G1 Report 02-10-2022CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Ty Penserga 904WRSE ONLY
�
Name
FEB 10 2022 f� Vm
(2) P.O. Box 742831 �Lc
J
Address (number and street) CITY OF BOYNTON BEACH
Boynton Beach, FL 33474 CITY CLEFIKS 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 QC�' / Q ( lA A)L- To Report Type:
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks $ '950-00
Monetary
Expenditures $ % ((� LfO
Loans $ , 0 00
Transfers to
Office Account $ Q 00
Total Monetary $ , , ND
Total Monetary $ ( q 1 40
In -Kind �
(8) Other Distributions
$ ,
(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 ❑✓ Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.
X X �.
Signature Signature _'
DS -DE 12 (Rev. 11113) �' SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Ty Penser a (2) I.D. Number
(3) Cover Period
02/01/2022 - 02/10/2022
(4) Page
&M
1 of 4
(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
02/02/2022
Velozo, Scott
I
Graphic
CHE
$ 150.00
243 Russlyn Drive
Artist/Des
West Palm Beach, FL 33405-0000
igner
1
02/02/2022
Hardt, Sandra
I
CHE
$ 100.00
1007 SW 17th St
Boynton Beach, FL 33426-5421
2
02/02/2022
Rosenthal, Andrew
I
Physician
CHE
$ 150.00
822 Southwest 33rd Place
Boynton Beach, FL 33435-0000
3
02/03/2022
Newsome, Jeffrey
I
CHE
$ 100.00
3541 Old Lighthouse Circle
Wellington, FL 33414-0000
4
02/03/2022
Preis, Michael
I
CHE
$ 25.00
3111 Tuscany Way
Boynton Beach, FL 33435-0000
5
02/03/2022
Dunmyer, Wynna
I
CHE
$ 100.00
84 Maple Lane
Boynton Beach, FL 33436-0000
6
02/04/2022
Gilbert, William
I
CHE
$ 25.00
1927 E Hampton Ave Unit 140
Mesa, AZ 85204-0000
7
02/04/2022
Maloney, Brian
I
CHE
$ 100.00
3 Tingey Sq SE Apt 507
Washington, DC 20036-0000
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 Penserca (2) I.D. Number
(3) Cover Period
02/01/2022 - 02/10/2022
(4) Page 2 of 4
(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
Amendment
Amount
02/04/2022
Ranese, Thomas
I
Chief
CHE
$ 500.00
3769 20th Street
Marketing
San Francisco, CA 94110-0000
Officer
9
02/04/2022
Purser, Thomas
I
CHE
$ 100.00
1208 Axis Ridge
New Braunfels, TX 78132-0000
10
02/04/2022
Tucci, Darrell
I
CHE
$ 50.00
550 Park Blvd Unit 2401
San Diego, CA 92101-0000
11
02/04/2022
Doglio, Beth
I
CHE
$ 100.00
1029 Bigelow Ave NE
Olympia, WA 98506-0000
12
02/04/2022
Oshiro, Blake
I
Attorney
CHE
$ 250.00
47-062 Okana Place
Kaneohe, HI 96744-0000
13
02/04/2022
Grover, Michael
I
VP /
CHE
$ 250.00
20 10th St. NW 1501
Govt.
Atlanta, GA 30309-0000
Affairs
14
02/04/2022
Wright, Colin
I
Attorney
CHE
$ 250.00
2823 S Palm Canyon Dr.
Palm Springs, CA 92264-0000
15
02/04/2022
Maeder, Kate
I
CHE
$ 100.00
642 Central Ave Apt 2
San Francisco, CA 94117-0000
16
This forth is based on DS -DE 13 (Rev. 11113) Adjutant Workshop, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Ty Penserga (2) I.D. Number 00000
(3) Cover Period 02/01/2022 - 02/10/2022
(4) Page
3 of 4
(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
Amendmerr
Amount
02/04/2022
Morter, Chris
I
CHE
$ 100.00
6640 Cadence Blvd
Atlanta, GA 30328-0000
17
02/04/2022
Pulchin, Howard
I
CHE
$ 100.00
300 North End Avenue 11C
New York, NY 10282-0000
18
02/04/2022
Pellett, Clark
I
Attorney
CHE
$ 500.00
680 N Lake Shore Dr.
Chicago, IL 60611-4482
19
02/05/2022
Nelson, Nysha
I
CHE
$ 100.00
3555 Feathers Chapel Dr.
Somerville, TN 38068-0000
20
02/05/2022
Kolter Payments LLC
B
Real
CHE
$ 1000.00
105 N E 1 st Street
Estate
Delray Beach, FL 33444-0000
21
02/06/2022
Fischer, Kevin
I
Urban
CHE
$ 150.00
1 Lawrence Lake Dr
Planner
Boynton Beach, FL 33436-0000
22
02/06/2022
Smith, Mona
I
CHE
$ 50.00
4508 41 st Avenue S.
Seattle, WA 98118-0000
23
02/06/2022
Clifton, Wendi
I
CHE
$ 100.00
378 Arizona Avenue Northeast
Atlanta, GA 30307-0000
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 Ty Penserga (2) I.D. Number
(3) Cover Period
02/01/2022 - 02/10/2022
(4) Page
EM
4 of 4
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address&
City, state, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
Amendmeni
(12)
Amount
(6)
Sequence
Number
02/06/2022
Petersen, Lance
1112 Lake Terrace 101b
Boynton Beach, FL 33426-0000
I
CHE
$ 25.00
25
02/06/2022
Mattmiller, Michael
2134 44th Avenue Southwest
Seattle, WA 98116-0000
I
CHE
$ 100.00
26
02/07/2022
Jones, Erica
641 Northwest 10th Court
Boynton Beach, FL 33426-0000
I
CHE
$ 25.00
27
02/07/2022
Katz, Leslie
1356 Holman Road
Oakland, CA 94610-0000
I
CHE
$ 100.00
28
02/07/2022
Massicotte, Christopher
1615 Laird St
Key West, FL 33040-0000
I
Owner /
Digital
Marketing
CHE
$ 250.00
29
This form is based on DS -DE 13 (Rev. 11/13) Adjutant Workshop, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name
(3) Cover Period
02/01/2022 - 02/10/2022
(2) I.D. Number 00000
(4) Page 1 of 2
(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
mendmen
Amount
02/02/2022
Anedot
Online Donation
MON
$ 16.90
1340 Poydras Street, Suite 1770
Processing Fee
New Orleans, LA 70112-0000
1
02/03/2022
Anedot
Online Donation
MON
$ 9.90
1340 Poydras Street, Suite 1770
Processing Fee
New Orleans, LA 70112-0000
2
02/04/2022
Anedot
Online Donation
MON
$ 100.90
1340 Poydras Street, Suite 1770
Processing Fee
New Orleans, LA 70112-0000
3
02/04/2022
Cornerstone Solutions
Phonebanks and
MON
$ 1300.00
9200 Belvedere Road, Suite 202
Texting Services
West Palm Beach, FL 33411-0000
4
02/04/2022
Cornerstone Solutions
Consulting Services
MON
$ 1500.00
9200 Belvedere Road, Suite 202
West Palm Beach, FL 33411-0000
5
02/05/2022
Anedot
Online Donation
MON
$ 4.30
1340 Poydras Street, Suite 1770
Processing Fee
New Orleans, LA 70112-0000
6
02/06/2022
Anedot
Online Donation
MON
$ 18.50
1340 Poydras Street, Suite 1770
Processing Fee
New Orleans, LA 70112-0000
7
02/07/2022
Anedot
$ 15.90
Online Donation
MON
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
(3) Cover Period
02/01/2022 - 02/10/2022
(2) I.D. Number 00000
(4) Page 2 of 2
(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)
Amendmeni
(11)
Amount
(6)
Sequence
Number
02/08/2022
Cornerstone Solutions
9200 Belvedere Road, Suite 202
West Palm Beach, FL 33411-0000
Direct Mail Services
MON
$ 3750.00
9
This form is based on DS -DE 14 (Rev. 11/13) Adjutant Workshop, Inc. - Campaign ToolBox