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Bloom 2021-M8 Report CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Amit Bloom (1) Name (2) I.D. Number 08 01 2021 08 31 2021 1 1 (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 Paul Warren 08 01 2021 20355 NE 34 Court 729 1 Aventura, FL 33180 I CHE $100.00 Jack Benzaquen 08 12 2021 20865 Northeast 30 Place 2 Aventura, FL 33180 I Investor CHE $518.00 Daniela Hen 08 15 2021 226 McVeigh Avenue Staten Island, NY 10314 3 I not employ CHE $500.00 Anne Marcovich 08 16 2021 2411 196th Street Et Miami FL 33180 4 I Nicklaus Chi CHE $54.00 0 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 08 01 / 2021 through 08 31 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 Anedot Inc. 08 01 2021 1340 Poydras Street Merchant services Suite 1770 fees New Orleans LA 70112 CAN $4.30 1 Anedot Inc. Merchant services 08 12 2022 1340 Poydras Street fees Suite 1770 New Orleans LA 70112 CAN $21.03 2 Anedot Inc. Merchant services 08 15 2021 1340 Poydras Street fees Suite 1770 New Orleans LA 70112 CAN $22.77 3 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES