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M7 2021 Report 08-10-2021CAMPAIGN TREASURER'S REPORT SUMMARY (1) Ty Penserga OFfifdONLY Name (2) P.O. Box 742831 AUG 10 2021 Address (number and street) Boynton Beach FL 33474 Crry OF BOYNTON BEACH. Ur CLEWS OFFICE ;Q� ,WS City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Candidate Office Sought: Mayor, City of Boynton Beach ❑ 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 0 / 0 I / o`Qa' To 01/ 31 / AO,,�l ReportType: M X Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Cash & Checks $ , o'`i a� Monetary Expenditures $ ,� g Loans $ 0 • 00 Transfers to Office Account $ Total Monetary $ � � ,�g0 - �.�• Total Monetary $ a In-Kind $ > (8) Other Distributions $ 0 . �® (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date (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) Kim LeeBove (Type name) Ty Penserga ❑ Individual (only for IE ❑r Treasurer ❑ Deputy Treasurer El Candidate ❑ Chairperson (only for PC and PTY) or electioneering co m.) X 46YR-11 X Signature I Signature DS -DE 12 (Rev. 11/13) q SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name ' Ty Penserga - (2) I.D. Number (3) Cover Period 07/01/2021 - 07/31/2021 (4) Page 1 of 4 (5) (7) (8) (9) (10) (11) (12) Date Full Name (Last, Suffix, First, Middle) Contributor (6) In-kind Sequence Number Street Address & City, State, Zip Code Type ' Occupation Contribution Type Description Amendment Amount 07/09/2021 Cafe Barista Inc Dba Hurricane Alley B Restaura CHE $ 500.00 529 E. Ocean Ave. nt Boynton Beach, FL 33435-0000 1 07/09/2021 Boynton Beach Firefighters & B Firefighte CHE $ 1000.00 Paramedics Local -1891 r& 3501 N. Congress Avenue Boynton Beach, FL 33436-0000 Paramedi c Union 2 07/10/2021 Longinos, Michael I CHE $ 25.00 5610 West Atlantic Avenue 108 Delray Beach, FL 33484-0000 3 07/10/2021 Russo, Joseph I CHE $ 25.00 610 Clematis St #306 West Palm Beach, FL 33401-0000 4 07/11/2021 Eakins, Mary I CHE $ 10.00 241 NW 53rd Street Oakland Park, FL 33309-0000 5 07/13/2021 Young, Ramona I CHE $ 25.00 101 S Federal Hwy Apt 650 Boynton Beach, FL 33435-0000 6 07/14/2021 Maguire, Raymer I CHE $ 20.22 777 Southeast 2nd Avenue A205 Deerfield Beach, FL 33441-0000 7 07/15/2021 Levine, Marcia I CHE $ 100.00 625 Casa Loma Blvd. Apt 808 Boynton Beach, FL 33435-4153 8 This form is based on DS -DE 13 (Rev. 11/13) Adjutant Workshop, Inc. - Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Ty Penserga (2) I.D. Number (3) Cover Period 07/01/2021 - 07/31/2021 (4) Page me 2 of 4 (5) (7) (8) (9) (10) (11) (12) Date Full Name (Last, Suffix, First, Middle) Contributor (6) In-kind Sequence Number Street Address& City, State, Zip Code Type Occupation Contribution Type Description Amendmem Amount 07/15/2021 Mailloux, Benoit I CHE $ 100.00 751 SW 35th Ave Boynton Beach, FL 33435-0000 9 07/16/2021 EventGalDecals.Com B CHE $ 100.00 4348 Star Ruby Boulevard Boynton Beach, FL 33436-0000 10 07/16/2021 Ottley, Steve I CHE $ 100.00 4348 Star Ruby Boulevard Boynton Beach, FL 33436-0000 11 07/16/2021 Pearson, Melba I CHE $ 10.00 1521 Alton Road 198 Miami Beach, FL 33139-0000 12 07/16/2021 Walker, Venus I CHE $ 10.00 7 Cambridge Place Boynton Beach, FL 33426-0000 13 07/16/2021 Palm Beach County Police F Political CHE $ 1000.00 Benevolent Association P.C. Committe 2100 N Florida Mango Rd West Palm Beach, FL 33409-0000 e 14 07/17/2021 Sabin, Adam I CHE $ 5.00 1333 SW 4th Ct Fort Lauderdale, FL 33312-0000 15 07/19/2021 Werner, Andrew I CHE $ 25.00 201 Lisa Lane Reading, PA 19606-0000 16 This form is based on DS -DE 13 (Rev. 11113) Adjutant Workshop, Inc. - Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Tv Penserqa (2) I.D. Number (3) Cover Period 07/01/2021 - 07/31/2021 (4) Page 3 of 4 (5) (7) (8) (9) (10) (11) (12) Date Full Name (Last, Suffix, First, Middle) Contributor (6) In-kind Sequence Number Street Address& City, State, Zip Code Type Occupation Contribution Type Description Amendmen Amount 07/19/2021 Castillo, Eric I CHE $ 25.00 423 Waterside Drive Hypoluxo, FL 33462-0000 17 07/19/2021 Henry, Brittany I CHE $ 5.00 915 Pipers Cay Drive West Palm Beach, FL 33415-0000 18 07/19/2021 Nguyen, Miko I CHE $ 50.00 2121 Mid Lane Houston, TX 77027-0000 19 07/19/2021 Usui, Hiroshi I CHE $ 25.00 2100 Welton Street Denver, CO 80205-0000 20 07/19/2021 Jackson, Bradley I CHE $ 100.00 815 West Boynton Beach Boulevard 15103 Boynton Beach, FL 33426-0000 21 07/20/2021 Marenco, Ricardo I CHE $ 100.00 3835 NW 89th Way Coral Springs, FL 33065-0000 22 07/21/2021 Toy, Andrew I CHE $ 100.00 141 N 22nd Street Philadelphia, PA 19103-0000 23 07/23/2021 Duronville, Claunick I CHE $ 50.00 360 East Market Street Indianapolis, IN 46204-0000 24 This form is based on DS -DE 13 (Rev. 11/13) Adjutant Workshop, Inc. - Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name T (3) Cover Period 07/01/2021 - 07/31/2021 (2) I.D. Number 00000 (4) Page 4 of 4 (5) (7) (8) (9) (10) (11) (12) Date Full Name (Last, Suffix, First, Middle) Contributor (6) In-kind Sequence Number Street Address& City, State, Zip Code Type Occupation Contribution Type Description mendmeni Amount 07/24/2021 Dass, Varisa Lall I Attorney CHE $ 200.00 255 Evernia Street 717 West Palm Beach, FL 33401-0000 25 07/25/2021 Itzkowitz, Raphael I CHE $ 100.00 2717 Bellewater Place Oviedo, FL 32765-0000 26 07/28/2021 Kirk, Emmy I CHE $ 10.00 2840 SW 22nd Ave Apt. 317 Delray Beach, FL 33445-0000 27 07/29/2021 Bowman, Richard I Agricultur CHE $ 250.00 14339 Smith Sundy Road Apt. 301-C e Delray Beach, FL 33446-0000 28 07/30/2021 Penserga, Glenn I CHE $ 100.00 1429 Southwest 25th Way Boynton Beach, FL 33426-0000 29 07/30/2021 Kirk, Imelda I CHE $ 100.00 2840 Southwest 22nd Avenue 317 Delray Beach, FL 33445-0000 30 07/31/2021 Quinal, Erika I RN CHE $ 1000.00 6063 Diane Court Rohnert Park, CA 94928-0000 31 This form is based on DS -DE 13 (Rev. 11/13) Adjutant Workshop, Inc. - Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Ty Penser a (2) I.D. Number (3) Cover Period 07/01/2021 - 07/31/2021 (4) Page EM 1 of 3 (5) (7) (8) (9) (1 0) (11) Date Full Name (Last, Suffix, First, Middle) Purpose (6) Sequence Number Street Address & City, State, Zip Code (add office sought if contribution to a candidate) Expenditure Type Amendmen Amount 07/08/2021 Anedot Online Donation MON $ 0.50 1340 Poydras Street, Suite 1770 Processing Fee New Orleans, LA 70112-0000 1 07/09/2021 Anedot Online Donation MON $ 0.50 1340 Poydras Street, Suite 1770 Processing Fee New Orleans, LA 70112-0000 2 07/10/2021 Anedot Online Donation MON $ 2.60 1340 Poydras Street, Suite 1770 Processing Fee New Orleans, LA 70112-0000 3 07/11/2021 Anedot Online Donation MON $ 0.70 1340 Poydras Street, Suite 1770 Processing Fee New Orleans, LA 70112-0000 4 07/13/2021 Anedot Online Donation MON $ 1.30 1340 Poydras Street, Suite 1770 Processing Fee New Orleans, LA 70112-0000 5 07/14/2021 Anedot Online Donation MON $ 1.11 1340 Poydras Street, Suite 1770 Processing Fee New Orleans, LA 70112-0000 6 07/15/2021 Anedot Online Donation MON $ 8.60 1340 Poydras Street, Suite 1770 Processing Fee New Orleans, LA 70112-0000 7 07/16/2021 Anedot Online Donation MON $ 10.00 1340 Poydras Street, Suite 1770 Processing Fee New Orleans, LA 70112-0000 8 This form is based on DS -DE 14 (Rev. 11113) Adjutant Workshop, Inc. - Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Ty Penserga (2) I.D. Number (3) Cover Period 07/01/2021 - 07/31/2021 (4) Page Em 2 of 3 (5) (7) (8) (9) (10) (11) Date Full Name (Last, Suffix, First, Middle) Purpose (6) Sequence Number Street Address & City, State, Zip Code (add office sought if contribution to a candidate) Expenditure Type Amendmem Amount 07/17/2021 Anedot Online Donation MON $ 0.50 1340 Poydras Street, Suite 1770 Processing Fee New Orleans, LA 70112-0000 9 07/19/2021 Anedot Online Donation MON $ 11.00 1340 Poydras Street, Suite 1770 Processing Fee New Orleans, LA 70112-0000 10 07/20/2021 Anedot Online Donation MON $ 4.30 1340 Poydras Street, Suite 1770 Processing Fee New Orleans, LA 70112-0000 11 07/20/2021 Wells Fargo Banking Supplies MON $ 57.30 1600 S. Federal Highway Boynton Beach, FL 33435-0000 12 07/20/2021 Wells Fargo Banking Supplies MON $ 37.35 1600 S. Federal Highway Boynton Beach, FL 33435-0000 13 07/21/2021 Anedot Online Donation MON $ 4.30 1340 Poydras Street, Suite 1770 Processing Fee New Orleans, LA 70112-0000 14 07/23/2021 Anedot Online Donation MON $ 2.30 1340 Poydras Street, Suite 1770 Processing Fee New Orleans, LA 70112-0000 15 07/24/2021 Anedot Online Donation MON $ 8.30 1340 Poydras Street, Suite 1770 Processing Fee New Orleans, LA 70112-0000 16 This form is based on DS -DE 14 (Rev. 11/13) Adjutant Workshop, Inc. - Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Ty Penserca (2) I.D. Number (3) Cover Period 07/01/2021 - 07/31/2021 (4) Page EM 3 of 3 (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) Amendmen (11) Amount (6) Sequence Number 07/25/2021 Anedot 1340 Poydras Street, Suite 1770 New Orleans, LA 70112-0000 Online Donation Processing Fee MON $ 4.30 17 07/28/2021 Anedot 1340 Poydras Street, Suite 1770 New Orleans, LA 70112-0000 Online Donation Processing Fee MON $ 0.70 18 07/29/2021 Anedot 1340 Poydras Street, Suite 1770 New Orleans, LA 70112-0000 Online Donation Processing Fee MON $ 10.30 19 07/30/2021 Anedot 1340 Poydras Street, Suite 1770 New Orleans, LA 70112-0000 Online Donation Processing Fee MON $ 8.60 20 07/31/2021 Anedot 1340 Poydras Street, Suite 1770 New Orleans, LA 70112-0000 Online Donation Processing Fee MON $ 40.30 21 This form is based on DS -DE 14 (Rev. 11/13) Adjutant Workshop, Inc. - Campaign ToolBox