William SchachteI A#
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.qoy
Telephone: 305.673.7411
RECEIVED
MAR 31 2022
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
ST ATE 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):
X lam a resident of the City of Miami Beach for six months or longer.
Home Address 540 West Avenue Unit 2214, Miami Beach FL 33139
X 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).
Name of Business Sobe Luxury Travel
Business Address 540 West Avenue Unit 2214 Miami Beach FL 33139
a lam 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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"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 penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it
are true. JR:_ · March 31, 2022
Signature J [„n
William L Schachte Ill
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means o~sical presence por r online notarization,
w.La.ahet.% LU/liaa _chah/@
Produced ID
(City of Miar Beach Board/Committee Member). F Wuts -reo 5
Form of Id
lly Known
Signa
Name of Notary, Typed, Printed, or Stamped
@w... CHARLE S J. DAGOSTIN
lf¡ïl\'I, '~\ MYC()f,'MISSION # HH 165705 i, „3;i xPIREs: Decom bor 14, 2025
j & ,4 1u Notary Public Underwriters 8,%f,<E'°' ovos .