Debra (Debi) Quade _ RECEIVED
' `° Ir `' FEB 13 2024
City of Miami Beach
1700 Convention Center Drive CITY OF MIAMI BEACH
Miami Beach, Florida 33139 OFFICE OF THE CITY CLERK
OFFICE OF THE CITY CLERK
Email:BCCa.miamibeachfl.Qov
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):
1 I am a resident of the City of Miami Beach for six months or longer.
Home Address:2301 Collins Ave#724 Miami Beach, Fl 33139
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: Mantell 301 LLC, Mantel) 336 LLC, Meridian 6 LLC
Business Address:255 W 24th St#301 Ő MB, 1035 Meridian Ave#6 MB
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:Cervera Real Estate, Inc
Business Address:1000 South Pointe Dr STE 100 Miami Beach, Fl 33139
"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.
Z7.2624, Qu,ae. 2/13/24
Signature Date
Debra Quade
Printed Name