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F2 (10/19/2001) FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Fl~ln~ Rlnnm (;amnalpn for Mavnr ritv ofMl:lmi R~ach Candidate, Committee or Party Name (3) 1600 Washington Avenue Miami Beach, FL 33139 Address (number and street) City o Check box if address has changed since last report (4) Check appropriate box(es): (2) 7177R94 I.D. Number State Zip Code IiJ D D D Candidate (office sought): Political Committee Mayor City of Miami Beach f' ) .-."; Committee of Continuous Existence D D ~ Check if PC ha!>DISBAN[)EQ t r} __ . ~ i~' '. Check if CCE h~ DI~AN9~D;' [,) '+.' ,j. CJ ~ r'1 If! Party Executive Committee Cover Period: Ii] Original From (5) REPORT IDENTIFIERS 09/29/2001 To 10/12/2001 Report Type -*' f 7- D Amendment D Special Election Report D Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks $40,779.00 Monetary Expenditures $95,076.03 Loans $0.00 Transfers to Office Account $0.00 Total Monetary $40,779.00 Total Monetary $95,076.03 In-kind $0.00 (8) Other Distributions $0.00 (9) TOTAL Monetarv Contrib. to Date $322,987.00 (10) TOTAL Monetarv EXDen. to Date $266,351.54 (9) 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 I certify that I have examined this report and it is true, correct and complete Richard A. Berkowitz IX] Treasurer D Deputy Treasurer Name of Elaine Bloom Name of "~candidate ( Chairman (PC/PTY Only) ., - -- DS.DE 12 02/97. Signature Software copyright @ 1996 Campaign T oolSox I q zZ-. CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS 10/12/2001 (2) 1.0. Number (4) Page 2127894 (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (3) Cover Period 09/29/2001 through of 14 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (5) (Last. Suffix, First. Middle) Sequence Street Address & ype Occupation Contribution In-kind Number City. State. Zip Code Type Description Amendment Amount 10/03/200 I Berkman, Stephen I investor 7262 Fisher Island Drive CHE $500.00 000001 Miami, FL 33109 10/03/2001 Berkman, Roberta I nvestor 7262 Fisher Island Drive CHE $500.00 000002 Miami, FL 33109 10/03/200 I V oell, Virginia I f:;omm. Vol. 25 Pilot Rock Lane ,.,eader CHE $500.00 000003 Riverside, CT 06878 10/03/200 I V oell, Richard I f:;onsultant 25 Pilot Rock Lane CHE $500.00 000004 Riverside, CT 06878 10/03/200 I Kapioltas, Carolyn I Iorse Owner 7241 Fisher Island Drive CHE $500.00 000005 FisherIsland, FL 33109 10/03/2001 Gattuso, Emmanuelle I nvestor 7265 Fisher Island Drive CHE $500.00 000006 Fisher Island, FL 33109 10/03/200 I Slaight, Allan I ~xec. CHE $500.00 7265 Fisher Island Drive :hairman 000007 Fisher Island, FL 33109 10/03/2001 Ashkin, Michael I nvestor 7282 Fisher Island Drive CHE $500.00 000008 Fisher Island, FL 33109 DS-DE 13 (02/97). Software copyright@ 1996 Campaign ToolBox 2-- OJ 2 2. CAMPAIGN TREASURER'S REPORT. ITEMIZED CONTRIBUTIONS (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (2) 1.0. Number 2127894 (3) Cover Period 09/29/2001 through 10/12/2001 (4) Page 2 of 14 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last, Suffix. First, Middle) Sequence Street Address & ype Occupation Contribution In-kind Number City, Slate. Zip Code Type Description Amendment Amount 10/03/200 I Ashkin, Sheila I nvestor CHE $500.00 7282 Fisher Island Drive 000009 Fisher Island, FL 33109 10/03/200 I Larkin, Michael #709 I Real Estate CHE $500.00 20 Island Drive 000010 Miami