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Bloom - Termination Report CAMPAIGN TREASURER'S REPORT SUMMARY Amit Bloom OFFICE USE ONLY Name (2) 20454 NE 34 Court CITY OF AVENTURA Address (number and street) Office of the City Clerk RECEIVED �� Aventura, FL 33180 RES City, State, Zip Code __ __ I E] Check here if address has changed (3) ID Number- (4) Check appropriate box(es): 5/1 Candidate Office Sought: Aventura Commission Seat 6 F-1 Political Committee (PC) F1 Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) Fj Check here if PTY has disbanded ❑ 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 11 04 /2022 To 01 /05 /2023 Report Type: TR Z Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ Expenditures $ 9 , 339 .74 Loans Transfers to Office Account $ 15 , 618 .67 Total Monetary Total Monetary $ 24 , 958 . 41 In-Kind (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 46, 868. 00 $ 46, 868. 00 (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 [:1 Individual(only for IE 0 Treasurer C]Deputy Treasurer [D Candidate Chairperson(only for PC and PTY) M or LelectionZeeg rnrn�) X X (-i,- X Signature Signature SEE REVERSE FOR INSTRUCTIONS DS-DE 12(Rev. 11113) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Amit Bloom (2) I.D. Number (3) Cover Period 11 04 2022 through 01 / 05 / 2023 (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 Danila Bonini 11 09 22 20225 NE 34 Court #1417 Poll Worker Aventura, FL 33180 CAN $3,132.28 1 Alexandra Vargas 11 09 22 9900 W Bay Harbor Dr #1 Campaign FaceBook Bay Harbor Islands, FL 33154 Campaign CAN $509.16 2 Switchboard Public Benefit Corp. 11 14 22 PO Box 33485 Text Campaign Washington, DC 20033 CAN $1,192.30 3 City of Aventura 11 23 22 19200 West Country Club Dr Return of Sign Bond Aventura, FL 33180 REF ($500.00) 4 Hatzalah South Florida 11 28 22 20201 NE 16 Place Donation Miami, FL 33179 DIS $2,000.00 5 Aventura Police Foundation 11 28 22 20900 NE 30 Ave Donation Aventura, FL 33180 DIS $3,000.00 6 Google LLC 12 01 22 1600 Amphitheatre Pkwy Domain name / email Mountain View, CA 94043 CAN $6.00 7 Commissioner Amit Bloom Office Account Commission Office 12 22 22 20454 NE 34Court Account Aventura, FL 33180 TOA $15,618.67 8 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES