M9 2021 Report 10-12-2021CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Ty Penserga gWWWE ONLY
Name
(2) P.O. Box 742831 OCT 1 2 2021
Address (number and street)
�yOFBOYNTON BEACH
Boynton Beach, FL 33474
Cr(yCLERKS OFFICE
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 q I Q 1 / a To / 3 ® / Qd, ( Report Type:
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks $ ®® ®o
Monetary
Expenditures $
Loans $ (Do
Transfers to
Office Account $ 0 Q,�
Total Monetary $ , � ' �'oD • co
Total Monetary $ , A
In -Kind $ ,
(8) Other Distributions
$ , Q Q 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 ❑s Treasurer ❑ Deputy Treasurer I] Candidate ❑ Chairperson (only for PC and PTY)
or electioneering corn .)
X/
Signature Signature
DS -DE 12 (Rev. 11113) 1/ SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name T
(3) Cover Period
09/01/2021 - 09/30/2021
(2) I.D. Number 00000
(4) Page
1 of 1
(5)
(7)
(8)
(9)
(10)
(11)
(12)
Date
Full Name
(Last, Suffix, First, Middle)
Contributor
In-kind
(6)
Sequence
Number
Street Address &
City, State, Zip Code
Type Occupation
Contribution
Type
Description
Amendmeni
Amount
09/07/2021
The Knight Group, LLC
B
Real
CHE
$ 500.00
740 Havana Dr
Estate
Boca Raton, FL 33487-4119
1
09/23/2021
Boynton Boundless, LLC
B
Real
CHE
$ 500.00
10 SE 1 st Ave Suite C
Estate
Delray Beach, FL 33444-0000
2
09/23/2021
Friends of Mark Foley
F
Political
CHE
$ 250.00
1316 Lake Victoria Dr.
Committe
Lake Worth, FL 33461-0000
e
3
09/27/2021
Palm Beach County PBA Justice
F
Political
CHE
$ 1000.00
PAC
Committe
2100 N. Florida Mango Rd.
West Palm Beach, FL 33409-0000
e
4
09/27/2021
Musante, Paul
I
CPA
CHE
$ 250.00
1713 West Terrave Drive
Lake Worth, FL 33460-0000
5
09/28/2021
Miller, Bradley
I
Land
CHE
$ 500.00
140 Barefoot Cove
Planner
Hypoluxo, FL 33462-0000
6
09/29/2021
Halberg, Chuck
I
General
CHE
$ 1000.00
120 NW Fourth Ave
Contracto
Delray Beach, FL 33444-0000
r
7
09/29/2021
Schiller, Neil
I
Attorney
CHE
$ 1000.00
17960 Villa Club Way
Boca Raton, FL 33496-0000
8
This form is based on DS -DE 13 (Rev. 11/13) Adjutant Workshop, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name T
(3) Cover Period
09/01/2021 - 09/30/2021
(2) I.D. Number 00000
(4) Page
1 of 1
(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
(1 0)
Amendmena
(11)
Amount
(6)
Sequence
Number
09/27/2021
Anedot
1340 Poydras Street, Suite 1770
New Orleans, LA 70112-0000
Online Donation
Processing Fee
MON
$ 10.30
1
09/28/2021
Anedot
1340 Poydras Street, Suite 1770
New Orleans, LA 70112-0000
Online Donation
Processing Fee
MON
$ 20.30
2
09/29/2021
Anedot
1340 Poydras Street, Suite 1770
New Orleans, LA 70112-0000
Online Donation
Processing Fee
MON
$ 80.60
3
This form is based on DS -DE 14 (Rev. 11/13) Adjutant Workshop, Inc. - Campaign ToolBox