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Corey Narson/A\IBE City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 RECEIVED JAN 10 2024 CITY OF MIAMI BEACH OFFICE CF THE CITY CLERK 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): D I am a resident of the City of Miami Beach for six months or longer. Home Address: _ I✓I 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: Miami Beach Family & Sports Chiropractic Center Business Address: 975 Arthur Godfrey Road Suite 102 MB , FL 33140 [Z] 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: Miami Beach Botanical Garden Business Address: 2000 Convention Center Drive, Miami Beach, FL 33141 "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. Corey Narson 12/29/23 Signature Corey Narson Date Printed Name Mena Caceres, Keila From: Sent: To: Cc: Subject: Attachments: Follow Up Flag: Flag Status: Corey Narson <Corey@m bg arden.org > Friday, Decem ber 29, 2023 12:33 PM M ena Caceres, Keila Guerrero, Janay Com m ittee on the Hom eless B&C Appointee Package Fillable.pdf; Corey Narson.pdf Follow up Com pleted I So.me people who received this message don't often get email from corey@mbgarden.org. Learn why this is important THIS MESSAGE CORES FROM AN EXTERNAL EMAHI - LUSE CAUTION W/HEN REPLYING AND OPENING LANK OR ATTACHMENTS [ Good afternoon and Happy Holidays! Please see the attached documents for appointment for the Committee on the Homeless. I filled it in online, please let me know if all is correct and received. Our Best, Corey Narson Maurice Jackson The Events Team T.(305)673-7256 x2030 Maurice's cell. 305 804-5325 M IAM I BEA CH BO TA N IC A L GARDEN Miami Beach Botanical Garden 2000 Convention Center Drive Miami Beach, FL 33139 1