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Y f• <br />` AFFIDAVIT OF COMPLIANCE_WITH FORE16N FNTrrY LAWS <br />City of Sunny Isles B <br />IsM Cd1bis Avemo <br />Sunny Islas Beach, FIL X31613 <br />N ln� ho • �30.r,) 947 -WOO FaA 1305)143113 <br />The un.dersagrled, on behalt of the enOty listed below ("En ), h2creby attests <br />tinder penalty of pe dury as follows: <br />1, Entity is riot owned by the goVCMMorrl Of a f orolg n country of concern, nrr <br />detint d in Uc6cin 287.138. Florida SCaaule5, <br />2. The govem merit of a toreig n cmary of concern does not hava a Controlling <br />interest in Entity, as dcfted in Sect -Pon 287.138, Rat i -da Statutes_ <br />3� EnUty Es not orga nizcd unde r th c jaws of a Earn i gn cou n * iaF cc ncern, a� crefi ned <br />in Section WAX Flom StA:Wes, <br />4. Entity docs not hava o pl;n-cIpt-ji place of business in a fureign counvy of concern, <br />as defined rn Section 287.138, Fi❑rida S:akules, <br />5_ The vnd�-siq ed is auffiaiLed Lo execute LKis affidavit on be h a If of Entity. <br />Date, _, 20 <br />+ 0 <br />STATE OF l' <br />COO'NTY OF <br />The foregoiq 'nsirunienl was acknowledged before me, by means of M physical <br />presenw or U online notatmfion, ihis Zft day of . by <br />1 a$ _ 0* + _ for <br />! _ _ dwho is penally <br />known to rno or who has pnoducnd as 1dentiti ca CiarF_ <br />0 NoLary PUtI10 Si+4natur$; <br />Print Name. <br />Stair of Far at Lwgo (Sept) <br />My cammiorr cam: �'. <br />.. LW41110 tsar <br />F�% HH 4+ <br />sr Eitprw OCG, 21, <br />