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Bloom 2021-M6 Report CAMPAIGN TREASUREWS REPORT SUMMARY Amit Bloom OFFICE US15ONLY Me CITY i f th ity OF AVENTURA (2) 20454 NE 34 Court 0 C C Offce o te City Clerk Address(n=bar and:street) C V Aventura, FL 33180 RECEIVED 7/7/2021 V Zip Code Check hare if address has chatigad (3� ID Nurnbec, (4) Chec*appropriate bax(es): 21 Candidate Offfirm vent) Commission Seat 6 Ejectioiteo rimy g C Crum un[eatioas Org. (EX [J— ChoOk hore if PCor ECO has rats bandled 0, Party (PTY) 01'Check here if PTY'ha!5,,dlisbanded Independent Expend4ure (1E)(also oovers an 0',Check here if id o other TE or EC reporls,will be,fj I ad individtial making eleclimmc-Ting f 5) keport,ldentifieqs Gover Period: From 06 101 /2021 To 06 130 i 2021 Report Type: M6 F3 Original mpe,6@4 Election Report (6) Contribulions This Report (7) Expenditures This Report Monetary ,Cash &CheGks 6, 9,91 00 Expenditures S 1 32.94 Loans Transfers to Officx.)Accouwat $ To W, Monetary Total Monetary S 132,94 in-Kind S (8) Other Distributions $ (9) TOTAL,Monetary Contributions To Date (10), TOTAL Monetary Expenditures To Date $ 7 091 o 00 132 z 94 (11) C e rtification it is a first do ee rnis&nwanor for any person to,faIsify a public record(ss-8,39,13, F,S,l I conify Ittol I have examined,this reprint iml it is true,correct,and complote', David " loon1 i I p r raga rrAmit Bloom U a 1-0,W,ky-NN,I E TV'@A5WrVr Drqtwmy Tfo amour CoCandidale Chwi parsun�pnly PC and PTY) '7 X Signature. tl:$�VE 12(Rev,11113) SEE REVERSE,FOR WS,,rRUCTIONS CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Amit Bloom (1) Name (2) I.D. Number 06 01 2021 06 30 2021 1 5 (3) Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address& Contributor Contribution In-kind Number City, State,Zip Code Type Occupation Type Description Amendment Amount Bloom, Bonnie 06 09 2021 108 Saxony C / / 0 Delray Beach, FL 33446 1 I CHE $50.00 Friedland, Rachel 06 17 2021 21019 Northeast 38 Ave. Aventura, FL 33180 2 I CHE $100.00 Weinberg, Howard 06 17 2021 3370 Northeast 190 St. Aventura, FL 33180 3 I Attorney CHE $118.00 Oshins,Michael 06 17 2021 599 Apple Tree Lane fft Boca Raton, FL 33486 4 I CHE $36.00 Levine, Gregory 06 17 2021 19456 40 Court Golden Beach, FL 33160 5 I VP Sales CHE $180.00 Cohen, Stephan 06 17 2021 20801 Biscayne Blvd. Suite 400 6 Aventura, FL 33180 I Attorney CHE $500.00 Schermer, Sara 06 17 2021 2350 NE 201 Street / / 0 Miami, FL 33180 7 I CHE $50.00 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Amit Bloom (1) Name (2) I.D. Number 06 01 2021 06 30 2021 2 5 (3) Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address& Contributor Contribution In-kind Number City, State,Zip Code Type Occupation Type Description Amendment Amount Stern, Randy 06 17 2021 20730 Northeast 30 Place 8 Aventura, FL 33180 I Travel Ager CHE $200.00 Zayczek, Esther and Zev 06 16 2021 20322 NE 34 Court Aventura, FL 33180 9 I Restaurant CHE $1000.00 Metro Food Equipment 06 16 2021 Co. 1353 North Miami Ave. 10 Miami, FL 33136 B Restaurant CHE $1000.00 ATID, Inc. 06 16 2021 1353 North Miami Ave. Miami, FL 33136 11 B Real Estate CHE $1000.00 Auspitz, Tracey 06 21 202: 1619 Northeast 1 Street Ft. Lauderdale, FL 12 33301 I CHE $100.00 Conea, Gabrielle 06 21 2021 