William Schachte1I/A\Ml
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
RECEIVED
M4AR 3 2023
CITY OF M:AMI BEACH
OFFICE Or HE CITY CLERK
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
l am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4), as (check
(/) all that apply):
X lam a resident of the City of Miami Beach for six months or longer.
Home Address 540 West venue Unit 2214, Miami Beach FL 33139
X 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 Sobe Luxury Travel
Business Address 540 West Avenue Unit 2214 Miami Beach FL 33139
lam 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).
[]9IT]+ t9f P1I,H[@i.-
P [A 1f]9 ., J (]H f%S i .or-.
"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.
eclare that I have read the foregoing document and that the facts stated in it
March 02, 2023
Signature
William L S cha ch te III
Date
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of y5physical presence or u online notariza$jon,
me Z dy ot _llacl_ .zo25 s eta_L. 1?
(City of Miami Beach Board/Committee Member).
Produced ID
Form of Identification
} Pe
Notary Public State of Florida
Janiffer Rodriguez
M y Commlsslon HH 327629
Expire$ 10/31/2026
(NOTARY SEAL)
Signat
Name