Beach, FL 33139 10/03/200 I Kenneth Barilich, Inc. B Night Club 1445 Washington Avenue CHE $500.00 000011 Miami Beach, FL 33139 10/03/200 I Friedman, Marta I I:;omm. Vol. 3741 NW 47 avenue ,-,eader CHE $500.00 000012 Hollywood, FL 33021 10/03/200 I McBride, William JI. I ~ttomey PO Box 1288 CHE $500.00 000013 Tampa, FL 33601 10/03/200 I Weinberger, Joseph I <etired 2050 NE I 17th Road CHE $250.00 000014 North Miami, FL 33181 10/03/200 I Perry, Priscilla I ::omm. Vol. 1627 Brickell Avenue eader CHE $250.00 000015 Miami, FL 33129 10/031200 I Sandler, Quentin I 5699 Pinettee Drive CHE $100.00 000016 Miami Beach, FL 33140 OS-DE 13 (02/97). Software copyright@ 1996 Campaign ToolBox ~ Of 2- 2- CAMPAIGN TREASURER'S REPORT. ITEMIZED CONTRIBUTIONS (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (2) I.D. Number 2127894 (3) Cover Period 09/29/2001 through 10112/2001 (4) Page 3 of 14 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last. Suffix, First. Middle) Sequence Street Address & ype Occupation Contribution In-kind Number City. State, Zip Code Type Description Amendment Amount 10/03/2001 Diamond, David I 5660 Collins Avenue CHE $100.00 000017 Miami Beach, FL 33140 10/03/2001 Pomerance, Hope Apt. 1604 I CHE $100.00 400 S. Pointe Drive 000018 Miami Beach, FL 33139 10/03/2001 Ressler, Roslyn #902 I CHE $100.00 10175 Collins Avenue 000019 Bal Harbour, FL 33154 10/03/2001 Simon, Sandra PH-3 I CHE $100.00 1800 NE 114 Street 000020 Miami, FL 33181 10/03/2001 Juli, Herbert #7-H I CHE $100.00 5 Island Avenue 000021 Miami Beach, FL 33139 10/03/2001 Seidel, Roslyn I 1010 NE 175th Street CHE $50.00 000022 North Miami Beach, FL 33162 10/03/2001 Paul H. Bass, PA B 20 I Alhambra Circle CHE $50.00 000023 Coral Gables, FL 33134 10/03/2001 Michaels, Bonnie I 601 SW 70 Terrace CHE $25.00 000024 Pembroke Pines, FL 33023 DS,DE 13 (02/97). Software copyright@ 1996 Campaign ToolBox yrr 22. CAMPAIGN TREASURER'S REPORT. ITEMIZED CONTRIBUTIONS (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (2) 1.0. Number 2127894 (3) Cover Period 09/29/2001 through 10112/2001 (4) Page 4 of 14 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last, Suffix. First, Middle) Sequence Street Address & ype Occupation Contribution In-kind Number City. State. Zip Code Type Description Amendment Amount 10/03/2001 Cannon, Allen I 310 Rivo Alto Drive CHE $25.00 000025 Miami Beach, FL 33139 10/03/2001 Schwartz, Amy I 100 E Walton place CHE $18.00 000026 Chicago, IL 60611 10/08/2001 Levy, Lucero I Connn. Vol. 1855 Cleveland Road Leader CHE $136.00 000027 Miami, FL 33141 10/0812001 Van Lindt, Ida I 261 Highbrook Avenue CHE $100.00 000028 Pelham, NY 10803 10/0812001 Harris, Elliot I 4444 North Michigan Avenue CHE $100.00 000029 Miami Beach, FL 33140 10/08/2001 William J. Berger, PA Suite 200 B CHE $100.00 1200 N Federal Highway 000030 Boca Raton, FL 33432 10/08/2001 Mitchell, Scott I 741 W 50th Street CHE $50.00 000031 Miami Beach, FL 33140 10/08/2001 Shawmut-Lessner, Sha10ma I Connn. Vol. 13030 SW 63rd Court ceader CHE $500.00 000032 Miami, FL 33156 OS-DE 13 (02/97). Software copyright@ 1996 Campaign ToolBox ;; at ZL CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (3) Cover Period 09/29/2001 through 10/12/2001 (2) 1.0. Number (4) Page 5 2127894 of 14 (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last, Suffix. First, Middle) Sequence Street Address & ype Occupation Contribution In-kind Number City. State. Zip Code Type Description Amendment Amount 10/08/2001 Bednarek, Kathleen I romm. Vol. 760 W 50th Street ,--eader CHE $500.00 000033 Miami Beach, FL 33140 10/08/2001 Cypen & Cypen B f\ttomeys PO Box 402099 CHE $500.00 000034 Miami Beach, FL 33140 10/08/2001 Trump, Eddie I nvestor 4000 Island Blvd. CHE $500.00 000035 Williams Island, FL 33160 10/08/200 I Sudsies, Inc. B Dry Cleaner 6790 Collins Avenue CHE $250.00 000036 Miami Beach, FL 33141 10/08/2001 Russell, Muriel I ~omm. Vol. 720 NE 69th Street ...eader CHE $250.00 000037 Miami, FL 33138 10/09/2001 Mason, Alfredo I nsurance CHE $500.00 6485 SW 106 Street 00003 8 Miami, FL 33156 10/09/2001 Polansky, Randy I Retired 12345 NE 6 Avenue CHE $25.00 000039 Miami, FL 10/09/200 I Rico Perez Products B Health Care 2295 Coral Way Products CHE $500.00 000040 Miami, FL 33145 DS,DE 13 (02/97). Software copyright@ 1996 Campaign ToolBox &r5t-!Z CAMPAIGN TREASURER'S REPORT. ITEMIZED CONTRIBUTIONS (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (2) 1.0. Number 2127894 (3) Cover Period 09/2912001 through 10/12/2001 (4) Page 6 of 14 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last, Suffix. First. Middle) Sequence Street Address & ype Occupation Contribution In-kind Number City, State. Zip Code Type Description Amendment Amount 10/09/2001 Y oss, George Suite 1600 1 f\ttomey CHE $500.00 2601 South Bayshore Drive 000041 Miami, FL 33133 10/09/2001 Henry Bello Insurance Agency, Inc. B nsurance CHE $500.00 1450 W. 68th Street 000042 Hialeah, FL 33014 10/09/2001 Sidney Brodie & Associates Suite PH-1 B nsurance CHE $500.00 7270 NW 12th Street 000043 Miami, FL 33126 10/09/2001 RCI Marine, Inc. B Marine 300 Alton Road Operators CHE $500.00 000044 Miami Beach, FL 33139 10/09/2001 Chrisken Real Estate Mgmt. Co., Inc. II Suite 303 B Real Estate CHE $500.00 300 Alton Road 000045 Miami Beach, FL 33139 10/09/2001 Fernandez Consulting Group, Inc. B Construction 7300 SW 84 Place CHE $500.00 000046 Miami, FL 33143 10/09/2001 Golden Glades Open MRI & B Health Care 995 NE 163 Street CHE $500.00 000047 North Miami Beach, FL 10/09/2001 Structured Cabling Solutions, Inc. B Conununicatio CHE $500.00 16501 NW 16 Court " 000048 Miami, FL 33169 OS-DE 13 (02/97). Software copyright@ 1996 Campaign ToolBox 70/ ~ Z CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (2) 1.0. Number 2127894 (3) Cover Period 09/29/2001 through 10/12/2001 (4) Page 7 of 14 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last. Suffix, First, Middle) Sequence Street Address & ype Occupation Contribution In-kind Number City, State. Zip Code Type Description Amendment Amount 10/09/200 I CSE TEchnologies, Inc. B Communicatio 16501 NW 16 Court I' Tech. CHE $500.00 000049 Miami, FL 33169 10/09/2001 Challenger Investments Inc. B ~eal Estate 16501 NW 16th Court CHE $500.00 000050 Miami, FL 33169 10/09/2001 David Jenkins Associates Inc. B nsurance CHE $500.00 1325 E. lOth Avenue 000051 Hialeah, FL 330 I 0 10/09/2001 Paul I. Scherman, P A B Attorney 7451 Oakland Park Boulevard CHE $500.00 000052 Lauderhill, FL 33319 10/09/2001 Hanlin Mill Ranch Estates, I. TD B f\partment 9475 Journey's End Road ~entals CHE $500.00 000053 Miami, FL 33156 10/09/2001 Perez, Luis #201 I f-Iealth Care CHE $500.00 15515 Miami LakewayN. 