Esteban Porcelli 12/31/22TPBPFC
ESTEBAN PORCELLI 1-22-2021
City Commission
12/31/22 12/31/23
1/20/2021 1/8/2021
1/22/2021
1/22/2021
1/22/2021
1/22/2021
22 Jan
I/A MI
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florido 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl_gov
Telephone: 305.673.7411
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
STATE OF FLORIDA
COUNTY OF _
I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4),
as (check (/) all that apply):
IXI I am a resident of the City of Miami Beach for six months or longer.
[] Ihave an ownership interest (for a minimum of six months) in a business established in the
City of Miami Beach (for a minimum of six months).
D I am a full-time employee of a business (for a minimum of six months) and I am based in an
office or other location of the business that is physically located in Miami Beach (for a
minimum of six months).
"Ownership Interest" means the ownership of ten percent (10%) or more (including the
ownership of 10% or more of the outstanding capital stock) in a business.
"Business" means any sole proprietorship, sponsorship, corporation, limited liability company,
or other entity or business association.
that I have read the foregoing document and that the facts
Signature
Esteban Porcelli
1-22-2021
Date
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of DJ physical presence or [online
- a 22n4, January 2o27' n[a[lZa[ion, [[S [ay Ol .'y
Esteban Porcelli (City of Miami Beach Board/Committee Member).
X Produced ID
FL Drivers License
Form of Identification
Personally Known
Cacto'ge
Signature of Notary Public
Charles J. D'Agostin
Name of Notary, Typed, Printed, or Stamped
(NOT ARY SEAL)
Charles J. DAgostin
NOTARY PUBLIC
STATE OF FLORIDA
"»kk/ Comm# GG168171
Expires 12/14/2021
Porcelli Esteban
3411 Indian Creek Dr. Apt. 903
Miami Beach, FL 33140
X Miami Beach
Transportation, Parking,Bicycle and Pedestrian Facility Committee
1-22-2021
Social Security Beneļ¬t
Pencion and annuities Various Plans
CD Interes
917-294-3511 01/01/21 to 12/31/21
Retired
X
Received on January 22, 2021Office of the City Clerk
Porcelli Esteban
X
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Porcelli Esteban
1-22-2021