Clare F. McCord RECEIVED
MI AMI BEACH FEB 22 2024 •
City of Miami Beach
1 700 Convention Center Drive CITY OF MIAMI BEACH
Miami Beach, Florida 33139 OFFICE OF THE CITY CLERK
OFFICE OF THE CITY CLERK
Email: BC(a 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):
1 I am a resident of the City of Miami Beach for six months or longer.
Home Address:800 West Ave, Unit 629, MB FL 33139
1 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: McCord Consulting
Business Address: 1521 Alton Rd, Suite 232 MB FL 33139
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 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.
74, 2/22/2024
Signature Date
Clare McCord
Printed Name