Jordan RonsonM IA M I BEA C H
RECEIVED
MAR 19 2024
City of Mi am i Beach
1700 Convention Center Drive
Mi am i Beach, Flor ido 33139
OFFICE OF THE CITY CLERK
Email:. BC@miamibeach1). gov
Telephone: 305.673.7411
CI TY OF MIAM I EE.A C"
OFFICE OF THE CITY CA F
AFFIDAVIT OE AFFILIATION WITH THE CITY OE MIAML BEACH
I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4),
as (check (/) all that apply):
[] 1am a resident of the City of Miami Beach for six months or longer.
840 Michigan Avenue , Apt. 4 Home Address: _
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).
Name of Business: _
1 S[me,S, (tfosS,
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 Miam i Beach (for a
minimum of six months).
[am9 tf Py]fS5,
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
e?ye "..- /--- March 17, 2024
Signature Date
Jordan Ronson
Printed Name