000054 Miami Lakes, FL 33014 10/09/200 I Gomez, J ase I Printing 5445 Pine Tree Drive CHE $500.00 000055 Miami Beach, FL 33140 10109/2001 Garcia, Carlos I Printing 16101 E. Troon Circle CHE $500.00 000056 Miami Lakes, FL 33014 OS-DE 13 (02/97). Software copyright@ 1 996 Campaign ToolBox P- Qj 2.- '-- CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (2) 1.0. Number 2127894 (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (3) Cover Period 09/29/200 I through 10/12/200 I (4) Page 8 of 14 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last, Suffix. First, Middle) Sequence Street Address & ype Occupation Contribution In-kind Number City. State. Zip Code Type Description Amendment Amount 10/09/2001 Scherman, Miriam I ~omm. Vol. 935 NW 164 Avenue Leader CRE $500.00 000057 Pembroke Pines, FL 33028 10/09/2001 Lockhart, Gregory #B I Retail 506 N. Francisca Ave. Business CRE $500.00 000058 Redondo Beach, CA 90277 10/09/2001 Yarley, Robert I Retail 3200 Windy Rill Rd ~usiness CRE $500.00 000059 Atlanta, GA 30339 10/09/2001 Temer, Salomon I ewelry 777 NW 72nd Avenue ~usiness CRE $500.00 000060 Miami, FL 33126 10/09/2001 Rico-Perez, Manuel I usiness CRE $500.00 2295 Coral Way xec. 000061 Miami, FL 33145 10/09/2001 Suarez, Amancia I ....orrununicatio CRE $500.00 158 Isla Dorada Blvd. s 000062 Coral Gables, FL 33143 10/09/200 I Esther's 27th Ave., Inc. B l'\.estaurant 17751 NW 27th Avenue CRE $250.00 000063 Miami, FL 33056 10/09/2001 Cata, Jose I Restauranteur 7203 Dade Oine Court CRE $250.00 000064 Miami, FL 33014 OS-DE 13 (02/97). Software copyright@ 1996 Campaign ToolBox crC(2Z- CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (2) 1.0. Number 2127894 (3) Cover Period 09/29/2001 through 10/12/2001 (4) Page 9 of 14 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last, Suffix, First. Middle) Sequence Street Address & Type Occupation Contribution In-kind Number City. State, Zip Code Type Description Amendment Amount 10/09/200 I Feal, Carmen I f\ttomey 6830 SW 80th Avenue CHE $250.00 000065 Miami, FL 33143 10/09/200 I Pam Pottery, Inc B Pottery Sales 8860 NW 15 Street CHE $250.00 000066 Miami, FL 33172 10/09/2001 Guerra, Armando I Pharmacy 8450 SW 48th Street pwner CHE $500.00 000067 Miami, FL 33155 10/09/2001 Gus Machado Ford B f\uto Dealer 1200 West 49th Street CHE $500.00 000068 Hialeah, FL 33012 10/09/2001 VR B Associates Inc. B f\uto Sales 6860 Gleneagle Drive CHE $500.00 000069 Miami Lakes, FL 33014 10/09/2001 Ramsay Youth Services, Inc. Suite 750 B -1ealth Care CHE $500.00 One Alhambra Plaza 000070 Coral Gables, FL 33134 10/09/2001 SouthEast Marine and Aviation Insu anc Suite 1200 B '\.viation CHE $500.00 Two Alhambra Plaza nsurance 000071 Coral Gables, FL 33134 10/09/2001 Bijoux Terner Partnership Suite IBB8 B ostume CHE $500.00 777 NW 72nd Avenue ewelry 000072 Miami, FL 33126 OS-DE 13 (02/97). Software copyright@ 1996 Campaign ToolBox fOc( 2. c CAMPAIGN TREASURER'S REPORT. ITEMIZED CONTRIBUTIONS (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (2) 1.0. Number 2127894 (3) Cover Period 09/29/2001 through 10/12/2001 (4) Page 10 of 14 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last. Suffix, First, Middle) SeQuence Street Address & Type Occupation Contribution In-kind Number City. State, Zip Code Type Description Amendment Amount 10/09/2001 Miami-Dade Health & Rehabilitation B ~ealth Care 2260 SW 8th Street CHE $500.00 000073 Miami, FL 33135 10/09/200 I ADG Holding, LLC # 1407 B ~eal Estate CHE $500.00 100 N. Biscayne Blvd. 000074 Miami, FL 33132 