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M3 Treasurer's Report 4-9-21 CAMPAIGN TREASURER'S REPORT SUMMARY (1) GOLENE GORDON OFFICE USE ONLY Name RECEIVED I•.• (2) P.O.BOX. 4303 Address (number and street) APR 9 2021 VL—S BOYNTON BEACH, FL, 33435 City, State, Zip Code CITY OF BOYNTON BEACH OITY CLCIIK'E OFPlC ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Candidate Office Sought: Mayor for City of Boynton Beach ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) 0 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 03 /01 / 2021 To 03 / 31 /2021 Report Type: M3 0 Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , 1 ,415 • 00 Expenditures $ , , 58.1Q Loans $ • Transfers to Office Account $ . Total Monetary $ , 1 , 415 . 00 Total Monetary $ , , 58 . 10 In-Kind $ • (8) Other Distributions $ , , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , 1 , 915 . 00 $ , , 58 . 10 (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) (Type name) ❑Individual(only for IE ID Treasurer ❑Deputy Treasurer ID Candidate ❑Chairperson,(only for PC and PTY) or electioneering comm.) Signature Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name GOLENE GORDON (2) I.D. Number (3) Cover Period 03 / 01 / 2021 through o3 31 zozl (4) Page 1 of (5) (7) (8) (9) (10) (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. Fees 33 /03 /2021 1340 Poydras Street . Suite 1770 New Orleans LA 70112 $14.30 1 Anedot Inc. Fees 03 / 04 2021 1340 Poydras Street Suite 1770 New Orleans LA 70112 $1.30 2 Anedot Inc. Fees 03 / 04 2021 1340 Poydras Street Suite 1770 $0.70 New Orleans LA 70112 3 Anedot Inc. Fees 33 04 2021 1340 Poydras Street / / Suite 1770 New Orleans LA 70112 $1.50 4 Anedot Inc. Fees 03 / 18 202 1340 Poydras Street Suite 1770 - New Orleans LA 70112 S40.30 5 / / / / DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS GOLENE GORDON (1) Name (2) I.D. Number 03 01 2021 03 31 2021 1 1 (3) Cover Period / / through / I (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 Jesse Daberkoe 03 03 2021 127 Yacht Club Way / / 306 Hypoluxo, FL, 33462 Manager CHE $350.00 1 Calvin Elien 03 04 2021 / / CHE $25.00 2 Tmache'm Marketplace 03 / 04 /2021 CHE $10.00 3 Dunois Orilus 03 04 2021 / / I CHF $30.00 4 Patrick Fabre 03 18 2021 201 Southwest 75th / / Avenue Plantation FL 33317 I Manager CHF $1000.00 5 / / / / DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES