Alexander Fryd RECEIVED
FEB 09 2024
MIAMI BEACH OFF'E0 7EMJ B`4CH
tTy CLERK
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email:BC(aimiamibeachfl.nov
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):
I—Tram a resident of the City of Miami Beach for six months or longer.
Home Address: LILIVI /t/tvt t'I vs Dr Mto-w.,' deA.'L, (CL 3 3/`(
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:
FI 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: rJC5fe,' /14ua.c Qa l.4-
Business Address: S23 /'`�Gt��'y.�.H /rv� /f�(a.m. kitw,t(Ai t✓4- 3 3( 31
"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.
Signature Date
Ales< Fry A
Printed Name