Joseph Saunders (2)C ity o f M ia m i Be a ch
1700 Convention Center Drive
Miami Beach, Florida 33139
RECEIVED
1uL 12 2023
CITY OF MIAM I BEA CH
OFFICE Or HF CITY CLERK
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305 .673 .7 411
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):
~ I am a resident of the City of Miami Beach for six months or longer.
H Add 1439 West Ave. Apt. 501 Miami Beach, FL 33139 ome ress: ---------------------------
D 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: _
Business Address: _
D 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 outstandina capital stock) in a business.
Text
"Business" means any sole proprietorship, sponsorship, corporation, limited liability company,
or other entity or business association.
Under pe
stated in i
jury, I declare that I have read the foregoing document and that the facts
July 12, 2023
Signature
Joseph Saunders
Date
Printed Name