Joseph SaundersMIAM I
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
RECEIVED
FEB 13 2023
CITY O F M IA MI 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):
o I am a resident of the City of Miami Beach for six months or longer.
Home Address ------------------------- 1439 West Avenue #501 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 Business_"
[[[g[mess J]res,S
0 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 or Business Equally Florida Institute
sosness A«ares '1Lincoln Poad. Miami Beach331%9
"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
are true.
clare that I have read the foregoing document and that the facts stated in it
February 12, 2023
Signature Date
Joseph Saunders
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of□physical presence or online notarization,
(City of Miami Beach Board/Committee Member).
£ @ n.4¢ Produced ID
Name of Notary, Typed, Printed, or Stamped