Kristen GreeneM IA M I BEA C H 4
City of Miami Bea ch
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF TH E CITY CLERK
Emai l: BC@miamibeachfl.got
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):
l'{1 am a resident of the City of Miami Beach for six months or longer.
Home Address: 1008 Jefferson Avenue, No. 101, Miami Beach, FL 33139
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).
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Business 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).
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1Js1mess (d(dfeSS,
"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.
l!er 2-14-2024
Date
Kristen Greene
Printed Name