Aubrey Rosenhaus (2)MI A H
RECEIVED
AUG 22 2023
CITY OF MIAMI BEACH
OFFICE O THE CITY CLER
City of Miami Beach
1 700 Convention Center Drive
M iami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
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):
]/{1am a resident of the City of Miami Beach for six months or longer.
Home Address4701 N Meridian Ave, #326 Miami Beach FL, 33140
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).
[[are f [3ys[/esS.,
[3ys[ness 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). 1
Name of Business: -------------------------
[[IS[[es,S (]reSS,
"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 of perjury, I declare that I have read the foregoing document and that the facts
stated in it are true.
8/22/23
Date
Aubrey Rosenhaus
Printed Name