Aaron ResnickC ity o f M iam i Be a ch
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
RECEIVED
FEB 7 2023
CI TY OF MIAM I BEACH
OFFICE OF 7HE CITY CL ER K
AFFIDAVIT OF AFFILIATION WITH THE CITY OF M IA M I 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):
IZl I am a resident of the City of Miami Beach for six months or longer.
H om e Adare 450 Alton Road, Unit 2202, Mi am i Beach, FL 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).
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□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).
Name of Business _
[J S [P e , JS]TS
"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~ _2_17_12_0_2_3 _
Signature Date
Aaron Resnick
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of physical presence or o online notarization,
+ 1"aay or J@Hr 2oz3_y Aaron Rsgncl
\
________ (City of Miami Beach Board/Committee Member).
Produced ID
Form of Identification
_Le Personally Known
sign at ure,t ot a, "%"· Noz.au@0 (o)
Name of Notary, Typed, Printed, or Stamped
iii,3. NAZARENA MASIS %%$f$, oar ~b~-ssiefrer e 3}jg} coimson r s s78o j%Z$ < yepm. Expires 0t 4, 2026
8n@ Mhlugh National Notary As.