Jonathan Freidin 12/31/23City Commission
12/31/23 12/31/27
1/21/2022 1/5/2022
1/21/2022
1/21/2022
1/26/2022
Received January 21, 2022
Office of the City Clerk
21 Jan
MI AMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305 .673 .7 41 I
R eceived January 21, 2022
O ff ice of the C ity C lerk
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4), as (check
( ✓) all that apply):
/ I am a resident of the City of Miami Beach for six months or longer.
Home Aaoress _IL ]std ko ±1707
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).
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P1[SI[e ,, (][feSS
o 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).
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P]1ms,S ([r%Si-
"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.
Under pen
are true.
Signature
I declare that I have read the foregoing document and that the facts stated in it
I]4/o2z
Date I
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means ofX physical presence or o online notarization,
a.2 1 aay or Jan u ar y 2022o by "onathan Freidin
_________ (City of Miami Beach Board/Committee Member).
FL D river's Li cense X Produced ID
Form of Identification
Personally Known
Cao, D'A, ·ut
sio@ore o @ o ey a. '
•• CHARLES J. DAGOSTIN
f~:&·•'~\ MY COMMISSION# HH 165705
h;; ;li EXP IRE S: Decambr 14, 20 25 ·'A. y6 72a±¿$? ponded Thu Notary Public Underwriters ·£ts°
(NOT ARY SEAL)
Charles J D'Agostin
Name of Notary, Typed, Printed, or Stamped
X
Re ceived January 21, 2022Office of the City Clerk