10/0912001 All American Containers, Inc. Building I B ~ontainer 11825 NW 100th Road ~nfr. CHE $500.00 000075 Miami, FL 33178 10/09/2001 GDB & Partners Suite 300 B Public 2222 Ponce De Leon Blvd. ~elations CHE $250.00 000076 Coral Gables, FL 33134 10/09/2001 Westland Conunons L TD Suite 800 B ~eal Estate CHE $500.00 444 Brickell Avenue 000077 Miami, FL 33131 10/09/200 I Karlton, Fredric Suite 2 I ~eal Estate CHE $500.00 1800 Sunset Harbour Drive 000078 Miami Beach, FL 33139 10/0912001 Chrisken Real Estate Management C ., I c. Suite 303 B ~eal Estate CHE $500.00 300 Alton Road 000079 Miami Beach, FL 33139 10/09/2001 Fernandez, Gerardo I ~onstruction CHE $500.00 7300 SW 84 Place 000080 Miami, FL 33143 DS-DE 13 (02/97). Software copyright@ 1996 Campaign ToolBox 1/ 0/ 2 2. CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (2) 1.0. Number 2127894 (3) Cover Period 09/29/2001 through 10/12/2001 (4) Page 11 of 14 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last, Suffix, First, Middle) Sequence Street Address & ype Occupation Contribution In,kind Number City. State, Zip Code Type Description Amendment Amount 10/0912001 Hernandez & Son Corporation B Phannacy 344 W 65th Street CHE $250.00 000081 Hialeah, FL 33012 10/09/200 I Levida Corporation B rvredical 344 W 65th Street ~uilding CHE $250.00 000082 Hialeah, FL 33012 10/09/2001 Amich, Simon Apt. 10,5 I i'\ttorney CHE $200.00 3200 Collins Avenue 000083 Miami Beach, FL 33140 10/09/2001 Raymond, Zachary # 1721 I i'\ttorney CHE $200.00 5151 Collins Avenue 000084 Miami Beach, FL 33140 10/0912001 Gelinas, John I f\ttorney 1680 NE 13 5 Street CHE $500.00 000085 North Miami, FL 33181 10/09/200 I Vernis & Bowling of Miami, PA 2nd Floor B f\ttorneys CHE $500.00 1680 NE 135 Street 000086 North Miami, FL 33181 10/09/2001 Kadre, Manuel I f\ttomey CHE $500.00 1503 Alberca Street 000087 Coral Gables, FL 33134 10/09/2001 Consolidated Insnrance Brokerage, I c. Suite 612 B nsurance CHE $150.00 444 Brickell Avenue 000088 Miami, FL 33131 DS-DE 13 (02/97). Software copyright@ 1996 Campaign ToolBox /2-- 0( 2 Z CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (2) 1.0. Number 2127894 (3) Cover Period 09/29/2001 through 10/12/2001 (4) Page 12 of 14 (5) (7) (8) (9) (10) (11) (12) Date Full Name Conlributor (6) (Last, Suffix. First, Middle) Sequence Street Address & Irype Occupation Contribution In-kind Number City. State. Zip Code Type Description Amendment Amount 10/09/2001 Century Investments #245 B ,eal Estate CRE $500.00 4045 Sheridan Avenue 000089 Miami Beach, FL 33140 10/09/2001 Quitner, Denis I hysician 4045 Sheridan Avenue CRE $500.00 000090 Miami Beach, FL 33140 10/10/2001 Pathman Lewis, LLP Suite 2400 B ~ttorneys CRE $500.00 2 S. Biscayne Blvd. 000091 Miami, FL 33131 10/10/2001 Perrine Marlin, Inc. B ,eal Estate 1836 W 23rd Street CRE $500.00 000092 Miami Beach, FL 33140 10/10/2001 IMF Express Lanes, Inc. B ,eal Estate 1836 W 23rd Street CRE $500.00 000093 Miami Beach, FL 33140 10/10/2001 Pathman, Wayne Suite 3660 I ~ttorney CRE $500.00 2 South Biscayne Boulevard 000094 Miami, FL 33131 10/10/2001 Berger, Cindy I nterior 1836 West 23 Street )esigner CRE $500.00 000095 Miami Beach, FL 33140 10/10/2001 Esserrnan, Ronald I ~uto CRE $500.00 10455 NW 12th Street xecutive 000096 Miami, FL 33172 DS-DE 13 (02/97). Software copyright@ 1996 Campaign ToolBox 13 0/ 22 CAMPAIGN TREASURER'S REPORT. ITEMIZED CONTRIBUTIONS (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (2) 1.0. Number 2127894 (3) Cover Period 09/29/2001 through 10112/200 I (4) Page 13 of 14 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last, Suffix, First, Middle) Sequence Street Address & h-ype Occupation Contribution In-kind Number City, State. Zip Code Type Description Amendment Amount 10/10/2001 Lewis, Harold I ~ttomey CHE $500.00 10343 SW 126 Street 000097 Miami,FL 33176 10/10/200 I Lewis, Ivy 1 mnm. Vol. 10343 SW 126 Street eader CHE $500.00 000098 Miami,FL 33176 10/10/200 I Varela, Jeanette 1 mnm. Vol. 27 Star Island Drive eader CHE $500.00 000099 Miami Beach, FL 33139 10/10/2001 Miller & Solomon General Contracto s, I c. Suite L B jeneral CHE $500.00 8491 NW 17th Street ontractors 000100 Miami, FL 33126 10/10/2001 Sag10 Development Corp. B ,eal Estate PO Box 402097 CHE $500.00 000101 Miami Beach, FL 33140 10/10/2001 Mendel, Audre Sunset Island #4 1 omm. Vol. CHE $250.00 1401 W 22nd Street eader 000102 Miami Beach, FL 33140 10/10/2001 Rudolph, Douglas I ntertaimnent 212 Ba1 Bay Drive CHE $200.00 000103 Bal Harbour, FL 33154 10/10/2001 Kurkin, Robyn I mnm. Vol. 1055 Fairway Drive eader CHE $250.00 000104 Miami Beach, FL 33141 DS-DE 13 (02/97). Software copyright@ 1996 Campaign ToolBox If Dl 2 2... CAMPAIGN TREASURER'S REPORT. ITEMIZED CONTRIBUTIONS (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (2) 1.0. Number 2127894 (3) Cover Period 09/29/200 I through 10/12/2001 (4) Page 14 of 14 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last. Suffix. First. Middle) Sequence Street Address & ype Occupation Contribution In,kind Number City. State, Zip Code Type Description Amendment Amount 10/10/2001 Kipnis, Nancy I Connn. Vol. 394 South Hibiscus Drive Leader CRE $500.00 000105 Miami Beach, FL 33139 DS-DE 13 (02/97). Software copyright@ 1996 Campaign ToolBox (5 12-2- CAMPAIGN TREASURER'S REPORT. ITEMIZED EXPENDITURES (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (3) Cover Period 09/29/2001 through 10112/2001 (2) I.D. Number (4) Page 2127894 of 7 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last. Suffix, First. Middle) (add office SOUQht if Sequence Street Address & contribution to a Expenditure Number Cily. State. Zip Code candidate) Type Amendment Amount 09/29/2001 Campaign Data Suite 700 999 Brickell Avenue Campaign Data MON $1,500.00 000001 Miami, FL 33131 09/29/2001 Quantum Results, Inc. SuiteSOI 1250 SW 27 Avenue Consulting MON $2,500.00 000002 Miami, FL 33135 09/30/2001 Hampton, Ryan PO Box 402912 Campaign MON $1,000.00 000003 Miami Beach, FL 33140,0912 Coordination 09/30/2001 Menachem, Fred 7135 Harding Avenue Campaign MON $2,000.00 000004 Miami Beach, FL 33141 Coordination 09/30/2001 Charter Communications 1681 79th Street Causeway Cable TV MON $120.00 000005 North Bay Village, FL 09/30/200 I Live From Jerusalem/W AXY 790 AM # 14 2180 Brickell Avenue Advertising MON $500.00 000006 Miami, FL 33129 09/30/2001 PS Business Interiors 18502 NE 5th Avenue Furniture Rental MON $250.28 000007 North Miami Beach, FL 33179 09/30/2001 Union Printing 2321 Pembroke Road Printing MON $945.62 000008 Hollywood, FL 33020 DS,DE 14 (02/97). Software copyright@ 1996 Campaign ToolBox (~ ()j 2'- CAMPAIGN TREASURER'S REPORT. ITEMIZED EXPENDITURES (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (2) 1.0. Number 2127894 (3) Cover Period 09/29/2001 through 10/12/2001 (4) Page 2 of 7 