Bloom 2021-M9 Report CAMPAIGN TREASUREWS REPORT SUMMARY
Amit Bloom OFFICE USE ONLY
(2) 20454, NE -34 Court CITY OF AVENTURA
Address (number and street)
Office of the City Clerk
Aventura, FL 33180
RECEIV F10/4/20211
Gily,,, State, Zip Code
C] Ch,ec.k here if ad1dress,has Pharr ged (3) ID Numberli
(4) Checkappropriate box(es)�
Candidw 01fice Sought: Aven tura Commission Seat 6
P F
olitical co'll'irniftee(PG)
El Electioncmring Comp-nunicalians Of le. (ECO) Check here if PC or ECO has disbanded
Party Exec,ufive Corm-nittee(PTY) Check here If PTY has dis-banded'
Independent Expendit+tjre ([Et(al&D covers an Check horo it no other IIE or EG reports will b,e filled
individwal gnalking ele atone,oring oornmunicaficinst
(5) Report identifiers
Cover Period,- From 09 / 01 12021 To 0:9 130 /2021 Report Type, M9
21 Origina I R Am ondiriont El Special Eleclion Ropon
(6) Contributions This Report, (7) penditures This Ropo,rt
tdo net ary
Cash & Checks $ 234 , 00 Expenditures $ 9 97
Loans $ Transfers to
Office Account
Total Monetary $
Total Monetary, ' .97
$
in-find
(8 Other Distributions
$
(9) TOTAL Monetary Contributions To. Date (10) TOTAL Monetary Expenditures To Date
$ 10, 260 o00 $ 2,65, 48
cortification
It is a first degree rn is do meano r J"orany person to faPsil y a p u bUc record��s. 8 39 A 3, F.S,)
I cartity th)at 1 have examined this reporl ard 11 is trut%corrW, and complele'.
David Bloom Amit Bloom
..I ................
0 Individual 104y�br IE �TMA'sWag [I Ow purr'lrwmuror a,Cas'41010 D aciaeperson(only for FIC�wd PTY)
or a4uc po H rig cuopm A
X
Signature
DS-IDE 12(Rov 11113) SEE RF:;VZRSE FOR IN$TRUCTIONS
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Amit Bloom
(1) Name (2) I.D. Number
09 01 2021 09 30 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
Anne Marcovich
09 16 2021 2411 196 Street
Miami, FL 33180
1 I Registered N CHE $54.00
Paul Kruss
09 23 2021 2600 East Island Blvd.
#702
2 Aventura, FL 33160 I Small Busin CHE $180.00
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 09 01 / 2021 through 09 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
Anedot Inc.
09 21 2021 1340 Poydras Street Merchant services
Suite 1770 fees
New Orleans LA 70112 CAN $2.47
1
Anedot Inc. Merchant services
09 27 2021 1340 Poydras Street fees
Suite 1770
New Orleans LA 70112 CAN $7.50
2
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES