Blanca VillarelloMIAMI BEACH
RECEIVED
SEP 02024
CITY OF MIAMI BEACHOFFICEOFTHECITYCLERK
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
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/]1am a resident of the City of Miami Beach for six months or longer.
1881 Washington Ave,Unit 6H,Miami Beach,Fl 33139HomeAddress:--------------------------
[EI 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).
International Event Planners LLCNameofBusiness:-------------------------1881 Washington Ave,6H,Miami Beach,Fl 33139BusinessAddress:-------------------------
[[lam 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).
International Event Planners LLCNameofBusiness:-------------------------Same as aboveBusinessAddress:-------------------------
"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 factsazadSeptember3rd,2024
Signature DateBlancaGracielaVillarello
Printed Name