M12 Treasurer's Report 1-10-2022CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Golene Gordon OFFICE USE ONLY
NameCI"E�
(2) P.O.BOX 4303
Address (number and street)
Boynton Beach FL 33435
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
p Candidate Office Sought: Mayor for city of Boynton Beach
❑ Political Committee (PC)
❑ Electioneering Communications Arg. (ECO) ❑ Check here if PC or ECO has disbanded
❑ Party Executive Committee (PTY) ❑ 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)
(a) Report Identifiers
Cover Period: From 12 101 12021 To 12 / 31 /2021 Report Type: M 12
Z Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ 5 200. 00
Expenditures $ 5 , 052 40
Loans $
Transfers to
Office Account $
Total Monetary $ , 5 , 200.00
—�
Total Monetary $ 5 9052 .40
In -Kind $ 3 500. 00
(8) Other Distributions
(9) TOTAL. Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 32 845 . 00
$ 8 551 93
(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) Golene Gordon (Type name) Golene Gordon
❑ Individual (only for IE EI Treasurer ❑ Deputy Treasurer EI Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.) �<
Signature- Signature
DS -DE 12 (Rev. 11/13) 5EE REVER5E FOti.11M51 KUG 11UN4
CAMPAIGN TREASURER'S REPORT - ITEMIZED i ,0WRIBUTIONS
Gordon Gordon
(1) Name
(3) Cover Period 12 01 2021 through 12 31/
(2) E.D. N-.1Imber
/ 2021 1
(4) Page of
(5)
(7)
(5)
(9)
(13)
(11)
(12)
Date
Full Name
(Last, Suffix, First, Middle)
(6)
Sequence
Street Address &
Contributor
Contribution
In-Fnd
Number
City,State Zip Code
Type OccuDation
Type
Desci ! tion
Amendment
Amount
Sandy Seide
12 08 2021
Tivoli Court
308
Lake Worth FL 33467
I
nurse
check
$250.00
1
ACN Baro Medical llc
12 09 2021
1702 South Dixie HWY
Lake worth,fl
B
Doctor
check
$150.00
2
Jean Teragene
12 09 2021
7800 Coral Street #114
Latana fl
I
Cabinet desi
check
$200.00
3
Horizon Capital financr
12 09 2021
2211 2nd ave N #6
/
Lake worth, fl 33461
A
Manager
check
$500.00
4
Wyslaine Lamontagne
12 17 2021
4212 Northlake
Boulevard
Palm Beach Gardens FL
I
Nurse
check
$250.00
33410
5
Estabe Polynice
12 17 2021
1019 West Jennings
Street
Lantana FL 33462
I
check
$20.00
6
Josh Joseph
12 20 2021
2101 Vista Pkwy
1 /
West Palm Beach
Florida 33401
B
Broker
check
$200.00
7
DS -0E 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS ANO G'DDe VALUES
4
Of
(12)
$200.00
$1000.00
51000.00
$500.00
5100.00
$50.00
$500.00
CAMPAIGN TREASURER'S REPORT — ITEMIZEC CObITRIBUTIONS
Gordon Gordon
(1) Name
(2)
I.D. Humber
12 01 2021
(3) Cover Period I I
12
through
31 2021
2
(4) Page
(5)
(7)
(8)
(9)
00) (11)
Date
Full Name
(6)
(Last, Suffix, First, Middle)
Sequence
Street Address &
Contributor
Contribution
la -kind
Number
City, State Zip Code
—Type I occupation
Type
DesfAadon Amendment
Paul Hussey
12
20 2021
1375 Gateway Blvd
Boynton Beach
florida 33426
anager
check
8
Jean Legagneur
12
20 2021
10170 stonehenge
Delray Beach fl
I 1.4anager
check
9
Lozaire Bien Aime
12
20 2021
208 N Flager
Pompano Beach fl 3306
2 ftnager
check
10
Godson Silvain
12
20 2021
2695 N Military trail
/ !
West Palm Beach it
33409
anager
check
11
Davidson Monestime
12
20 2021
7306 Copperfield Circle
Lake Worth FL 33467
I Knager
check
12
Carlos Suarez
12
21 202.1
3683 NW 91st Lane
Sunrise FL 33351
I Technician
check
13
Palm Beach Radio Group
33.13 Stirling rd
Fort Lauderdale
florida 33312
g owner
check
14
DS -0E 13 (ReV.11M3) SEE REVERSE FOR INSTRUCTIONS a ND CODE VALUES
4
Of
(12)
$200.00
$1000.00
51000.00
$500.00
5100.00
$50.00
$500.00
CAMPAIGN TREASURER'S REPORT — ITEMIZED I .;ON7 RIBUTIONS
Golene Gordon
(1) Name
(3) Cover Period 12 I 01 / 2021 through 12
(2) .D. Number
I 31 / 2021 9
(4) Page 3 Of
(5)
(7)
(8) (9) (1 `I) (11)
(12)
Date
Full Name
(Last, Suffix, First, Middle)
(6)
Sequence I
Street Address S
Contributor
Contribution In -land
Number
Cfty. State Zip Code
T e
Occupation T e Desc tion Amendment
Amount
SHOHAG KHANDOKER
12 31 2021
I
CAS
$20.00
15
BYRON
92 31
!2021
/
CAS
$10.00
16
PASTOR PL
12 31
/2021
/
CHECK
$50.00
17
ESTABE POLYNICE
12 31 2021
1019 W JENNINGS ST
LANTANA, FL 33462
I
CHECK
$100.00
16
SANTIA NARSSICE
12 31 2021
1375 GATEWAY BLVD
BOYNTON BEACH,FL 33426
I
CHECK
$100.00
19
Michael Gempel
12 31 2021
808 SW Glenview CT
Port Saint Lucie,
Florida 34953
I
marker-ing
$500.00
20
Karl Vaeth
12 31 2021
1054 Gateway Blvd
Boynton Beach, FL 33426
I
sings
$1000.00
21
DS -DE 13 (Rev. 11113) SEE REVERS" FOR INSTRUCTIONS AND C_ oos VALUe5
CAMPAIGN TREASURER'S REPORT — ITEMIZED �ON7RIBUTIONS
GOLENE GORDON
(1) Name
(2) I.D. N .-mber
12 01 2021 12 31 2021 4 4
(3) Cover Period I I through I I (4,o Page of _
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Bp Code
(8)
Contributor
Type Occu ation
(9)
Contribution
Tvoe
(' �)
In-kind
Desciption
(11)
nmonamem
(12)
Amount
(6)
Sequence
Number
12 31 2021
Benjamin Willaed
500 E Ocean Ave
Boynton Beach fl 33435
Imanager
:-shix`:s
$3.000.00
22
12 31 2021
/ 1
Ralph Lewis
1054 Gateway Blvd Unit
103, Boynton Beach, FL
33426
I
Zechnician
signs
$1000.00
23
J /
J /
J /
DS -DE 13 (Rev.11/13) SEE REVERSE FOR INSTRUCTION.: ANO t;eee vALur-s
CAMPAIGN TREASURER'S REPORT — ITEMIZED ; :XPE NDITURES
(1) Name GOLENE GORDON (2; I.D. Number
(3) Cover Period 12 / 01 /2021 through 12 / 31 / 2021 (41, Page. 1Of 1
(5)
(7)
(B)
(q
(10)
(11)
Date
Full Name
(Last, Suffix, First, Middle)
Purpose
(add office sought If
(a)
Sequence
Street Address &
contribution to a
Expenditure
Number
City, State, Zip Code
candidate)
TY -1e
Amendment
Amount
City of Boynton Beach
qualification
12 Z 02 2021
100 E Ocean Ave
Boynton Beach fl 33435
$4.10
1
Anedot
bank fees
2 05 202
1340 Poydras Street, ate 1770
New Orleans, LA 70112
$10.30
2
Marc Graphics
marketing
12 06 202:
4230 Oak Circle
Boca Raton, FL 33431
$4950.00
3
_--
Firm Production
marketing
2 16 2021
5431 NK 15th ST.
Suite 3
Margate, FL 33063
70.00
4
Anedot
bank fees
'2 17
1340 Poydras Street, ate 1770
/2021
New Orleans, LA 70112
$1.10
5
Anedat
bank fees
'2 17 2021
1340 Poydras Street, ate 1770
New Orleans, LA 70112
$10.30
6
Anedot
bank fees
.2 11 2021
1340 Poydras Street, ste 1770
New Orleans, LA 70117.
$4.30
7
Anedot
bank fees
1340 Poydras Street, ate 1770
12 9 202
New Orleans, LA 70112
$2.30
8
DS -0E 14 (Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE ' FALUE:3