Dean C. Logan
 Registrar-Recorder/County Clerk

Department Headquarters
12400 Imperial Highway
Norwalk, California 90650

Los Angeles County Registrar-Recorder County Clerk
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Recipient Committee Campaign Statement Cover Page
(Government Code Sections 84200-84216.5) 		CALIFORNIA FORM
460
NAME OF FILER
BLOOM FOR SUPERVISOR 2022 		I.D. NUMBER
1436843
Election Date:
(Month/Day/Year)
06/07/2022
Statement Period
from 07/01/2021
to 12/31/2021
I. Type of Recipient Committee
Officeholder, Candidate Controlled Committee
II. Type of Statement
Semi-Annual Statement
III. Committee Information
Committee Name : BLOOM FOR SUPERVISOR 2022  - 1436843
Committee Address :
Mailing Address (if different) :
FAX Number :  
E-Mail Address : DLGOULD@GOULDORELLANA.COM
Treasurer Name :   DAVID L.  GOULD
Treasurer Address and Phone Number :
Assistant Treasurer Name :   INGRID  ORELLANA
Assistant Treasurer Address and Phone Number :  
Treasurer FAX Number :  
Treasurer E-Mail Address : None

IV. Verification
I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
 
Executed On : 01/28/22  By : RICHARD BLOOM 
Signature of Candidate / Officeholder
Executed On : 01/28/22  By : DAVID L. GOULD 
Signature of Treasurer

V. Officeholder, Candidate, and Controlled Committee
Name of Officeholder or Candidate :   RICHARD  BLOOM
Office Sought or Held (Include Location and District Number if Applicable) : County Supervisor  - C03
Residential or Business Address and Phone Number :