M8 Amendment 09-30-2021CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Angela Cruz
OFFICE USE ONLY
Name
(2) 1420 Via de Pepi
SEP 3 4 2021
Address (number and street)
Boynton Beach, FL 33426
GyTY OF gpYNTON BEACH
City, State, Zip Code
rrry r- EWS OFFICE
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
❑✓ Candidate Office Sought: City Commission,
District 1
❑ Political Committee (PC)
❑ Electioneering Communications Org. (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)
(5) Report Identifiers
Cover Period: From 08 / 01 ?021 To
08 / 31 2021 Report Type: M8 2021
❑ Original ❑✓ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ 6 687 65
Expenditures$ 25 82
Loans $
Transfers to
Office Account $
Total Monetary $ ,
Total Monetary $ 25.82
In-Kind $ ,
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 18 010.09
$ 79.66
(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) Angela Cruz
(Type name) Angela Cruz
❑+ Individual (only for IE El Treasurer ❑ Deputy Treasurer
El Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X„� 9/30/2021
X 9/30/2021
Signature
Signature
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name (2) I.D. Number (3) Cover Period / / through / / (1) Page of 2
(5)
(7)
(8) (9) (10)
(11)
(12)
Date
Full Name
(Last, Suffix, First,
(6)
Middle) Street Address
Contributor Contribut In-kind
Sequence
&
Type Occupation ion Type Description
Amendment
Amount
Number
City, State, Zip Code
8/1/2021
Jervonte Edmonds
I
Self
Debit
$50
4131 San Marino
Boulevard
Employed
1
West Palm Beach FL
33409
8/17/2021
B
Real Estate
Check
$700
WAC STARBOARD LLC
3425 S Lake Dr Boynton
Beach, FL 33436
2
8/17/2021
Law offices of Lee Cohen
B
Attorney
Check
$500
411 E. Atlantic Ave Suite
200-E Delray Beach, FL
3
33433
8/17/2021
B
Chiropracto
Check
$500
Fusion Chiropractic
Boynton PLLC
r
4
3717 W Boynton Beach
Blvd Suite 9, Boynton
Beach, FL 33436
8/17/2021
Charles Halberg
B
General
$500
120 NW 4th Avenue
Delray Beach FL 33444
Contractor
5
8/17/2021
B
Retired
$15
Richard Tulloch
1383 Via De Pepi
Boynton Beach FL
Veteran
6
33426
8/24/2021 PEBB Capital
B
Real Estate
$1000
Management LLC
7900 Glades Road
7 Suite 540
Boca Raton, FL 33434
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name (2) I.D. Number (3) Cover Period / / through / / (2) Page of 2
(5)
(7)
(8)
(9)
(10)
(11)
(12)
Date
Full Name
(Last, Suffix, First,
(6)
Middle) Street Address
Contributor
Contribut
In-kind
Sequence
&
Type Occupation
ion Type
Description
Amendment
Amount
Number
City, State, Zip Code
8/24/2021
DUNAY, MISKEL AND
B
Attorney
$1000
BACKMAN, LLP
14 SE 4th St, Suite 36
8
Boca Raton, FL 33432
8/24/2021
Neil Schiller, PA
B
Attorney
$1000
200 S Andrews Ave
Suite 601
9
Fort Lauderdale, FL
33301
8/28/2021
B
Property
$500
MICHAEL DUBOSE
217 N Seacrest Blvd
Manageme
nt
10
Boynton Beach, FL
33425
8/30/2021
Belinda Murphy
I
Realtor
$50
760 Mariners Way
Boynton Beach FL
11
33435
United States
561-312-7546
8/31/2021
REZ REAL ESTATE
B
Real Estate
$1000
SERVICES LLC
1000 Brickell Plaza
12
Suite 4104 Miami, FL
33131