension or annuity income, ~eePub;'.919 to fincfout tt.you'stfoufd ~giG~fy6ur:witliho1Clir\g Form W-4 or W-4P. wlien all for intorm~lipri, "ctiili:l'tai ~redifmay'l:ia:ciairiied:using the; dEiP.~~d,en_l ofi)~~i;: tax return: . d'i~icleniis:.con~id~r m3kin 9 :estirnated:tax have; only one job; or A "1'~ if: ( • Y~~ a;e m~rri~d. have only one job,. and your spouse aoes'not.work;•or r-vB ..._, ·~. o YCiur,~ages fr,om a;seconcf]ob or your spouse's wages (or th~·fot~l;~i.both) ar~.$1,500 or less, ~ -< En,t~r "1° for your spouse. But; y_o,Li J'!l?iy'gio_ci$e;t~ enter "-0-" if you are marrled'.and have either a working spouse or:> ~ B Enter ·c ·moriithah ~neJob. {!=nt!"_r.ing "-0~" may help you.avoid.having too little:tax.withheldJ • . • D Enter riurflber'bf dep~_!ldent~ (O\!ier than .your;spouse.or yourselfi ·YOU will claim'on your ta)( return • • Lt'J/ • ~C -;:;. - 0 ...,.. o E :.: "71· • . -0 F :: C (~()t~-;po ij'rjt l~cl!-Jde child suppor(pay.~e_n.ts.;See.Pub,_503, Qhlld and'Depeii9efit Care Expenses, for details.) ::f: :;; G Chlld'Tax;Cfedit Oncluding additionaLchllditax-credit).·See Pub. 972.:GhilifTai<\QreClit, for more Information. c.n o ~ inc~e wili be i~ss than $6'\:000 ($90,000 if married); enter ~·2" foi each eligib1e'i°httd;·\hehl~s ~1 •ifyou have three or more eligibl~ldre~ e 'if ~o.ur t_otai irico.rn7. :-vm b~·betWeef!'$$_1,!q9_9_;~~.:~~~!000 ($~,OpOO and $'119,ooffifmarried), enter ~i" for each eligibl6"'1 . ~ E 'Eriter-"1" Ifyou ,,VJll'fiie,as heacii·ofhousehoii:i:cin.your taHetum{see.cxiiioitlons.uriaer.Head of household above) Ent~r"1" it}o'u have at ieast $1 ,tfo-o' ci{c'ilucf or dependent care expe~~es~for ~hlch you p1an'to claim a credit' F · lf.vfilitritfil l child plus "1" addit1onal If you have SIX. Or'm9re· islig1!;>le chll(iren, G , _.. - H Add.tines A through G.and enter fo'!!I her~ (1'l~1~tT!!js:in~y.·~e:dilferent from the number.of.exell)ptioflS you claim on your 13)( relur~.) !lo- H - - F.or, acicuracy, o If you plan tq'iterrilze,or, ~laihl adjustments fo incomf) and i;J'anrto"requce your withholding, see the Deductions complete.all and;Adjtfs.tfu~!J!¢)1f.!orksheeton 'page 2. '!i?i.1$\t~~!.s •.If Y9.u have.ino~~J~an, iWor)ii:"e':iil:~.~je&ivtC.. E11.1pfQY~¢rs WH:hholding Allow~'1ce Certificate OMB No. 1545-0074 ~@09 Whether YOU'at D Total num'tier of.aliov1ant~~~ou are·daiming (trom llne H abolie:orfi'om·thecapplicable·worksheei on page 2)' 6 /\aditi~~ai.~ount:,if;a~;\iou.'w~nt1withhei!:i fro~-each payclieck .. : ·• • ... : . • • • . • . . 6 7 1, ciaiin ~~~h)p,~i-~_rrft?m,w'1ttiho'li:ling.f~r 2009; a~?-.1.certify'\hat·t~e~J,~~th:of ~he.;tollo~ing con~iti.~~s for.exemption:, o l;a?t;Y,ear l:haa,a:rigfit.to;a_refu11c! of;al[}fede(al 1r.icpm.~ taJ(:y11!bheld,because I.ha? no tax l~abillty,!:Jnd ~:TliiS.:,Yea(l)~.-~P:eC?.t a·refuf1d of all tederaCincome~tax withhe)dib·eeai.fse h)xp.ecqo have no tax lr-iab-..llity..._.---~ lftyi:lu meetibotli.ccfo'ditlons, write."Ekem 'ti'~here,. • ~ 7 Emp!Oyee's•signature (Forin,is not·,vaiid;uriless,yoiJ.slgn it.) II>' Date!>- · ·9 Office cllde (optlonaQ 10 For'priilacy'Act:and:Paperwork:'fie~ucifon:Acf Notice, see page 2. Cat-No. 162200 Jkk& ~1110~ Form W-4 (2009) .) RECENT WORK -E:Xi>ERJENCE' UNITED~TATES ATTORNEY'. SOl}'fHERNDlSTRlCTOFFLORlDA ( Ju.ne10,05 - presen.t) • • • • Senate Confirmed "(tinahiinous·consent) to lead one of the nation's four largest U.S. Attorney's offices, with284 attorneys. Key Prosecutipns ard,Jri_ifoi,i_ives.include: o Public Corrpptio.n._frQ,sec;µfio.ns, including those of Palm.Beach County Commission ChainilanMasil6tJ:j, Gounfy CommissioQer Newell,.a.110 ~rq;.vard'SheriffKen Jenne; o Health Care FraucFP.ro$ectltions, indicting more than 2.80 cases charging over $1.4 billion in Medicare fraud·over past two years; o U.S. v. Chupon entering goveminent!se:r.vice. 'EDUCATION HARVARD LAW SCHOOL, J;D., June 1994. HARVARD COLLEGEt'B.A. in.Ec~noffi.i.cs; June 1990. LANGUAGF..S: . Native Spanish·~pe~ker. .. • l 9.95) Served as law clerk io. Judge.Samuel A. Alito. U.S. ·Court of.Appeals for the Third Circuit. ltAW QLERK TO THE'HONO°RABLRSAMUEL A.·ALl'.fO:(l 99,4 • PR£v1ous WoRK EXPERJENGE PRINCIPAL DEPtrfY·As~r. Af:fofiNt·FGtNERAL, us noJ»CIV1~?Rtc:>HTs.D1V1s10N (2001 - 2002) • Supervised imp!em~nt?H\?n:of;~yy ifiitiatives, inCludir!g·thOse concerJ'!ihg Executive Order 13166 (accessJ5y languag¢)pj).;torjti~s to goy~mm~rit,fUni:led ser\'ices), Section 493 of the Voting Rig~ts Act(iiecess::bY, l?nguage m.i~o~jties ~o voting), and unlawful trafficking in persons;. Deputy Asst: Attom-e'j'Genera\ (2001). SENIOR, FELLQ,)V,/ PROJEct DniECTOR, ETHICS & ):>UBLW·:Po;.,1c;;:_v ~~f'ITER ( 1997 - 2000) • Directed t[le Center's pµ.blic policy j5i"C?ject'.t6·examine·thejuClic.iary's role and if11pact. LITIGAtION.~soqAT~i:~~~P&: E,L)JIS (<1995 ~~1997) • Focused·ontapp.~llat~tJi.~Jgatjon ~mg . on; labor& employmentissues. TEACHINQ°FELLOW, HARVARD tpLLEGE DEPARTME!'IJ10F:EcONOMICS (1992 - 1994) •· 'taught-Economics 10; Hal-Vara'sy~!l.r-long-.ejl!f.Y·fovel':rrii~roand macro-economics class. ¢1a~~'.~1Jght !J.\1}19~tenlire~y·~in section by'Teacfiing·Eellows. lNVEsTMENT BANKING ANALYST,.LEHMAN BROTHERS (1990 - 1991) o Spe6ialiieci in Latlii Ameti~an privatizations; NEW;EMP.ll.OYEE·INFORMATION. '.1?.9.da!