M11 Treasurer's Report 12-10-2021CAMPAIGN TREASURER'S REPORT S.UIVIII IARY
(�) GOLENE GORDON
Name
(2) P.O. BOX 4303
Address (number and street)
BOYNTON BEACH, FL 33435
City, State, Zip Code
OFFICE USE ONLY
4
1 0 2021
y' c�
CITY OF BOYNTON S QN
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
I] Candidate Office Sought: CITY OF BOYNTON BEACH MANOR
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
❑ Party Executive Committee (PTY) ❑ Check here if Pr! has disbanded
❑ Independent Expenditure (IE) (also covers an ❑ Check here if no tither IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 11 / 01 /2021 Toll /30 12021
I] Original ❑ Amendment ❑ Special Election Report
Report Type: 11 M
(8) Contributions This Report (7) Expenditures Tiffs Report
Monetary
Cash &Checks 3 215. 00 Expenditures $ , 1 , 935. 83
Loans
Total Monetary
In -Kind
$
$ 3 215. 00
$
Transfers to
Office Account $
Total Monetary $ , 1 , 935. 83
(8)
(9) TOTAL Monetary Contributions To Date (10)
$ 27 , 645 . 00
Other Dis1ributlons
$ 7 __ ! .
TOTAL Monetary Expenditures To Date
$ ;3 499 , 53
(I i) Certification
It is a first degree misdemeanor for any person to falsify a publ IZ reccbrd (ss. 839.13, F.S.)
I certify that I have examined this report and it is true, correct, and complete:
(-type name) GOLENE GORDON (Type name)GOLENE GORDON
[3 Individual (only for IE D Treasurer ❑ Deputy Treasurer ❑ Candidate 0 Chairperson (only for PC and PTY)
or electioneering comm.)
X
,!
Signature
D"E 12 (Rev.11113)
X - -
Signature
:IEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
GOLENE GORDON
(1) Name
(3) Cover Period 11 / 01
/ 2021 through 11
(2) I.D. Number
1 30 Izozl (4) Page
1 4
Of
(5)
(7)
(8)
(9)
("Q)
(11)
(12)
Date
Full Name
(Last, Suffix, First, Middle)
(6)
Sequence
Street Address &
Contributor
Contribution
In4.ind
Number
City, State, Mp Code
Type I Occupation
Type
Desai tion
Amendment
Amount
Jesse Daberkoe
11 02 2021
127 Yacht Club Way
306
Bypoluxo FL 33462
S
manager
check
$500.00
1
Michael W Gempel
11 08 2021
1212 SW Crost Ave
Fort Saint Lucie,
Florida, 34953
I
Knager
check
$500.00
2
'Carline Madeus
11 12 2021
I
cas
$50.00
3
Magareth Clervil
11 13
12021
/
2
cas
$50.00
4
Belisaire, Felia
11 15 2021
4928 Regina ct.
West Palm Beach, FL
33415
I
Pastor
check
$200.00
5
Joseph Severe
11 15 2021
6360 Willougby Cir.
Lake Worth, FL 33463
2
AC tech
check
$100.00
6
Clotaire Jean
11 16 2021
5040 Palm Ridge Blvd.
/ 1
Delray Beach FL 33484
I
Retired
check
$100.00
7
DS -DE 13 (Rev. 111113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
GOLENE GORDON (2) F.D. Number
(1) Name
11 01 2021 through 11 ' 30 / 2021 (4) Page 2 Of 4
(3) Cover Period 1 !
(3) (7) (8) (9) s (11]) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution in-kind 4
Number city, State. Zip. Code T e Occu ation T e -_ Deseri?tion Amendment Amount
Ezechiel Prophete
11 is 2021 425 Huron Place
west Palm Beach, FL,
133409 I Cook check $ 100.00
a
11 19 2021 INoverlie Grezile
9
Pierre Darlien
11 / 20 /2021
10
11 20 2021 Sonia Rosado
11
11 20 2021 Carol Petroski
12
11 21 2021 Wanick Cantave
13
11 22 2021 Guernel Jean
1 1
14
DS -0E 13 (Rev. 1111311
I cas $ 50.00
_ ------------�-.
I Pastor check $ 100.00
2 cas $ 20.00
i
L
i
I cas $ 40.00
I cas $ 20.00
I cas $ 20.00
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
20
11 24 2021
/ 1 Joseph Demesmin
I cos $ 5.00
21
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
GOLENE GORDON
(1)
1.0. Number
(1)
Name _
(3)
Cover Period
11 01 2021
/ /
through 11 '
30 , 2021
(4) Page
3 Of 4
(5)
(7)
(g)
(g)
(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
Tvpe
Descri--tion
Amend nOnt
Amount
11
23 2021
I
John Colin
i
cos
$ 15.00
15
11
23 202
/ ]
Gerald Appolon
1
cos
$ 10.00
16
11
23 2021
Marc Delembre
1
cos
$ 20.00
17
Avis Teleta McNeish
11
23 2021
/ /
I
cos
$ 5.00
18
11
23 2021
Vida McNeish
1
cos
$ 10.00
19
11
24 2021
Jeweli
I
cas
$ 10.00
20
11 24 2021
/ 1 Joseph Demesmin
I cos $ 5.00
21
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name
GOLENE GORDON (2) �„D. Number
_
'"101 2021 thrOU h 11 / 30 / 2021 (4) Page 4 Of 4
(3) Cover Period ! / 9
(5) (7) ($) (9) (1 :i) (11) (12)
Date Full Name I
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-F.ind
Number
CayState, zip Code 1 Typ. e_i Occupation T e Description Amendment Amount
11 25 2021
/ / Eugene Jean Pierre
f I cas $ 20.00
22
11 26 2021 �
Ramces Verdrine
z cas $ 20.00
23
11 26 2021
Jean G Aristide
2 cas $ 50.00
24
11 26 2021 i
Margarette Charles
y cas �$ 50.00
25
Marlene chavanes +
11 26 2021 4576 Grove St
West Palm Beach, FL
26
133415 I �•.etired check $50.00
Jim Cadestin
11 26 2021 4381 SW 23 RD ST
FT. Lauderdale, FL
33317 1 Army Vet. check $ 1000.00
i
27
Viergela Marcelin
11 27 2021 127 Lake Monterey Cir
Boynton Beach, F1 33426
I 'verse check $ 100.00
28 t�
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S
REPORT — ITEMIZED EXPENDITURES
(1) Name GOLENE GORDON
(2) I.D. Nimber
11 2021 11
(3) Cover Period 01 1 I through
30 2021 1 1
1 I (4) Page of _
{5) (7)
(s) T'( N O)
Date Full Name
Purpose
6 (Last, Suf x.., First, Middle)
(add office sought if
Expenditure
Street Address &
contribution to a
Sequence
City, State, Zip Code
candidate)
Type Amendment
Number
1340 oydras Street, 1770
13 40 P
bank fees
1 02 2021
New Orleans, LA 70112
1
T"
Point guard
campaign security
1 08 2021
service
2
1)
Amount
$20.30
$150.00
City of Boynton Beach
1 15 2021 100 E. Ocean. Ave qualification
Boynton Beach , $263.23
Florida
33435
3
Anedot bank fees
1 19 2021 1340 Poydras Street, 1770
New Orleans, LA 70112 $2.3D
4
Denva marketing
1348 SW 8th Ave
1 22 202 Boynton Beach, 33435 marketing ' $1000.00
5
Jean Madeus radio spot
1 26 2021 2755 South, S Federal Hwy suite
15, Boynton Beach, FL 33435 1$500.00
6
OS43E 14 (Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODH VALLES