Bloom 2022-M2 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 RECEIVED 32022
City, State, Zip Code
0 Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
Fv� Candidate Office Sought: Aventura Commission Seat 6
F71 Political Committee (PC)
Electioneering Communications Org, (EGO) R Check here if PC or ECO has disbanded
Party Executive Committee (PTY) E] Check here if PTY has disbanded
El independent Expenditure (fE) (also covers an ❑ Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 02 01 /2022 To 02 / 28 /2022 Report Type: M2
E Original El Amendment E] Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks 1 000 .00 Expenditures $ 140, 45
Loans Transfers to
Office Account $
Total Monetary $
Total Monetary $ 140, 45
In-Kind
(8) Other Distributions
.
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 11 , 446 . 00 $ 465. 96
(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
El Individual 1, for IE as 0 Deputy Treasurer F1 Candidate 171 Chairperson(only for PC and PTY)
or olectior wring rn.)
X X
Signature Signa aure
DS.DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Amit Bloom
(1) Name (2) I.D. Number
02 01 2022 02 28 2022 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
Bercow Radell
02 22 2022 Fernandez & Larkin
200 South Biscayne
1 Blvd., Suite 850 B Law Firm CHE $1,000.00
Miami, FL 33131
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 02 / 01 / 2022 through 02 /28 2022 (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
Google LLC
02 03 022 1600 Amphitheatre Pkwy Domain name / email
Mountain View, CA 94043
CAN $6.00
1
Custom Ink Campaign T-shirts
02 09 022 18153 Biscayne Blvd
Aventura, FL 33160
CAN $134.45
2
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES