M9 2021 Report 10-04-2021CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Angela Cruz
OFFICE USE ONLY
Name
RECEIVED
(2) 1420 Via De Pepi
Address (number and street)
Boynton Beach, FL 33426
OCT 0 4 2021 p,>gft` CG
City, State, Zip Code
CITY OF BOYNTON BEACH
❑ Check here if address has changed
(3) ID Number'
(4) Check appropriate box(es):
❑✓ Candidate Office Sought:
❑ 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 9/1/2091 / To
9//30/2021/ Report Type: M9 2021
0 Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ 1, 600 00
Expenditures $ 4.62
Loans $
Transfers to
Office Account $
Total Monetary $
Total Monetary $ 4.62
In-Kind $
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 19, 610 09
$ 84.28
(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
0 Candidate ❑ Chairperson (only for PC and PTY)
or electioneering
}(comm.)
X J� ,jw •
X
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 9/1/2021 through 9/30/2021 (1) Page of 1
(5)
(7)
(8)
(9)
(10)
(11)
(12)
Date
Full Name
i
(Last, Suffix, First,
(6)
Middle) Street Address
Contributor
Contribut
In-kind
Sequence
&
Type Occupation
ion Type
Description
Amendment
Amount
Number
City, State, Zip Code
9/8/2021
The Knight Group, LLC
B
Real Estate
Check
$500
740 Havana Dr
Boca Raton, FL 33487
1
9/13/2021
Boynton Boundless, LLC
B
Attorney
Check
$500
10 SE 1STAVE
Delray Beach, FL 33444
2
9/27/2021
Clifford Hertz
I
Attorney
Check
$500
328 Dyer Rd
West Palm Beach, FL
33405
3
9/30/2021
Jasmine Govan
I
Phllanthro
Anedot
$50
2522 Doral Way
Riviera Beach FL 33407
py officer
4
United States
9/30/2021
Michael Irizarry
I
CEO
Anedot
$50
2520 nw 4th street
Boynton beach FL
5
33426
United States
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 EXPENDITURES
(1) Name Angela Cruz (2) I.D. Number .
2
3
9 1/2021 . 9/ /021 1 1
(3) Cover Period / through l° / (4) Page __ of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
Anedot Inc.
1340 Poydras Street
Suite 1770
New Orleans LA 70112
United States
Online processing
fee for
contributions
Debit
$4 62
1
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES