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Linda Kolko (2)City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 OFFICE OF THE CITY CLERK Email: BC(a�miamiheac:hti.gav Telephone: 305.673.741 1 AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4), as (check (`/) all that apply): 19 1 am a resident of the City of Miami Beach for six months or longer. Home Address:334 W 25 St #9 Miami Beach FL 33140 © 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: Flamingo Terrace Enterprises, Inc. Business Address:334 W 25 St. Suite 9 Miami BeachFL 33140 ❑ 1 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, limited liability company, or other entity or business association. Under pena ies of perjury, I declare that 1 have read the foregoing document and that the facts staked in i true. June 6, 2023 Signature Cate T Kv A-(") Printed Name