Alfie FeolaMIAMI BEACH
City of Miomi Beoch
I200 Convention Center Drive
Miomi Beoch, Florido 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl .qov
Telephone: 305.673.7 41 1
I am in compliance with the affiliation requirement of Miami Beach C ty Code Sections 2-22 (4)'
as (check (./) allthat aPPIY):
! I am a resident of the City of Miami Beach for six months or long=r.
Homeooo,."rr.220 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 Business Altanini Realty Corp.
760 Ocean Dr.,Miami Beach, FL 33139
Business Address: '
tr 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 lnterest" means the ownership of ten perc.e.nt (low or more (including the
ownership of 10% or more of the outstanding capital stock) rn a Dusrness'
,,Busrness,, means any sole proprietorshlp, sponsors hip, corporaton, limited liability company,
or other entity orbusrness association'
under penalties of perjury, I declare that I have read the foregoing cocument and that the facts
stated in it are true.
Printed Name
Date
May 30, 2023
Al Feola