Ronald IssenbergMIAMIB
City of Miami Beach
1700 Convention Center Drive
Miami Beach,Florida 33139
H
RECEIVED
JUL 25 2024
CITY OF MIAMI BEACHOFFICEOFTHECITYCLERK
OFFICE OF THE CITY CLERK
Email:EC@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):
[/{1am a resident of the City of Miami Beach for six months or longer.
Home Address:1567 Daytonia Road Miami Beach,FL 3314
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).
[Qr9 (9f [/J[PS3,_.or
[[[Pe,S,J(]][9S,,r-
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:--------------------------
[J/[es,S J(]Hf@S},
"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 init are true.y
07
/
24
/
2024Si~"'4--D-a-te _
Ronnie lssenberg
Printed Name
MIAMI E
RECEIVED
JUL 25 2024
CITY OF MIAMI BEACHOFFICEOFTHECITYCLERK
City of Miami Beach
700 Convention Center Drive
Miami Beach,Florida 33139
OFFICE OF THE CITY CLERK
Email:BC@miamibeachfgov
Telephone:305.673.7411
NORTH BEACH CRA ADVISORY COMMITTEE AFFIDAVIT OF COMPLIANCE
I am in compliance with the North Beach CRA Advisory Committee's Membership Composition
requirements pursuant to Section 2-190.151 of the Miami Beach City Code as a:
[]Resident Member.
a.Currently residing,for a minimum of five (5)years,within the North Beach area,generally
considered as that portion of Miami Beach located north of 63"Street.
[ff]J\(}][S,,»
b.Currently residing,for a minimum of five (5)years within the geographic boundaries of the
North Beach CRA or a 300-foot radius thereof.
l[[]]Fi,--
□Business Member with ownership interest for a minimum of five (5)years in a business
established within the geographic boundaries of the North Beach CRA.
]qP9 (9f P/[eS,,a.
[[S,][g,,J]]fS,,_...«or+
~Real Estate Industry Member residing generally within the City of Miami Beach.
Home Address:1567 Daytonia Road Miami Beach,F 33141
License Number:FL:SL-3149595
□Attorney Member with experience in land use,real estate,or other related practice area,
residing generally within the City of Miami Beach or maintaining a full-time law practice and
physical office located in North Beach.
pm)/p ][,,-
[_3\y l'Fa[[%[]FSS,-
[_]P[],[][][][g],or
□The five (5)year minimum residency requirement for the Resident Member Category has
been waived by a 5/7ths vote of the City Commission.
I have an interest in neighborhood leadership issues,including,without limitation,
neighborhood business groups,homeowner or condominium association associations and
cooperatives,civic groups,and/or other similar qualifications.
"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.
Signature
Ronald lssenberg
Printed Name
7/24/2024
Date