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office SOUQht if Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code candidate) Type Amendment Amount 09/30/2001 BellSouth Telephone PO Box 100100 Telephone Services MON $969.82 000009 Columbia, SC 29202 09/30/2001 AT&T PO Box 78522 Telephone Services MON $63.14 000010 Miami Beach, FL 33139 09/30/2001 La V oz De Miami Beach PO Box 140585 Advertising MON $350.00 000011 Coral Gables, FL 33114 09/30/2001 420 Lincoln Road Associates 420 Lincoln Road Office Expenses MON $319.85 000012 Miami Beach, FL 33139 09/30/2001 Dade Human Rights Foundation # 300 4500 Biscayne Boulevard Advertising MON $650.00 000013 Miami, FL 33131 09/30/200 I PC-PC Connection Route 10lA 730 Milford Road Computer Supplies MON $201.89 000014 Merrimack, NH 03054 09/30/2001 Alvarez, Jose M. 1461 Washington Avenue Consulting MON $500.00 000015 Miami Beach, FL 33139 09/30/2001 P & M Advertising 7848 Coral Way Consulting MON $2,000.00 000016 Miami, FL 33155 OS-DE 14 (02/97). Software copyright@ 1996 Campaign ToolBox /7 cfc!2 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (2) 1.0. Number 2127894 (3) Cover Period 09/29/2001 through 10/12/2001 (4) Page 3 of 7 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last. Suffix. First, Middle) (add office aouQht if Sequence Street Address & contribution to a Expenditure Number City, State. Zip Code candidate) Type Amendment Amount 09/30/2001 Wenzel, Dienne 1500 Bay Road Campaign Assistance MON $400.00 000017 Miami Beach, FL 33139 10/0112001 MasterMailer, Inc. 3914 N 29th Avenue Mailing Services MON $1,505.04 000018 Hollywood, FL 33020 10/01/2001 MasterMailer, Inc. 3914 N 29th Avenue Mailing Services MON $1,006.67 000019 Hollywood, FL 33020 1 % I /200 1 Rosen & Baker Associates 4500 Biscayne Blvd. Consulting MON $9,875.00 000020 Miami. FL 33137 10/01/2001 Higher Authority Suite 200 12000 Biscayne Boulevard TV Production MON $925.00 000021 North Miami, FL 33181 10/01/2001 US Postmaster 1300 Washington Avenue Postage MON $1,260.00 000022 Miami Beach, FL 33139 10/0112001 Office Depot 12190 Biscayne Blvd Office Supplies MON $76.65 000023 North Miami, FL 33139 10/01/2001 Colon, Roger # 201 7130 NW 179 Street Campaign Assistance MON $800.00 000024 Miami, FL 33015 DS,DE 14 (02/97). Software copyright@ 1996 Campaign ToolBox If f 2 L CAMPAIGN TREASURER'S REPORT. ITEMIZED EXPENDITURES (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (2) 1.0. Number 2127894 (3) Cover Period 09/29/200 I through 10112/2001 (4) Page 4 of 7 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last. Suffix. First. Middle) (add office souqht if Sequence Street Address & contribution to a Expenditure Number Ci1y. State. Zip Code candidate) Type Amendment Amount 1 % 1/200 1 Foster, Harold 4035 N. Meridian Avenue Reim. For Phone MON $115.00 000025 Miami Beach, FL 33140 Services 10/03/2001 Miami-Dade Elections Department Suite 1910 III NW 1st Street Vater Records MON $25.32 000026 Miami, FL 33128 10/04/200 I Higher Authority Suite 200 12000 Biscayne Boulevard TV Production MON $2,020.00 000027 North Miami, FL 33181 10/04/2001 US Postmaster 1300 Washington Avenue Postage MON $150.00 000028 Miami Beach, FL 33139 10/04/2001 Wenzel, Dienne 1500 Bay Road Reim. for Office MON $202.82 000029 Miami Beach, FL 33139 Supplies 10/04/200 I Ace Maids Suite 126 17027 West Dixie Highway Office Cleaning MON $161.12 000030 North Miami Beach, FL 33139 10/06/200 I BVK MEKA Suite 2 848 Brickell Avenue Television MON $30,028.00 000031 Miami Beach, FL 33139 Advertising 10/06/200 I The Clinton Group 1350 Connecticut Avenue GOTV MON $747.96 000032 Washington, DC 20036 OS-DE 14 (02/97). Software copyright@ 1996 Campaign ToolBox I; ct 2 Z (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (3) Cover Period 09/29/2001 through 10/12/2001 CAMPAIGN TREASURER'S REPORT. ITEMIZED EXPENDITURES (2) 1.0. Number 2127894 (4) Page 5 of 7 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last. Suffix, First. Middle) (add office sou~ht if Sequence Street Address & contribution to a Expenditure Number City. State. Zip Code candidate) Type Amendment Amount 10/06/200 I Xenos, Melanie PO Box 332772 Signs MON $2,000.00 000033 Coconut Grove, FL 33233 10/06/200 I Strain, Helen 9312 N. Miami Avenue Consulting MON $750.00 000034 Miami, FL 33 I 80 10/06/2001 MasterMailer, Inc. 3914 N 29th Avenue Mailing Services MON $4,157.97 000035 Hollywood, FL 33020 10/06/200 I Surridge, Chris # 12 907 Euclid Campaign Ass!. & MON $630.00 000036 Miami Beach, FL 33139 Reim. 10/1 0/200 I The Clinton Group 1350 Connecticut Avenue GOTV MON $3,956.00 000037 Washington, DC 20036 10/10/2001 MasterMailer, Inc. 3914 N 29th Avenue Mailing Services MON $2,566.34 000038 Hollywood, FL 33020 1011 0/200 I US Postmaster 1300 Washington Avenue Postage MON $1,050.00 000039 Miami Beach, FL 33139 10/10/2001 Cavagnvolo, Dominic 1230 Stillwater Drive Signs MON $1,600.00 000040 Miami, FL 33141 OS-DE 14 (02/97). Software copyright@ 1996 Campaign ToolBox 7~ rJ22. (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (3) Cover Period 09/29/2001 through 10/12/2001 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (2) 1.0. Number 2127894 (4) Page 6 of 7 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (8) (Last, Suffix. First, Middle) (add office SOUQht if Sequence Street Address & contribution to a Expenditure Number City. State, Zip Code candidate) Type Amendment Amount 10/1 0/200 I Union Printing 2321 Pembroke Road Printing MON $2,996.62 000041 Hollywood, FL 33020 10/1 0/200 I Miami-Dade Elections Department Suite 1910 III NW 1st Street V olef Records MON $25.32 000042 Miami. FL 33128 10/10/2001 P & M Advertising 7848 Coral Way Radio Advertising MON $3,600.00 000043 Miami, FL 33155 10/1112001 Campaign Data Suite 700 999 Brickell Avenue Campaign Data MON $1,950.00 000044 Miami, FL 33131 10/11/2001 Rosen & Baker Associates 4500 Biscayne Blvd. Graphics MON $225.00 000045 Miami, FL 33137 10/11/2001 Art Deco Tropical #410 221 Meridian Avenue Advertising MON $480.00 000046 Miami Beach, FL 33139 10/11/2001 US Postmaster 1300 Washington Avenue Postage MON $340.00 000047 Miami Beach, FL 33139 10/12/2001 Xenos, Melanie PO Box 332772 Signs MON $5,000.00 000048 Coconut Grove, FL 33233 DS,DE 14 (02/97). Software coPyri9ht@ 1996 Campai9n ToolBox d-( 0; 2~ L CAMPAIGN TREASURER'S REPORT. ITEMIZED EXPENDITURES (1) Name Elaine Bloom Campaign for Mayor City of Miami Beach (2) 1.0. Number 2127894 (3) Cover Period 09/29/200 I through 10/12/2001 (4) Page 7 of 7 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office souQht if Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code candidate) Type Amendment Amount 10112/2001 US Postmaster 1300 Washington Avenue Postage MON $579.60 000049 Miami Beach, FL 33139 DS.DE 14 (02/97). Software copyright@ 1996 Campaign ToolBox 22- 1 2-L