~e.~l.!@·Nynitie~ .-.·. . . --"--'---~------'-------- P.antliePID:Number_______________ ________________________ Name R.ajexa~der'Acosta Actci~e?l Ci( _ _!!~~~~".'.'_~~~~~~~~~~Stat_. • :·~.,......:~·~~~-~e'S'6unt) --~ _ Roffle.Rhone_ _ _ _ _ _ _ _ _ _ _ __ Cellular"Phcih:f... ---------~~_i,l)LfWdress --•~______owe_ __ ((j ·~~i;~(n()tHi~pariic) 0 S_ex:· [OJ White(notHi!fpaniC) M () F'.Marital Stafus, Married: [0J H~panic [0) Asian'.qrPa~ificl~lander :1;>q13-.-J116/6~ [0} American Indian Country ·of ~irtfl ""'"u-.9_.____Citizenship_u_s_ _ _ __ Highest Academiq;begr~e Achieyed_·J_o_______ Date Completecf_6J.._.94___Disdpline·of Degree _L_aw _ _ _ __ Mo $pecialt)I _ _ _ _ _ _ _ _ _ _ __ PERSON TO:NOTIFY·fN..~ASEJ)F:~.ERG.J:fyse;.d)so..r3J~r or,_for,91~~~.m.a!Y·acbon up.to and-Including termmation.of employmenj;in acx:ord1~ince with ~pf!ll(;abt~ collecl!Ve bargaining agreements or rules., . In order to compiy wiih iliiS law, F.1oiidaJrit~rnati.9!1.'i.fUnive~itj. l'!as ttie ~llgv.1ng feiju[rements:· ·1. An e·~ptoyee snall riotifi hisll1er:supeiVisor·or other:approprlate .managemeni representative of any .criminal drug statute coiwictidn for a violation ~urrlng'iii:th,c~-W-o;~piac~:;;o-1~.i't~(,'ftia~:f~e·{5)'days aft:~r;sueh conviction. . .. ' _2. Jhe ~~iveis~y; shan.notlfy·any!Federaicoritractmg ag~11cv,.wtt'1tn . ~e,nJ10) . d~Y~. ~f. 'EI.Ying ~J'.".e~ l}OJ[c~.ttiarai:i employee engaged.in the performanp~~Juiowle~ge ,r~PbnSible l. tliat:I;m fofreadirig; underStanding, and abiding . by all policies anO:procedures~set;f6fl;h,f~}" floijda :Int~i:n.ational l!l'!iv~rs!iy, f fwther a~l<.t)o_wi.~dgt?·tl1at '.FW.J~~Wi!.e rec.i)VeG the tM'.Q r~twm1~nt p1@_5-~~tt~rn~tJy~::;·~v.w1~1?.l~ ..tQ'm,e m·aJ1QRP-appr9v.~4. P.9-~tt!q11:. f!i_~ florida·Retirenw.Qt$yst~rrt~S).r!W:Q. t!ie OptjonaVRetifomen@fari (ORP)., I understand that! have 90 days'\fromhny:,dafetofhire.to ·choose anJJR~ pto;vid~r «ompany or.to.elect m~mbet$hip ihFKsf.fu.E~-~,of'Oll.P.i Jf !:~!~c.~ t..execute the require_d ahhuity ¢ont;rac:;.t(s). Ip addition, I must:indicate.:!'AY:el~~fiqn,~y:.P911!Pl~tipg !!l)~.QRP-1 ~ E,nrollrnenvForm. Both cJQC:.1:1.m~~~S.·lµ'~ ti? !,?~ .r.E:?.fu~~q tQ;t:hEf'Di'Vi~iqn :Qf.HlJ_m:yi,'R~~QWC.~ f!:.t'{;lni'(i?rs.ity Paj"k, ..P<; 224, onat:Biscayne;B::i.y Campus, '.tiit3:iiA.. J furtbe(tiiiderstanc;lthat .if I fail to e:i contribution reports For completing;and:processing:group·heal~, life; ' ·r.eg~rding·o~~r '='se~ !)(your social ._s_ecur.i.tymu.m~r:by;ihe'·Ufiiversity. If any ihdividualiJias a spepifjc}l\le~tion or concern regar(i\Q."~ . tl}e,_dis~fosm.:e Qfta sodal s~curity·num15er?~they riiay·eontact ·i:Iuman Resources. by•the·Uni\'.ei:SiJY'.inJh~ H~a.n ~esq1:1E..S9~ a,r~~ 1\.lrindividual.S are adviSed lliat social seelirity .numbers are confidenti~l and may only be refoased ~ aqtb~rj~~~f byJ!l-w. · · FLORIDA INTERI•{i\TIONAL lJN·jyJ.t.RSiTY Factilty:Pre-employnient))i·s.dos,lire'.}intl,A~!}l~rization Dear .Pfospective Faculty Employee: As pa11.of'th~ Qve, then_y9~ ?f.e .ep~Il.1~t:lt:of'G.·a criilie:#.hlch is.a·feIOny Q.r a Illjs5Jen,te;tnor withheld? . YESO NO @) if yes5 P.lease'att(lcl,l a ftilktietailed·explanation. 4. Have you.ever· had a findi~jt,ma~e against..you.reg~r.djqg;se_x!l.a!;h_11i;~~m~nt or di§crl~inatioiH~y:a J)revicitis e1n~io~er? a st~te or; Jo_ca.) ~.~maFQpporfunity Qffice or the Equal Employment Opporw~i,ty; C.911!roission? YES~ ~f yes,,ple~e attachiafull, NO--®_ detailed expianation. Note·: A YES!atiswer to ·qµe~tjo~s;z:.4 :v-611 n.ot.11utQn:ia;t!~a.J.ly·b~r you from employment. rhe~natUre,joQ 'relat~dn~s.~;.severity art~· dci.te of the finding, in relation to the'.pcisition for wliic}1,y,otfa:re:appfri11gige:con,si.~~r~d . .C:ERTi.i!'lC~TIO~ Ja1J1:.aw.~.r~ ~h~.t any omissions, frusificatlons; or mi~_repres¢.~~a~.o~s-~bove and/or in any in(orm~tjon provided b~ m'tdn~suppod~f)r1y appl_i~;tti~~' f~.r~~.mpl9ymen:i at Florida InternatiOnaUjniversityimay dJ~.4µ"*1if'y·~.ef~r.~mP.!!>YHI~~t ~pn~!~.eration-and~ if I.am :hired~;m,aY. be.grounds;for tei:mi~aifol!~ .hu!4.~r.sian~:·th.~tj~pplications.submitted for state employm~~t ~~:pu_biic. re~~ri!~•J_:c~r!it,.•tl:iat to the,best ..of1my k1fowledge a·nd belief..µ1 of tl)e s.tate~.e~t~ cod faith. R Al.exander . . . . .Acosta .. ":.·· ·~··· Soci.al $ecurity Number Date~/~ . .Revised 8/2006 9 . ~nv,ita!~on,. to' Sel( .,.·(ii~~~!fJ.:A~~ii~l~gement .. . Floiid~.lntei:natiil~tj·o~ ..if.y,ou 8!.'e aspecfal:disabled vetcrari1.or·veteran=ofthe Vietnam era" ~'nd)·vo\iid·Jike,to ~ c.~.n?l4~red/uhdei,- the ~ftnmative actionprog:ram;pleasc:tcll us ..You may infonn us of you(desiie;t9 'ix:11eth ~der,ilie;program rit,ihis time and/or at any'time.imtheJuture. . . Sub~ssion of this:iilformalio.n is.voluntary and refnsal l(),proViqe;i~·Y!.iU:11R_~ suBject you to, any adverse 'freaimcnL .Jnformalion you submi(aootit',your·.di:xibilitY.'w_ijl)eJ>ept'~o.Q(i<{eji~fol, excepf!hat (i) supervisors ani, If.you have pension or annuttY adjust your wlthhOlding on Form W-4 or W-4P. Two.earners or multiplo::> jobs. If you have a i.vorking spouse ormore'ihan one job, figure the total Of allowarices are entitled to.cla!m on all jobs using worksheets from only one Form W·4. Your wtthlio!ding:usually will be most accurate \Vhen-all aitciwanc:eS are Ciairiiea on.the.. Form w~4 tor the highest paying job·and zero allowances are clalmed on \he others. See Pub. 919 for details. numbe'r you Nonresident alien. If you are a nonresident aliiin, see the Instructions for Form 8233 oefore cornpletin~ this Form W-4. Check your witlitmlding. After your·Form W-4 takf!s P.ffP.Ct. URA Pub. 919 to see how the amount you are having withheld compares to yoiir"proJe'Cted totaftax for 2009. See Pub. 91jl, especially If your earnings exceed $130.000 (Single) or $180,000 (Married). (Keep tor .you·r records.) l o You are ~ingle,and have O.nfY ~~ for, which".you plan to claim a credit (Notti. [)o.not include chi)d:support:~Y.@rit:\i::see:P.l.!b.:q03, Child'afl!;l;D~~nde_n!:yare. Expenses, for details.) G Child T~x Credit (including.additional ~I\i.ld·tiiX ~i'edit):,~e.e Pl.lq.·972, C.hi!d ·Tax'C.reflit; for more Information. o ,If your.total incorne,wlll ~e less th.~n ss1;000J~.o;(X,l9 ifi!Jil:ijj§). ~n!~i ·~· f?~.ea<:_h ·eJ!gibl~.:chil~; Y.i~~h~s.s '1" il you,have three or more eligible children. o If your total income will be betWeen:$61''.000 and $84;000 ($90;000 and $119,ooo·:if'married), enter "1" for each eligible ·child plus ~1" addttionaiit yau·fi~~~;:s1~:9?,•:n)o~e,§1lgigle,childreri., G --H Add lines A through G aiid enter totaJ ~6!.:fl'i~tiJe.:.:!h.i~ m~y;~e:c!.lff~tfrom;the num~er:of exemptlOnsyou claim on your tax return.) II>- H - - For iicc:ura;-y, o If you.p~an to·itemize or.cl~im:ad!u.stml!:!nts.to income and want to reduce your with.holding, see the Deductions complete all· and.Ad1ustments·Worksheet:on·page,2. worksheetS 0 ·rr.you have more'tilan.one Job m~rried and you andyciur s~use bofrlwork and the combined earnings from all jobs exceed that·apply;. $40,obo ($25,ooo 'if,marTi8di•.see foe·Two-Earners!Muffiple Jobs Worksileet en.page 2 to.avoid having too Utile tax withheld. o If rieither'ot;the;aoove situations applies, stop hei'.e and.enter the.numbertrom line Hon line 5 of Form W·4 below. I or are Cut here ~~d.ig!v1{Form'Wc4 fo your employeb Keep the top part.for your records. ·············--··-·· ·· ·•· ·· .......................... Employee's: Withholdin~f Allowanc.e .Certificate Department ol too Treas:')! intcrnilrnm>oniib'.&iivci 1 Type Of P.fln~ your"iir~t ._ Whether you are.entitled to claim su.i:i)~~t a certain·riumber Of a!lo·wances,or.exemption from withholding is to re~ew 'l)y:iile)fis:,vci~r·employer may be requirei{to siirid' a'.copy oi this form.to>the IRS. naii:e anci'm~le~iniii~.-. .L!!.st.'name· R Alexander· OMB No. 1545·0074 ;z Your soeialseourtty number Acosti:I :s;rig1e ·M~ec! [ ] ..Married. but ivilht\Old"al liigher Single rate. Hoie. lf iiiarrled; bUt leijat~ ~; oi'ipoore is a ncirrl'Sklaii arien, check Ufe 'Sg,gle" box. City.or tow_n,sfaie,.anfi:"?P code 3 0 4 it yf?ur name,dijiers i~.tnat s~own on your social §leC,urily ~rd; ·check here. You muSt ·cal! i..S00-772-121:! for a' replacement card JI- 13 root 0 3 s Total number ot,:allowancos.you'arOiclaiming (from,line H:above,qr from tlie applicable work¢h~at OJl,page 2) 6 Additional amount,'ifany,,you.warit-.wiiliiiefd'.frorri each paycheck • • . • • • • . . • . .. . I clalmexernption from·withholding'.for~2009, and I cemfy that 1 meet both of the f.i:lllowing conrlitioris,for exemption. o Lasf.year (had;a.right to a refund.of allifedeial incometax'withheld:because I had no tax liability~and o 'fhfa;,year hE?~pecta'refund of a1i,iede~J1:inc'~~e-t~'withheid,because·i e~pect to ~ve no,taxiiability . ..-..,-"-----1f you'.rneet ootti condltioris, write "Ekempt";here .; .. ... - 7. f my·knowle~e and belief, ii is true; correct, and complete. 7 Empioyee's,signature (Form.is not yaiid uri\ess you sign'lt.} Date I> Employer t9enti1k.ation numher {EJ~) ·: ' 1 Cat. No. 102200 Forin W-4 (2009) - . FLOR!DA INTERNATCONAL UNIVERSITY 22 October 2013 R. Alexander Acosta Dean College of law Florida International University Miami, Fl 331"99 ~. ... ·.. .i • ,, • • I .• ; · ·'· •• "':'.'.., Oeat.Al~x·. When;y¢t.rwere appointed Qe(;ln in 2009, I identified flv~.areas oh Whi¢h·'l.e>;p¢.¢t~ttyouto fool;is.t~i)d demonstrate significant progress: improving .the esprit de ·corps"ofln~ .C.oH~g~ of ~~w::f~9ulty, maintaining the strong bar pass rate of the graduates,, s~curin.9 ·$Xtfi.rnafruritjing r9dh~i-:.C.ollege, improving the rankings of the College, arid better inte:gtatlng·.faw:students ~r.fclifaculty ir;ito the matrix of the University. . .• each of these areas. While.: all mempers Ptt.Q~~@q!l~9-~ .~r.e not ;.: ·rt~~ssarily pulling. ·iQ«the .same direction, the level of di~cohtent·~.iUH~~PDl~qtb~(~~~CI 1W.iJh th~ Y.~;crh~we done ~-fine job in · ··-~~Jl~ge adlill~istratton has dE;1creased s.i$Jnificant!y and'.det~r.;he~ f~~~Jfy, ~r~:~'~9.~in::< . i"ri~~g.rating with the College. Our bar pass rat~ continu.e.s to be· $.IM>ve··~o :W$.11'~~9"'¢fJhe sfatelwid~ averpge and in some years·we have been best in t~e.·$faite, Ther~ hfi:lve p{:len son:ie· Jmport~nt philanthropic gifts to the College. You have laid-the bas.is 'for e,nhanced funoing 'through the recently approved LLM. The rankings of tM· Cq_Ue~j'e ·-in· l)·S j~~ws and Wdfld Report have advanced from unranked below 150 to 10'5 anp 'Oi:lsed:.f o(Jf ·graduates. h pesltiofis.'f¢r which the JD is a prerequisite. Establishing the legal equival~J:Jf QfaM innovation cet'i_~e:r;w:~ere :new JDs can establish their solo practices with infra~tr\J,~tqral stipport h~s: been ~f&.ta:t~+of~the-art initiative. The changes you have made, and ari:r-makii;:ig; iiJ the opeFatlc>n of the0ffice of Career Planning and Placement will further the success bf our graduates. Office of the Prowst University Park• Miami, FL 3:H99 •Tel: 3.05-348-2151•Fax:305-348-2994 • w'Ww.fiu.edu f'dll Imtmuiorul UMttroq- ;, 11'1 f.t-.i:.l OpfQl'"'..i.,JcrlA~ Er.:!Fl:rftf i:J. lr;Vm= •TOD N. FR.5 t·B»-m·S17l In Oght. of the prbgre·$$ on all goc~ls m~ we[l:,as ·other'.i1)itialive$, I am pl~aseq·to r~new your a.PPBJ~;~r(l~nt as Dea'n::~f~·th~ Gollege.·M:W.~:~PHi·@~~M~yJ~~19. Effective With ,.y~u_r ago,~~t~(hee.ofthis re·new~h yoyr sa!~bf;<.:~Ul'~fM~re·a$~.'tp;.~:3P0,008 per year. As with all dean app@.fm'tments,. yOl,l ·Ser\ie 'ifi 'that roleFat\f!i'.e~ple'aswhHlfthe Provost If you $t.ep cfo5wn volli-~l~t~ii~~2Ji;:ifyqu. are asked to steR;~~f- .. :~bsenqe of an eg r.egiou$1y:ipre6i.pitating iifl"·ttie . " ·... ~fit as a p·rofessor :ih the· tolle'ge:of '!Law at a salary etjtlf;;/~l~n''~fo"the n'ine-month ·&i·0~~rsibn of your ·salary at'fhaf time; im:ident(fp~:~IfFry?ve a three year a.~P This appoit('/ ·· $'categq{ized .as a:;f~ii£t.trn·e,,'twelve month, oot..ohi!iit:faculty admihistr.~tor p;osition. L:.irilYl. :~l.ty ·~mp!Oyees are req,.~We-d::to report any outsid~·:acfiv.ity which might .be a ·c'oiifllct of ·i11ter~·stlwl1h university empJoyJf1ent or any outside profo~si9'il~l ·a\'i:tlvlty'lor-which compensation is received. If you are involved in ariy compensc;1tea·outs'ide·~.cti.vlty; or any other activity which might present a potenti'al conflict of interest, please notify me in -.. ,, _. ~-~ ,%~¥~~~~~- j t-%~T0}v:: :;·;?";;~~- :-~?j:.: ...,__, i, ···.;-._ ~:~•;y~;.,.,,:;::'· ".;;...,.. ;.:;>~'"' .. -, .. P:i·:, ..,,.: . . . - ·:: -.;,,. ,_ . ·. , ;~~pect·throw~h:t.R~·t:d1i~~~~$-;;e~t~Jtib:~-~~·rid ·gd·o.~-~ec;ulting Goi:ng fqrwar.d· 1 .b:y .you and your staff, that ttie Cpllege's enrollme·r:it$ w\IC~$. maJntaihed without $ii~pag~ o~'tl:]e ·ifllportant gains you h?ve.m:~ae in GPAanq LSAT. ta.ppla[.ld yournhe-on~orie ~ffbfts·to se6ure plqcement o(our·,gr.aq1,Jat~;:;.intop, lafge l?w firms and I ~~pect our perc_en\M$.~;of · . ... graduates ·ln·tho~e firms wil1 place the 'FllJ. co·u~e of-Law or 11~artlle ·t0p:-irl-'Wltiti~;fakin ·n;ne·with;exp€fctatiohs:for our bar pass r~te and ·our jD ernploymebt rat~·iri thei·r.freiti.'df ~.-<1~,,sJuqy . at ..-. . . -~ . -." ~: ; /<... .. ~. B,0,ntinue·d su:qc~$s 0f our students afl(gr~duates will req µire 'b.~.tti c.u.11ri'~1.Jlar qhd co··~.li!rricul~r. cnaill@§:S. Pathways and"certil'l:pates ar.e imporftifit cwrflCl:)!ar:·~liaiiges.·We <;10·need ··•'~2tW~.~e s·u·rertn:at ~tqaent$ W~nting' to cornpiete fhefr: degr¢f3 in less·triai; ·toil?.~·yt;at~ :Will have ··<:tni1tne·ea:~q ·c9l'lt~~r-~y~i!abiUty to .allowthis. Tne· planned .and impfg:m\9nte'.,0f.~0.~9lilJi'ieui~r ·a'et'ivlties of the Office of Academic Enriehment will also contribute, to·sh.iaenlsi:1dl3ess. . .... . With your background pri9ghig c0rnm.u~nJ,\Y, P.rofessiof'\ •. :and aeademia, ! ·expect'Y.bu:.to:be most attt1ned fo the changing fandsca~.e"for 'leg pl education irHHe to ·keep the· FIU Coliege of Law ahead:ofthiase-trerid ffne$, :and to be ·in the forefront of innovations leading to aiternate revenue streams for the Coll'eg.e. ,. us. ., ,.- · · ·;-:-'-:fA."Wt~."J1,9.ill.C!l.~f~ .~_~: ~-·· more enga,,_ ·· '.: :ir~~.E>rti:~~1:m,~ ._·.~.1;.!.·e.~ ~.ii~: ·.c. -.. • • ·..wft6~tHEi~~0'11~9~f thcifn·ext ~f~t~ :~o.-hav~··therfi .. ... the Uhji;i~rsitfa~· , . Ttier~-~re·some current linkages with the ~{~.~ ~ ';'";t· "" .~... • ...,~:· { -~· .••~• • • . ' • ... ,.... College ofEngin~ering arid with the C01lege of. Medicine, but as discipliriary boundaries diffu§>e there will be other.opportunities to iink l:aw to pto~rams across the University. I expect you to work with fh.e faoulty to bring the ten are and promoUOR;:schedule '.into a whole:; i.e-. typically tenure ~n:o promotiqn to Associate Profe~sor an:;i eva.lu~ted'to9~ther in-the sixth year of employment at flU. aligf\nlerit with that of the Un.i\/.~fsity as I The College will be expe:ct~d tb'play C:l.n increa~ing rote ·in our $·75'0 million capitcjl~carnpaign. Most-importantly, t· expect th:e G9il¢g:e.. to continue to·be ~n outstamiing exam#i·e ofFl.U's greatest contribution to th:e di:;mu.ssion qf higher education in the US-that-the coexistence of diversity and excellence is the -rio'fm and not the exception. .. ir"·~~-'.,bt I k~~K:torward to confiniJitt~{'.iw~rKwith you a$ the co11e·~i. 'iitlntfes.'its.in'exorable ~§~)n!F&li·'.id.a and iti tHe:i~,9J:BJ,~~$:e· ;conff~m your acbe~f~. .JJ~,::~~#®bv :t~turn'tng :a ·sigd~.c'J ::~q~y ofthis lettef;tt;5Y.ni:NoV.e( ; r 2013. · ;·: , . t ,:,;: '' · ·· ... s1~4f11,1. ~·',;.·;;, A w~i~·;, J}f!;~: ,(-. c: Academic Affairs ._J •. ·~ ., "' ··'·~i':'~'f.~.:\.;hr~,~~,:~I~'· . ~;;· . ~,~v:; . ~~;~:~;;\\ .·,1:~1~·· •.: -~' ... CHANGE IN STATUS OF FACULTY APPOINTMENT Page 1of1 INITIAL FORM I CHANGE IN STATUS CArePIUPJ.tili: Pitft>.11L..~a1: H.ORIDA INTERNATIONAL UNIVERSITY tll: CHANGE IN STATUS OF FACULTY APPOINT/JENT RS.QltmtDACllO~JU!