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Bloom 2022-M9 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 10/5/2022 City, State, Zip Code F-1 Check here if address has changed (3) ID Number: (4) Check appropriate box(es): 2 Candidate Office Sought: Aventura Commission Seat 6 17 Political committee (PC) ❑ Electioneering Communications Org. (ECO) Fl Check here if PC or ECO has disbanded ❑ Party Executive Committee(PTY) Fl Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an 171 Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 09 01 /2022 To 09 30 /2022 Report Type: M9 21 Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 2 , 100 .00 Expenditures $ 12 033 . 86 Loans $_ - t — - Transfers to Total Monetary $ Office Account $ Total Monetary $ 12 , 033 86 In-Kind (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 45, 868 . 00 $ 15 , 574 94 (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 EI Treasurer El Deputy Treasurer R1 Candidate C3 Chairperson(only for PC and PTY) or electioneering co X X Signature Signature DS-DE 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Amit Bloom (1) Name (2) I.D. Number 09 01 2022 09 30 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 Marjorie Rosenblatt 9 14 2022 19333 W Country Club Dr Aventura, FL 33180 1 I Retired CHE $100.00 Yosef Shwedel 9 19 2022 3201 NE 183 Street Unit 1007 2 Aventura, FL 33160 I Real Estate CHE $1000.00 9 19 2022 Schatzi Kassal 1224 Taylor Street North Lake I Retired CHE $500.00 3 Hollywood, FL 33019 Constructiva 9 19 2022 Enterprises LLC 21500 Biscayne Blvd 4 Suite 301 B Real Estate CHE $500.00 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 09 / 01 / 2022 through 09 / 30 / 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 09 02 2022 1600 Amphitheatre Pkwy Mountain View, CA 94043 Domain name / email CAN $6.00 1 09 07 202241mprint 101 Commerce Street Chocolate squares PO Box 320 CAN $623.10 2 Oshkosh, WI 54901 09 07 2022 4imprint 101 Commerce Street Chocolate squares CAN $623.10 PO Box 320 Oshkosh, WI 54901 3 09 08 2022 VistaPrint 170 Data Drive Yard signs Waltham, MA 02451 CAN $474.09 4 09 12 2022 Image Plus Graphics, Inc 1440 NE 131 Street Direct mail cards North Miami, FL 33161 CAN $9,772.57 5 City of Aventura 09 22 2022 19200 W Country Club Dr Bond for campaign Aventura, FL 33180 signs CAN $500.00 6 09 29 2022Aventura Marketing Council Event ticket - honoring Mayor CAN $35.00 Weisman 7 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES