Michael McManus 12/31/22Michael McManus 1/13/2021
AIPP City Commission
12/31/22 12/31/22
1/20/2021
12/30/2020
1/29/2021
2/1/2021
2/1/2021
27th Jan
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City of Miami Beach
700 Corvention Center Drive
Miami Beach, Florido 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibgachfl_goy
Telephone: 305.673.7411
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
STATE OF FL,QRIDA h
COUNTY OF hwy ({ad
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I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4),
as (check (/) all that apply):
-rel I am a resident of the City of Miami Beach for six months or longer.
O I have 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).
O I am a full-time em ployee 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 Miam i Beach (for a
minimum of six month s).
"O w n e rsh ip In te rest" m e a n s th e o w n e rsh ip o f te n p e rce n t (10 %) or m o re (in clu d in g th e
o w n e rsh ip o f 10 % or m o re o f th e ou tsta n ding cap ita l sto ck) in a b u sin e ss.
"B u sin e ss" m e a n s a n y so te p ro p rieto rsh ip . sp o n so rsh ip , co rp o ra tio n , lim ite d lia b ility co m p a n y ,
o r o th e r en tity o r b u sin e ss asso cia ti o n .
Under penalties of perjury, I declare that I have read the foregoing document and that the facts
stated in it are true.
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M i i s s L A,
'aal Date
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed befo re me, by means of O physical presence or LX online
notarization, this 27th day of Ja nua ry
M ic ha e l M c M a n us (City of Miam i Beach Board/Com mittee Mem ber).
20-1_by
X Produced ID F L D rive rs Lice nse
Form of Identification
Personally Known
Ciao 'geti (NOT ARY SEAL)
Signature of Notary Public
Charles J D'Agostin
Nam e of Notary. Typed, Printed, or Stam ped
AR',, Charles J. DAgostin
Œ) NOTARY PUBLIC
g] 1STATE OF FL OR IDA
Comm# GG168171
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Received on February 1, 2021Office of the City Clerk