~ ~111<11~1) ----- f~J '· EittEHOO'OWCHMR !itm.'lGE:ts:ALJ,ffi' ./ ff: lf'f'Cl"r.l'Etit f\S:.lh'rt\. 10/31/2{]13 '-R"'.S'-Afl..._.__ __ ;;-& r~£:UAfflUAm:tt ~ CHA.~ ::Ji ACHR'l3;-'-t0'----------------- se~'ieY.'U~ A:lr.'11nls~a~t £~-9LO'fi!?CV..SS:;;,B-,,;;P~;;;,-='------,...-----­ TE1o-UPSSTAf'JS;--------------- 1£m,.11t;egtono~"n;o.:--------------te.'l~cir~E:.. ~f.ctiCOOE:. _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ~~CHA~--------------STARTOAtf;, _ _ _ __ S.'.OOt..TS· EJio:'lm:l(twtiAP"Pf. ----- Aff!UATior'~--------------S.TA:iCUROHCl.~S: _ _ _ _ _ _ _ _ _" - - - - - - - WOd)OllOTl!U:: _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ __ mkc.a:. _ _ _ _ _ _ _ _ _ _ _ _ _ __ SAl..AAYCRA.fi-OERQ..So.'t.~R_,,"°""':::''«>o:... AC»..:J.:GlAA"IT11iJ.MiO~:;;D;..l·_.C"''~"°"----,-------J..t.JJ,.?f._~li£HTAMT: _ _ _ _ _ _ _ _ _ _ _ _ _ __ AO.'~~J.APPT.$T.l~tQo\f~: 1C#2'l.J2013 E.'>0011t:05J2M20i9 ::iECO~AAV.XBC-:00~~:--------------­ SECC!t'OAAYA®.'4.A.i'l'TiD~:--------------SE'COl>DAAYKJM.'tlffi:'.. .UIT: _ _ _ _ _ _ _ _ _ _ _ _ _ __ SE!C.'iD.JJtf APPT.STAATOJIT!: _ _ _ __ eJC0.\1'!: ----- OAAOJAiT&J"J..f:U\.rt:--------------a~.FAC.SUl:rJOATt: _ _ _ __ £.'iCD.lli: ----- t\P~NT.DArts STAft<;l)AT~ 1CQ.Sf2Q13 ""' ...,.,05124/2019 ~I~ S~Y:SWO,C00.00 i!iW'EEKl.Y:$11,494.25 IV-JO!.JHf.: _ _ _ _ _ _ _ _ _ _ _ _ _ __ \'~ 0 ~~ I DEPARTMENT BUDGET(Allocauon) EFFECTIVE OATE: 10129/2013 I lol~RAU ' 2600120001 2600130-008 66.86 33.34 0.00 0.00 0.00 0.00 -<'1 Irr\ $199,980.(){ 0 S1C-0,020.I)( r'M so.co ..-:::. rn $0.CO $0.00 $0.CO CJ I~ !.>' ....... ~ r:-? w 100 l.O EFFECTIVE OATE: - - - - """ '41::J"" ...: ~) ..,. .-· c: -~ - ~~ . :zc ~' r-'1 .J ",..."" lOTALRAtii (!QCATE a.co $0.Cy a regional' accreaiting agency equivalent to SACS, i.e., a foreign institution or non-accredited US .. institution are educational crcdentfa_ls;have been evaluated for equivalency? Yes No Answer only if highest .earned deg~ee is.NOT;co_n:si~ered to be theterminJ1~ qegree iii the teaching field. (NOTE: If the answer to EITHER#Z or #3 is "No," the answer to #4 MUSTbe"'Yes.") 2. The appointee holds at least a n:ia·ster:s Clegree;and the appointee's transcript shows at Ieast 18 graduate semester credits h1 the· teaching field. _ _Yes _ _No 3. The apPointeewill teach only undergraduate courses. _ _ Yes _ _No 4. Exceptional alternative qualifications jusiify the· appointee teaching without the recommended educational credential.-( A statement of justification · and documentation of alternative qualifications must be attached.) _ _ Yes Based on Credentialing above, list cour~es tliis. fa~ulty member may be assigned fo teach (course r&'fix is su~i~~ f" LAW ..... r- ·.::. ,_-: ..,. ....,. 0 5. English is the native language of the appointee. 6. ff.no, competency in spokei:i Eriglis]l h;is been.demonstrated to the satisfaction of .the Department Head (or other administrator£ating the offer). _ _Yes ~ -~ _x__Yes \ 1.0 _ _No 7.. Degree infonnation was obtained frorµ: __Official transcript __Unofficial transcript __Vitae __Diploma Certified,. Chair or Associate Dean Approved, College/School Dean Signature/Date Sjgnatllre/Datc *Leave blank if unavailable - ,.., y. Answer for ALL appointees: -.. Approved, Provost ~ Florida International.University.. --·Compreh.ensh7e"""·--- .P,ayroll and'.Employee.Records ··11·200 sw a street;.F>c 220 · Email: Payroll@fiu.edu Outsourcing Services Fax·Numbef': 305-348-3884 --'-'"' ..... _.. A"'~'-n:-.;cJ.nrn:i.i<:d(l,h<>.r.nmnlete~ .to add a .nr;w, change·,9r 9el~te _ap)ffC.0 _c;>eposit A~u~t . )11 ank accountinformation must be validated with the:bank before direct deposit can begin), .~ are currently receivil'!·9:TERN/\'UOl\i\L L.INJ\'tmsrry Danilo castillo "''.17481 CHANGE IN SIP.\US OF f P.CULT'f APPO\NTME.NT REQVUl£0 A.ClON<{cbt.Z.4Tio"N ':tJ f{.. il'UilflQct 1 l"}ffFlj fl ;u,.·vmFRO'M i.0At-sAa8AncA1. EMPLOYEE INFORMATION •-.•;4:." ~e IN LAllOR ,\t.l.OCAT\OH em..r11•,ftm111 :l:ttt:;.!'f EJ ~!.Pi -~PO~!~ ro f}~JN:SA.\.AA'I' !J ~El.1il0l:..EORfWJK , fR~T NA!ilE; All'P¢'.kfli!Etifl\f.>!'(('<'Ml ~ CMHCt IH AOu:mSTAAJWS: A.PPl F.J- C>'..t.'«if: Iii $.fft.Cfh'\# & ®olU" . .~ ' ...... t •••• ,, CXAAaEtHHOIJRS' . • ~ flir ·1 . 1~-lii. l.A$1HA~~Ai.:.r>zu: .. Rt'.PQl\TG- f O t t M N . . l ' i ' ° ' ' PAtJ.URYDtiPJ~&;O:Jl!:JIMJWu1..an Qe3n Adrili:1 and Fnculty: f'QSJ. 33205 ~JW,IARY c6i.LEM: Co!lq.ge of l b JOwr coi.L£OE.: JIJ1HTO!P.AJ:n~~1: PQStTI~>iNUUGER;. -41617• G!./tLOl..'tl AAO~CU: Rafael Olnz:Ballart Law Bldg· 01027 ROOM-: ROB20t5 STA..'fO..\RtHiOt..~$· 40 REJ.L£i::r .2HA~OE o::i.. ... EMPLOYEE ASSIGNMENT E1'FE¢~Yl:: O.ATE QJJ01/20t1 EMPl.(IYliS Ct.ASS: IU.lfi:t:· T~&U.JU4,: JOfl cOOClCLA,~:l. TIT\.I. f£1tWtE lRS CR.EM ii>: A0rJ.iNC~Aoi.vN TEWRE C1P Goo& •rum lHCIU!WE.~t. AM7; TITLE: lE.HURf()J :: ; _... oOCOEtEo'liie:t<3:~2Wec~(l2MOJ f~£ EUQ!li'OJTY [HOCATE:~ CCu.l!Cfr/£ BARQ:Ulltt: ~.OAHl:S:FIU:N· ST~HOUltS: AW'lt!AL SAUi\'!': 10~ $281.875.oo ...... ,1<1.V,$10,799.81 s.111.Jl~r::-s~Rc·u,siinmcnt !i'~~Tm..£: ..... ·I < WAAT11£m1 {Jb/u '""' T' ACA0£l•OG MF~ CATE •Thi• kmh'.:ttql;>(' ps:>f1J f~&.K~t~ltj :i:iu>PO Completed by martincl 6/29/2011 4:01:18 PM http://academic.fiu.edu/9cf1g~n:ii.C;pµqge.t/www/FinalForms/Chang~_Jn-'Status_Of_Faculty_... 6/16/2011 Completed by hagosto 10/31/2013 4:20:11 PM Monthly allowance inreased eff. 10/26/2013 FLORIDA INTERNATIONAL I UNIVERSITY fsECTION 1: CeUular Phone Allowance/Purchase Request ·-·--·--------:-·---=------, ·i~ployee Jnfo~~atio;;·-·------------------------------- !-·-·· - - - - - - - - - -..-·. ·------'-·----~-----------.-----~---- . . . . I Employee Full Name: R. Alexander Acosta ; Panther ID. Current FIU cell Phone#: !-::-'----------------·------·------------------·j·-----··-·-··----------···---------, . i Department Name: College of Law- Dean ~Office Phone #: 305_348•8333 ·1 FIU email address: acosta@fiu•L ·· !~sECTION·l;·AIJOwance Req~est (check a°iithat appl~------------------------·--------~ §~ .. -·________ -.;.________ Monthly Allowance ,.:._..:..~-· ! ID ID . . ------------·- ----e----· ..., . i 3 - i zzC» .., (';o...-· ~ ~' ~~ $ 1so.oo . / CJ $_ __ --.-.-. --·--:~:-~:--~.-:---,-~---] . . . ·' ... ·---! Job function requires considerable time outside of assigned office or work area and it is essential to the Universily that the . . . ! employee be accessible during those times. ~ ' ·· ! ! - ·~----------·-----·-----~-------'-----~-"-'-·--------- I~ I :,;;:.- .- s:? I I -"i ~ ;;~'.~ '.:.. Data only service $ 50 ~ Combined cellular phone and data service $ 90 ! \ ~ Text messaging $ 10 ! \ I!!!! Additional monthly allowance* $30 Total monthly allowance requested: i . \ Request/Purchase Allowance ! 0 Request shared cellular phone device/Allowance for the purchase ofa cellular phone/PDA ( Total purchase allowan~e requested:_ ____________ $ = = = I SECi"lON.:-3: Justificatipn (check all ·that apply) I~ l 4, · -~--------, ~ ~! ~. ; $ 50 l i . n-1~:r· 1 n Cellular phone service ' . . . -·-- I "'1' l Job function .requires continuous accessibility beyond scheduled or nonnal working hours (i.e., on;.call respon~!!itie9::for ~.1:itical 1 I university services). ·" -~ . ~ . · · · ! l!!li Job functio~ requires access to e-mail outside of the office or beyond normal scheduled working hours ar~~t i~~en~I @~the: j University dmt the employee has the ability to receive and send -mail during those times. .· ~ :: ~.;: ·.. j ~ Departmental shared cellular phone device required to fulfill functions related to special events, OF)··call di!ij, rufiPma~e!ance; particularly to address emergency and after-hours related issues that require calling capabilities th~r cann~e ~ess:,i ~ith''a :. ·i. I pager. ' u ~ ""' i *If requesting an additional monthly allowance. please provide a descrigtion ofwhv it is necessary aria what it will&. us@! for below: ! . .i:,. i I I I I ! i!_·. l Additional $30 for IPAD Services. ·a" i~ ---------~---------~------------------~ j l hereby certify that all intl~o ~true and \ Employee Signature: _ G:ECTlON 4: Appr~~~-~~ , ----- ' ---··-······-·--··----·~--------------·-- Date: \0 l~\\? . , l ---1 ~~--- Ex~cutive ___ .. , (OSRA) . j ----------1-------------------------------Prh'.lt Dean/ Director/ Department Head i OSRA Authorized Representative V P/CFO/I;>rovo~t/President 1--------1 f a J have read and understand the University's Cellular Phone Policy. Department~~-·---~--,.·---Office of Sponsored Research Admi;,-~--!-----·~ \ !N~tne; I I -* I ----1 -----·--. lI --..! ·-------------1--!':f~~~------------------------1- Name_:_J'i)J~QD:~_ _J L~ttl•!~A~V~P for Academic A~~ir~-------·-----_J_~tt~e: --------j Tit!~: &1?:'5 DC.. V_f.________ Tonja Moore L~ig;w~=-- ,{_,,~J_Signat:_~_:__________________ _\__Signature: ! Date: i Date: I Date: l 1 't.LfJ._~~- _ \ , r1 f. · - 1 l!L------------L--.... -----·---·--------···---------·1-------J.D ~_!!_ ________________J ! Approved monthly allowance $ ! Approved monthly allowance $ l Approved monthly- allowance $_ _. _ r i Approved purchase allowance $ I Approved purchase allowance $ i Approved purchase allowance$___ i L_ _________L o. 130 -00 !_~.ER~Qy~d s_l!~~d ~-~-".'.~!_ ____ ~ j .. Cost Center Activity#: 2600120001 i Cost PID: Task: ( Budget Ref: . i $ ~~ed ~~ared de~!ce __ $ Ii mil I hereby authorize FIU Payroll to pay ;he approved amounts to -the employee. j DI hereby authorize the Purchasing Pro-Card Coordinator to pennit purchase of the ! departmental sh~ed cellular phone device. I l Project _[~p.E!Qyec!_ sh~~ed device . Fund \ i .. -_._.• j l !. Name of Authorized Pro-Card Holder 1 i l ------------·----·----------·-·-·---------------------------j Completed by hagosto 12/29/2014 10:12:11 AM Stipend entered eff. 01/02/2015 FLORIDA I INTERNATIONAL UNIVERSITY Cellular Phone Allowance/Purchase Request =_] .. SECTION l:.EmPii)yi; lnl'orma&i - - - . -·· ··--·-··--· --·---···-----···--·--··- ·-·-···-·· ··-··. -· .. =--_-_--.--· -~ ~~~~-t~am_:~J_k_q_e_ai.J~ .4J ) Ollic:_Phon:~----~_l!JU e~~~-a~~~:rb.~~@ f ci.<.e_d~ 1 i-~-mpfoYee ~~~-~~~~~£.~ .1\~~rAJ.~~:e~~---~-·- ··---·'.curi:nt :~. c.ell Ph~n~--CTIO:N 2: Allow1111ce lttquest (d!eekaH that apply) _ _:___ ~ I ~------- -~-----·· ·-----·-·-~-- ~ ··---~-·-----------~~- ---------~-------------· ,._J ! Monthly Allowance 1 I O Cellular phone service $ 50 iD Data only service $ 50 ' 0 Combined cellular phone W1d data service $ 90 i I I D Text messaging D Additional monthly·allowance• i CJ r:ii C"') Pi A)\I (JI \.0 $_ __ < rri $_ _ ! Total monthly allowance requested: j Request/Purchase Allowance i ~equest shared cellular phone device/Allowance for the purchase of a cellular phonelPDA $ -,.. _... r;? ! 2. 0 0 - - ~ N N --------· - - - - - - - _____ --·--· ---·-i l 8EC'110N3:~(~ai!taat8ffty}-·--------·--····------i I D Job function requires considerable time outside of assigned office or work area and it is essential tlie University lhat the ( 10 l ( i ! I i ~ ! employee be accessible during those times. 0 Job function·rcquires continuous accessibility beyond scheduled or nonnal working hours (i.e., on·call responsibilities for critical univenity sef\lices). D Job function requires access to e-mail outside of the office or beyond normal scheduled working hours and it is essential for the University tllat the employee has the ability to receive and send -mail during those times. 0 Departmental shared cellular phone device required to fulfill functions related to special events, on·call duty, and maintenance, particularly to address emergency and after..hours related issues that require cal1ing c-apabilitie's that cannot be addressed with a pager. · lf!'e!J!!§'ting an ajditional monthly !J.llowance, please provide a description of why il is necessary and what it \\ill be used for below: 1 I• l ~Therebycertif);tii:it.iili.icl'O--~-true I and_____ ~e·re~d ~"d~rstandihe UniversTiY•s ceti;;1a;·Phorn;-i>'Oife)-:----·-·---_j and Employee Signature: I Ol/ I,?. I IL{ - Date: ~4: ~r!en~·===~--~~-~~:sorcd ~=~~::;n, l -=~- Executive ·--·--··-=1 IPrini i5CW";-lnifeci0r/Dtfiamneni"Heilci. --·!. osRA AutiiortzeJ~~~iiiaifve___ -···- fVP7CF&,t~i'reSi.Erov~d sllar~~-~evicc ... .2___ , ( DI hereby authorize FJU Payroll io pay tht: approved amounts to the cmplovee. \ ! . .. · · - - · - - - - - II Approved monthly allowance $ Approved purchase allowance $ ___________j_~itl~e~~JQ_~ti~I . _J \ Sig "°" : I o. // 6I i. I , ~ DI hereby authori?.e the Purchasing Pro-Card Coordinator to permit purchase of the ' ., · departmental shared cellular phone device. of Aulhori7.ed Pro-Card !folder _ _ _ _ _ _ - - - - - - - - - 1 Name Fund _J__ -· .. --· ____ __ -· ._------··---------. --·· .. 41 :.:c. -0 q 1 $ ~ ~ $ IO I Total purchase' allowance requested~ ~~ -·-··-··-···-------·j .. ,,:c ~- ••,i''I ~ 11/512014 Orders - Apple Stern {U.S.) a· Apple Store Invoice Receipt Do Nol Pay O..der Date: Order Nurnber: September 21, 2014 Sold To: Location: Alex Acosta RENE ACOSTA United Slates Customer No. Order Details Product Name Product Number Item Price !PHONE 6 PLUS SILVER 128G8 AT&T-USA Serial No.: (F2LNK7KKG50N) The unit above co<1lains the following options: MGAQ2LLIA $0.00 IPhone €Ggh'L1y Q6S-OOo1 Quantity Quantity Ordered Fulfill~d E"tended Price $499.00 \\'Ith AT&T Raio Plan Subtotal Sales Tax Total Amount Due $499.00 $34.93 $533.93 S0.00 Payment Methods 5533.93 ctiarged le For a tool! o/ SSJJ.93 Additional lnfonnation Invoice Number· Invoice Date Terms October 16. 2014 Credit Card ThlS order is sllbj9c! to Apple's SSleS and Refunds Policies hltp:i/stora.apple.ccmluslopenlsafespulieies https:l/secura2.store.apple.com/us/order/print/invoice/10078/252341194S?invoiceN umbers. 0=430241215() 1/1 ... --t~~-- ~ FIU ,·. ..1,-:r.m'<-. .' ...... ·· 'f1.6im>..: IXT~RN~n6XJ\l: l!NJVERllT\' 1\:fi111?il's fl!_b/ic n•.r..11[~h m1';ve1.l·i&• ] Monthly Allmvalice l0 l0 Cellular.phone service $ 50 Data only service $ 50 j ~Combined cellular phone and data service E("rext messaging i l ! t $ 90 I $10 $_ __ 0 Additional monthly allowance* Total monthly allowance requested: 1 RequestJPu~chase I! $ (00.DO ! I Allowance I 0 Request shared cellular phone device /Allowance for the purchase ofa cellular phone/PDA !Total purchase allowance requested: $_ _ __ ~l1i, $ ~:~~,§T;I,g~filif1tWl~<1~iffi:1filf{ltmW~I~~~i[~~~Wf~~;.~}~:1i.lFl~~~~~~jl~mK!~Wiffi~~~~~~~ j ~Job function requires considerable time outside of assigned office or work area and it is essential to the University that ! j the empfoyee be accessible durfog those times. \ l ~Job function requires continuous accessibility beyond scheduled or normal working ho\.1rs (i.e., on-call responsibilities I l ; for critical university services). _ ! ~Job function requires access to e-mail. outside of the office or beyond normal scheduled working hours and it iS essential for \he University that the empl9yee has the ability to receive and send-mail during those times. ; l IO ! j l0 ! l Departmental shared cell~lar phone device required to fulfill functions related to special events, on-call duty, and maintenance, particularly to address e·n1ergency and after-hours iSsues.that require calling capabilities that cannot be-addressed with a pager. ; ~r::~i:~ting nn additional monthly rel~ted allowance, please provide a description.of whv it is necessary.,~.~d- what it ~ z (..- ~ ~ ~- , ;~, ,_ lj I wi~e us~: ~ :', '~ i : -, 'i -Yli ~k .: ~ ;1= 8 ~ ~\ N CT'· '.".~ ~ r'1 ,j g·.~ i nderstand the Uni~ersity's Cellular Phone Policy. 1 l_Employ_t;e Signature_:=-=--=.="='--~-~-=-~-~~*""=~-=-de~~=-=-=-=====·=-=·__l_)_at~_:_,1_/2;tQl_____l Page I of3 / ~- JSEGTiON(4':%\""'l:ovais[lltiirf.'l@.\!)i\~yi,,:.,1ffi.fl!J~~~\:~wl\l.~J§[..¥!~0.,~W:~~!Wj~!f~~;~'f'.);'!g"l;~~k~~~~~~l~G,~~~19}hiR~~~~~.;;;I Department Office-ofSpo;;~;;;:e·J-ir;5~-;;cl~-Admi~:-~ Executive 1---------------1--(OSRA) - - - - - Print Dea~/ J?)rectm'/ Department H¢ad OSRA Authorized Representative Name: Ton: Title: (G Name: oW Title: I ! Appro"'.ed m<:intJ ly 1 . -.. J. i. -==~=--~~=-}-1T-i'-tl-e:______-__-___-__-.=~~---- 1 Signature: j Signature: ~---l:~.#)J~~:;.._LJL~~------}-·····-- ........... ---···-·-·-·-·-·-"-·---··-·-·-·-·-·_i I Date: ~ i· · - - : - - - - -<'} ; L . I CFO/Provost/President Name: Date: I Date: ____I ! bfJ ; l ) ____________J ____ .... ---·-·-·-----------------------------.. ---- ------ .!.......--------------·-------: l!owance $ 100.00 ! Approved purchase aliowance $ \ Approveyee Information and Verification (fo be completed and signed by employee at !lie time empla mem begins) Print Name: Lsst Firs! Acosta RAlexander · Mi:ldle Initial Mniden Name Address (Street Name and N11111be11 Date ofBirtl1 (111onili!daylycar) Apt.II 01 16 1969 City State Social Security Ii .. a -~& 1 nttest.• under penalty ofpcrjory, !hat I am (check ona oflhe i'ono:...ing): m 0 I am awar~ that federal Jaw provides for A dtii.en of \he United States imprisonment ·and/or fin~s for'false statements or use of false documents in-connection with the A nonciti<.en·naiionnl o!Llie Unl1e-J Srnte:s (sec.instructions} D A la_w:fol pcrmnnel\lresidenl (Alien#) - - - - - - - - - - 0 An alien authorii:ed ta work (Alien 9 or Admission#) - - - - - - - coinp!l! uolil e.v. iralion date, ifa licoble • uwmlu'. v'reor) Date (ma1;rhiday!ye(Jr) Prep:irer :ind/or Translator Certific2tfon (To be comp/eled blJ t' SI. ~6;;o1S- /.11 I /i_ 3? I'/ Section 3. Updating.and RevermcaUon (To bf! com /f!ted and si 1ed by employer.) A. New Name. (i]applicable) B. Date of Rehire (monthfday/year) (ifapplic11blej C. If employee's P.revious grtllll <,>f~vork nntl:ioriziti;ld j'.)!f Yes. lfye.s;,pte~~e write a brief summary of action taken. (n .:\ ! ':J :) ::f ;.~ .Academic Budget, Dean, Employee. Human Res_o~rccs FLORIDA INTERNATIONAL UNIVERSITY REQUEST TO USE UNIVERSITY EQUIPMENT, FACILITIES AND SERVICES CONJUNCTION \'1TH NON-UNIVERSITY OUTSIDE ACTIVITY IN An employee who has received University approval lo engage· in an outside activity may request appro"al for the other than incidemal use of University equipment, facilities, or services in connection with the non-university out5ide activity. The University must approve the use in advance. The cmpioycc mus.t reques1 such approval by completing and submi ning thisJorm. This form should be.attached \o the o·utsideoActivitiL'S and Conflicts of Interest Report. The use of.any of: these resources will be allowed only on a non· interference basis. and there may be a charge.'for such u~e. If in the course of the work, the employee anticipates a change i11 the date> of use of University resources. a new request for approval must be submiued immediately. · EQlJIPMF:Nt )-ee /Jq ~:(;_} 4 Identify equipment (descrip1ion (e.g., 1:ax. E-mail, Computer) decals II, etc.) And describe manner in which it will be used: Sp.ecify date(s) of use: List uccount(s).identified for reimbursement: Location and address where the equipment will be used (e.g., home, office, other): Department and college or other area(s) in which equipment is assigned: Associated charges (attach basis for determination or explanation if not charge): S Sit;l)_aturc and Title of Administ,rator (Custodiap) Responsible for the Equipment Date FACILITIES Identify facility, include location and manner in which the facility will be uwd: 1 Specify date{s) of use: List account(s) identified for reimbursement:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Der.artment and c91lege or other area{s) in which facility islocated:. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _- ' - - - - - - - Associatee mistakes. d. The Supreme Court of Florida does business with flU. Th-e Csu!'t licenses FIU Law to offer a J.D., admits FIU law fu have a financial in~erest. You are engaged in business activitie~, including service on the board of dire.ctors, or. other management interest with regard to a business entity in the same discipline or field in which you are emplOyed at.this Universitx. You are engaged in any employment; contractual relationship, or have financial interests which might <:rcate a continuing or recurring conflict between your private interests and the perfonnancc your public responsibilities and obligations Ii.ere at \he University, including time commitments. This includes any outside activity in which you arc required to wai\'e rights to intellectual property. You are engaged in outside acti\'ities and financial interests- required to be reported under federal contract and grant regulations. Such reporls may also need to be made at the time of the-submission of the proposal. In addition to tlie abcwe activities, you must report all uncompensated activities which you should reasonably conclude may create an actual or apparent conflict of interest, including a conflict of time commitments. Affirmation The signature on the Outside Activities _and Conflicts oflntcrcst Report.affirms an awareness o.f the University's policies on outside activities and con.flicts of in1crest, as well as the completeness and accuracy of the. responses. lnfonnation