20206 Northeast 34 Ct. Aventura, FL 33180 13 I CHE $36.00 Foster, Brian 06 21 2021 2240 NE 202 Street Miami, FL 33180 14 I CHE $100.00 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Amit Bloom (1) Name (2) I.D. Number 06 01 2021 06 30 2021 3 5 (3) Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address& Contributor Contribution In-kind Number City, State,Zip Code Type Occupation Type Description Amendment Amount Marcovich, Anne 06 17 2021 2411 196 Street / / Q Miami, FL 33180 15 I Nicklaus Ch CHE $54.00 Marks, Linda 06 17 2021 21055 Yacht Club Drive #1105 16 Aventura, FL 33180 I CHE $100.00 Benbassat, Nira 06 21 2021 19195 Mystic Pointe Drive 17 #2207 I CHE $36.00 Aventura, FL 33180 Macken Companies 06 21 2021 17071 West Dixie Highway 18 North Miami Beach, FL B CHE $100.00 33160 Sanders, Jeff 06 21 2021 9245 Carrington Avenue Parkland, FL 33076 19 I CHE $100.00 Huffstetler, Lee 06 21 2021 8116 S Coral Circle Pompano, FL 33068 20 I CHE $100.00 Redlich, Carol 06 21 2021 20418 NE 34 Court Aventura, FL 33180 21 I CHE $18.00 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Amit Bloom (1) Name (2) I.D. Number 06 01 2021 06 30 2021 4 5 (3) Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address& Contributor Contribution In-kind Number City, State,Zip Code Type Occupation Type Description Amendment Amount Mullins, Sherri 06 21 2021 3205 NE 184 Street #9104 22 Aventura, FL 33160 I CHE $25.00 Templer & Hirsch, P.A. 06 18 2021 Attorneys At Law 20801 Biscayne Blvd. 23 Suite 400 B Law Firm CHE $1000.00 Aventura, FL 33180 Bari, Alex 06 23 2021 2851 Northeast 183 Street 24 #201 I CHE $36.00 Aventura, FL 33160 Hockenstein, Valerie 06 23 2021 21391 Marina Cove Circle 25 #K17 I CHE $36.00 Aventura, FL 33180 Leizerovich, Gus and 06 23 2021 Marisa 20414 NE 34 Court 26 Aventura, FL 33180 I Director of CHE $180.00 Kubiliun, David 06 23 2021 332 Poinciana Island Drive 27 Sunny Isles Beach, FL I CHE $100.00 33160 Disk, Miriam 06 23 2021 202 Blackstone Avenue Ithaca, NY 14850 28 I CHE $36.00 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Amit Bloom (1) Name (2) I.D. Number 06 01 2021 06 30 2021 5 5 (3) Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address& Contributor Contribution In-kind Number City, State,Zip Code Type Occupation Type Description Amendment Amount Mittler, David 06 23 2021 3723 NE 214 Street Aventura, FL 33180 29 I CHE $100.00 M William Joel 06 22 2021 Sandra E Joel ITF 2600 Island Blvd. 30 #704 I Retired CHE $500.00 Aventura, FL 33160 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Amit Bloom (2) I.D. Number (3) Cover Period 06 / 01 / 2021 through 06 / 30 / 2021 (4) Page 1 of 1 (5) (7) (8) (9) (1 0) (11) Date Full Name Purpose (6) (Last,Suffix, First, Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount Harland Clarke 06 02 202 C/O Ocean Bank 20900 NE 30 Avenue Campaign checks Aventura, FL 33180 CAN 28.06 1 Anedot Inc. 06 17 2021 1340 Poydras Street Suite 1770 Merchant services New Orleans LA 70112 fees CAN 56.25 2 Anedot Inc. 06 21 2022 1340 Poydras Street Suite 1770 Merchant services New Orleans LA 70112 fees CAN 27.31 3 Anedot Inc. 06 23 2021 1340 Poydras Street Suite 1770 Merchant services New Orleans LA 70112 fees CAN 21.32 4 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES