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Bloom 2022-M3 Report CAMPAIGN TREASURER'S REPORT SUMMARY (1) Alit Bloom OFFICE USE ONLY Name CITY OF AVENTURA (2) -20454 NE 34 Court Office of the City Clerk Address (number and street) Aventura, FL 33180_______ RECEIVED 4/4/2022 City, State, Zip Code RE% 0 Check here if address has changed (3) ID Number: ........ (4) Check appropriate box(es): Candidate Office Sought: Aventura Commission Seat 6 Political Committee (PC) Electioneering Communications Ong. (ECO) Check here if PC or ECO has disbanded F] Party Executive Committee (PTY) ❑ Check here if PTY has disbanded F1 Independent Expenditure (IE) (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 03 / 01 /2022 To 03 / 31 /2022 Report Type: M3 [D Original E]Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary 26 30 Cash & Checks $ 6 , 500 .00 Expenditures $ Loans Transfers to Office Account $ Total Monetary $ Total Monetary $ 26 . 30 In-Kind (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 9 17, 946 . 00 $ 492, 26 (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 Deputy Treasurer a Candidate 171 Chairperson(only for PC and PTY) or olucti ering comm, X _Lz - X I I _ Signature ignature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Amit Bloom (1) Name (2) I.D. Number 03 01 2022 03 31 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 Good Bear, LLC 03 08 2022 1887 NE 146 Street North Miami, FL 33181 1 B Real Estate CHE $500.00 David, Jeffrey, B. 03 18 2022 9 Banksville Road Armonk, NY 10504 2 I Real Estate CHE $1000.00 G. & G. Salvage Corp. 03 18 2022 60 Canary Cresent Manhasset, NY 11030 3 B Salvage CHE $1000.00 Davis Realty Corp. 03 18 2022 60 Canary Cresent Manhasset, NY 11030 4 B Real Estate CHE $1000.00 Fontainebleau 03 18 2022 Development LLC 19950 West Country 5 Club Drive B Real Estate CHE $1000.00 loth Floor Aventura, FL 33180 JS IP LLC 03 18 2022 19950 West Country Club Drive 6 10th Floor B Real Estate CHE $1000.00 Aventura, FL 33180 YCM Acquisitions, LLC 03 18 2022 19950 West Country Club Drive 7 10th Floor B Real Estate CHE $1000.00 Aventura, FL 33180 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 03 / 01 / 2022 through 03 /31 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 Anedot Inc. Merchant service 03 10 022 1340 Poydras Street fees Suite 1770 New Orleans LA 70112 CAN $20.30 1 Google LLC Domain name / email 03 03 2022 1600 Amphitheatre Pkwy Mountain View, CA 94043 CAN $6.00 2 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES