Maria PaulsenM IA M I B EA C H
City of Miami Beach
1 700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673 7411
RECEIVED
MAR 1 8 2024
CI TY OF MIAMI BEA CH
OFFICE OF THE CITY CLERK
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
I am in com pliance with the affiliation requirement of M iam i Beach City Code Sections 2-22 (4),
as ( check (/) all that apply):
D I am a resident of the City of Miam i Beach for six months or longer.
Hom e Address: _
D I have an ow nership interest (fo r a minim um of six months) in a business established in the
City of M iam i Beach (for a minim um of six months).
Nam e of Business: _
Business A ddress: _
Z I am a full-tim e em ployee of a business (for a minim um of six months) and I am based in an
office or other location of the business that is physically located in Miam i Beach (for a
minim um of six months).
Nam e of Business: First Horizon Bank
Business Address: 400 A rthur G odfrey Rd Suite 102 M iam i Beach, FL33140
"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 fo regoing docum ent and that the facts
stated in it are true.
M ar 18, 2024
Signature
M aria P aulsen
Date
Printed Nam e