Bloom 2022-M1 Report CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Amit Bloom OFFICE USE ONLY
Name
(2) 20454 NE 34 Court CITY OF AVENTURA
Address (number and street) Office of the City Clerk
Aventura, FL 33180 RECEI 2/7/2022
City, State, Zip Code
F] Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
H Candidate Office Sought: Aventura Commission Seat 6
El Political Committee(PC)
M Electioneering Communications Org. (ECO) 0 Check here if PC or ECO has disbanded
❑ Party Executive Committee (PTY) 0 Check here if PTY has disbanded
Independent Expenditure (IE) (also covers an 0 Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 01 / 01 /2 022 To 01 / 31 /2 022 Report Type: M 1
El Original 171 Amendment F] Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ 0 .00 Expenditures $ 6 .00
Loans $ Transfers to
Office Account $
Total Monetary $
Total Monetary $ 6. 00
In-Kind $
(8) Other Distributions
.
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 10, 446 , 00 $ 325. 51
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that I have examined this report and it is true, correct,and complete:
(Type name) David Bloom (Type name) AmIt Bloom
0 Individual(only for IE Treasurer [I Deputy Treasurer El Candida [01 irperson(only for PC and PTY)
or electioneering comm.)
X
Signature Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Amit Bloom (2) I.D. Number
(3) Cover Period 01 / 01 2022 through o1 /31 �022 (4) Page 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
Google LLC
01 03 2022 1600 Amphitheatre Pkwy Domain name / email
Mountain View, CA 94043
CAN $6.00
1
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES