G2 Report 02-25-2022 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Ty Penserga 9E8IISE ONLY
Name o3
(2) P.O. Box 742831 FEB 2 5 2022 \LS
Address (number and street)
Boynton Beach, FL 33474 CITY OF BOYNTON BEACH
City, State, Zip Code CITY CLERK'S OFFICE
[' Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
❑✓ Candidate Office Sought: Mayor, City of Boynton Beach
El Political Committee (PC)
❑ Electioneering Communications Org. (ECO) El Check here if PC or ECO has disbanded
❑ Party Executive Committee (PTY) [' Check here if PTY has disbanded
El 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 Op- / j , / �fl a.. To Q9. / plq / a0a9, Report Type: 6-3,
Original ❑ Amendment El Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , 3 , ( ( 0 . 0 O Expenditures $ , t S , o) 3 . (p 0
Loans $ , , 0 • 0 0 Transfers to
Office Account $ , , 0 . O G
Total Monetary $ , 3 , Ito O • u
Total Monetary $ , (6 A3 . (G C
In-Kind $ 0 • CIC
(8) Other Distributions
$ 0 . 0 0
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , 31j= , 10(4 • , , 1411 91
(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 fI Treasurer ❑ Deputy Treasurer Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
X41)/ Ailf44,,kg6)Ne• X ;I/4
Signature Signat rrn
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Ty Penserga (2) I.D. Number 00000
(3)Cover Period 02/11/2022-02/24/2022 (4) Page 1 of 2
(5) (7) (8) (9) (10) (11) (12)
Date
Full Name Contributor
(6) (Last,Suffix,First,Middle)
Sequence Street Address& Contribution In-kind
Number City,State,Zip Code Type Occupation Type Description Amendment Amount
02/11/2022 The Lancore Group B Real CHE $ 1000.00
95 S. Federal Highway,#204 Estate
Boca Raton, FL 33432-0000
1
02/12/2022 Bernhard, Mark I CHE $25.00
1151 Quaye Lake Circle#106
Wellington, FL 33411-0000
2
02/17/2022 Connors, Kathleen I CHE $10.00
1801 Southwest Congress Boulevard
Boynton Beach, FL 33426-0000
3
02/18/2022 Pulchin, Howard I Creative CHE $250.00
300 North End Avenue 11C Director
New York, NY 10282-0000
4
02/18/2022 Fitzpatrick, Brian I Retired CHE $ 1000.00
P.O. Box 524
Boynton Beach, FL 33425-0000
5
02/19/2022 Reimann,Tony I CHE $25.00
139 Southeast 28th Court
Boynton Beach, FL 33435-0000
6
02/19/2022 Fitzpatrick, Michael I Retired CHE $ 100.00
175 SW 2nd Street
Boynton Beach, FL 33435-0000
7
02/21/2022 Exsorro One Inc. B Real CHE $500.00
217 N. Seacrest Blvd,#945 Estate
Boynton Beach, FL 33425-0000
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 Penserga (2) I.D. Number 00000
(3) Cover Period 02/11/2022-02/24/2022 (4) Page 2 of 2
(5) (7) (8) (9) (10) (11) (12)
Date
Full Name Contributor
(6) (Last,Suffix,First,Middle)
Sequence Street Address& Contribution In-kind
Number City,State,Zip Code Type Occupation Type Description Amendment Amount
02/22/2022 Sicsic, Juliet I CAS $ 50.00
20231 SW 128 Court
Miami. FL 33177-0000
9
02/23/2022 Mendoza, Ann Marie I RN CHE $ 100.00
8490 SW 161 PI
Miami, FL 33193-0000
10
02/24/2022 Dejano, Ricardo I Postal CHE $ 100.00
79 Citrus Park Lane Service
Boynton Beach, FL 33436-0000
11
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 Penserga (2) I.D. Number 00000
(3)Cover Period 02/11/2022-02/24/2022 (4) Page 1 of 2
(5) (7) (8) (9) (1 0) (11)
Date
Full Name
(6) (Last,Suffix,First,Middle) Purpose
Sequence Street Address 8 (add office sought if Expenditure
Number City,State,Zip Code contribution to a candidate) Type Amendment Amount
02/11/2022 Cornerstone Solutions Campaign Sign MON $2100.00
9200 Belvedere Road, Suite 202 Services/Installation
West Palm Beach, FL 33411-0000
1
02/11/2022 Cornerstone Solutions Data Services MON $ 1000.00
9200 Belvedere Road, Suite 202
West Palm Beach, FL 33411-0000
2
02/11/2022 Cornerstone Solutions Email Services MON $ 1500.00
9200 Belvedere Road, Suite 202
West Palm Beach, FL 33411-0000
3
02/11/2022 Cornerstone Solutions Website MON $ 1500.00
9200 Belvedere Road, Suite 202
West Palm Beach, FL 33411-0000
4
02/12/2022 Anedot Online Donation MON $ 1.30
1340 Poydras Street, Suite 1770 Processing Fee
New Orleans, LA 70112-0000
5
02/16/2022 Koda Creative Video Services MON $650.00
18428 Ruffian Way
Boca Raton, FL 33496-0000
6
02/17/2022 Anedot Online Donation MON $0.70
1340 Poydras Street, Suite 1770 Processing fee
New Orleans, LA 70112-0000
7
02/18/2022 Anedot Online Donation MON $ 10.30
1340 Poydras Street, Suite 1770 Processing Fee
New Orleans, LA 70112-0000
8
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 Penserga (2) I.D. Number 00000
(3) Cover Period 02/11/2022-02/24/2022 (4) Page 2 of 2
(5) (7) (8) (9) (10) (11)
Date
Full Name
(6) (Last,Suffix,First,Middle) Purpose
Sequence Street Address& (add office sought if Expenditure
Number City,State,Zip Code contribution to a candidate) Type Amendment Amount
02/18/2022 Cornerstone Solutions Consulting Services MON $2500.00
9200 Belvedere Road, Suite 202
West Palm Beach, FL 33411-0000
9
02/18/2022 Cornerstone Solutions Online Advertising MON $ 3500.00
9200 Belvedere Road, Suite 202
West Palm Beach, FL 33411-0000
10
02/18/2022 Cornerstone Solutions Phonebanks/Texting MON $2500.00
9200 Belvedere Road, Suite 202 Services
West Palm Beach, FL 33411-0000
11
02/19/2022 Anedot Online Donation MON $ 1.30
1340 Poydras Street, Suite 1770 Processing Fee
New Orleans, LA 70112-0000
12
This form is based on DS-DE 14(Rev.11/13) Adjutant Workshop,Inc.-Campaign ToolBox