Al FeolaMIA MI BE H
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7 411
RECE IVED
FEB 8 2023
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
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 Addres220 West Rivo Alto Dr., Miami 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).
Name of Businealtanini Realty Corp.
Business Address 760 Ocean Dr., Miami Beach, FL 33139
□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 _
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, Fmited 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. ~ _0_2_10_8_12_0_2_3 _
Signature Date
Al Feola
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of physical presence or o online notarization,
this 8_ day ot.le lr«4,20 2y / Hcol
(City of Miami Beach Board/Committee Member,
Produced ID
Form of Identification
}_ Personally Known
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Bonded through National Notary Assn.
longoepoet,
(NOTARY SEAL)
Name of Notarv. Tved. Printed. or Stamped