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Bloom 2022-G3 Report CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Amit Bloom (2) I.D. Number (3) Cover Period 10 / 22 / 2122 through 11 / 03 / 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 Publix 10 24 2022 2952 Aventura Blvd Polling site Aventura, FL 33180 expenses CAN $29.19 1 CVS 10 27 2022 2962 Aventura Blvd Polling site Aventura, FL 33180 expenses CAN $5.65 2 Target 10 28 2022 21265 Biscayne Blvd Polling site Aventura, FL 33180 expenses CAN $128.38 3 CVS 10 30 2022 2962 Aventura Blvd Polling site Aventura, FL 33180 expenses CAN $17.55 4 Google LLC 11 02 2022 1600 Amphitheatre Pkwy Mountain View, CA 94043 Domain name / email CAN $6.00 5 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES