Seth Feuer Sep 2022DocuSign Envelope ID: A875FBEF-OB8A-4511-A490-DBB77052A2B4
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: 13C(a_)miamibeachfl..qov
Telephone: 305.673.7411
RECEIVED
a C T -7 2022
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4),
as (check (J) all that apply):
® 1 am a resident of the City of Miami Beach for six months or longer.
Home Address: 1330 west Avenue #804, Miami Beach 33139
® 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).
Seth Feuer P.A. DBA The
Name of Business: Meridian Advisors
605 Lincoln (toad 7th Floor, Miami Beach, 33139
Business Address:
❑ 1 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).
Name of Business:
Business Address:
"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.
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DuSigned by:
� �W 10/06/2022
Signature `-60792FAA8BD04D3... Date
seth feuer
Printed Name