Courtney ReeveMIAM I BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
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AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH JUN 29 2022
STATE OF FLORIDA
COUNTY OF MIAMI-DADE O/TY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
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 Address 4756 Alton Rd/ Miami Beach, FL 33140
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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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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"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 trjl'e~. ) S. _62sr2022
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Courtney C. Reeve
Printed Name
NOTARY
Sworn to (or affirmed} and subscribed before me, by means o~sical presene or o online notarization,
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ci y orami Beach sorarcommttee Mente9ggegr ,,,a44g4,„4„,,„ #t ')ves h¡aj 5€ [$"jê; wrcouvssir vi nos ] T lt(2 lii,J%i,±i Exs: Decomer 14,2025
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Produced ID
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Name of Notary, Typed, Printed, or Stamped