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HomeMy WebLinkAboutFriends of Dr. Ryan Argot - 2019 2nd Friday Pre-Election 111 Reset Form Print Form Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification n 83-4101537 Report Filed By Candidate — Committee ` Lobbyist n Number (Mark X) Name of Filing Committee,Candidate or Lobbyist Friends of Dr.Ryan Argot Street Address 1034 Chelmsford Drive City Mechanicsburg State PA Zip Code 17050 Type of Report(Place x under report type) 1-60'Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2n°Friday 6 30 Day Post 7-Annual Special 2"°Friday Spedal 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election X Date Of Election Year Amendment Termination (MM/OD/YYYY) 11/5/2019 2019 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 6/21/2019 10/21/2019 A.Amount Brought Forward From Last Report $ 0 C-7 o B.Total Monetary Contributions and Receipts $ (From Schedule I) 655.43 01 r.. C.Total Funds Available $ 655.43 l Cl (Sum of LinesAandB) 0.Total Expenditures $ 0 (.1 (From Schedule III) d –0 E.Ending Cash Balance $ C7 3 655.43 (Subtract Line D from Line C) Q F.Value of In-Kind Contributions Received $ (From Schedule II) 419. CO 35 7 W G.Unpaid Debts and Obligations $ Commonwealths Pennsania-Notary Seal (From Schedule IV) 908.99 Brittany Jacobs,Notary Public York County Affidavit Section My commission expires July 18.2022 Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. Commission number 1338125 I swear(or affirm)that this report,including the attached schedules on paper,is to the best of my knowledge and belieftwswaroteigwintkattoolation of Notaries Sworn o and subscribed before me this / 1� day of O. lb.', 20 1 IP/" ' Q -ate /�,,, as• P n Submitt'ng report /� �/ irt�C�7�lI </ Sintrir:, t l U _�� at (fix! ��i �/ Printed Name My Commissio exp esi� `�+ Z`-'� `/7 ✓5,4 - z9 MO. DAY YR. Area Code Daytime Telephone Number Part II-If this is a report of a Candidate's Authorized Committee,candidate shall sign here. I swear(or affirm)that to the best of my knowledge and belief this political committee has not violated any provisions of the Act of June 3,1937(P.L 1333,NO.320)as amended. Sw m to and subscribed before me this �^ • day of 1..4l1 I ' 20 I G ,A „ �r Signature pf Candid�, VVtI e,n Y� Sig atur: Printed Name My Commission expires k b O'lifr 7 i1 6/7-075-2- MO. DAY YR. Area Code Daytime Telephone Number COMMONWEALTH OF PENNSYI VANIA NOTARIAL SEAL Carissa M. Rodgers, Notary Public Wellsville Boro, York County My Commission Expires Oct. 29, 2019 MEMBER, PENNSYLVANIA ASSOCIATION OF NOTARIES SCHEDULE I Contributions and Receipts Detailed Summary Page I Filer Identification Number 183-4101537 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 222 2.Contributions of$50.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ 0 All Other Contributions(Part 8) $ 432.43 Total for the reporting period (2) $ 423.43 3.Contributions Over$250.00(From Part C and Part D) I Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 0 Total for the reporting period (3) $ 0 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) $ 0 Total Monetary Contributions and Receipts during this reporting period(Add and $ enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report 655.43 Cover Page,Item B) PART A Contributions Received From Political Committees $50.01 TO$250.00 Use this Part to itemize only contributions received from Political Committees with an aggregate value from$50.01 TO$250.00 in the reporting period. Filer Identification Number I83-4101537 Amount Full Name of Contributing Date[MM/DD/YYYY] $ Committee None House# Street Address Date(MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ N. Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/MY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House it Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DO/YYYY] $ Full Name of Contributing Date[MM/OD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/MY] $ Full Name of Contributing Date[MM/DD/YYYYJ $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ PART B All Other Contributions $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting period. (Exclude contributions from political committees reported in Part A.) Filer Identification Number: 83-4101537 Full Name of Contributor Date[MM/DD/YYYY] $ Gregory Werkheiser 10/07/2019 250 House# Street Address Date[MM/DDJYYYYJ $ 2715 East Broad Street City State Zip Code Date[MM/OD/YYYY] $ Virgina PA 23223 Full Name of Contributor Date(MM/DDJYYYY] _ $ Hannah Stehle Benick 09/28/2019 73.43 House# Street Address Date[MM/DD/YVYY] $ Chelmsford Drive City State Zip Code Date'[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date(MM/DD/YYYY) $ Lisa Keck 09/06/2019 100 House# Street Address Date[MM/DD/YYYY( $ 3828 Carriage House Drive City State Zip Code Date[MM/DD/YYYY) $ Camp Hill PA 17011 Full Name of Contributor / Date[MM/OD/YYYYj $ House# Street Address Date[MM/DD/YYYY] .5 City State Zip Code Date[MM/DD/MY] $ Full Name of Contributor Date[MM/OD/YYYYJ $ House 4$ Street Address Date(MM/DD/YYYY) $ City State Zip Code Date(MM/DD/YYYY) $ Full Name of Contributor Date[MM/DO/YYYY] $ House# Street Address Date[MM/DD/YYYY) $ City State Zip Code Date[MM/DD/YYYY] S. PART C Contributions Received From Political Committees Over$250.00 Use this Part to itemize only contributions received from Political Committees with an aggregate value over$250.00 in the reporting period. Filer Identification Number: 83-4101537 Full Name of Date[MM/DD/YYYY] $ Contributing Committee NA House# Street Address Date[MM/DO/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DO/YYYY) $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DO/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DO/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY) $ PART D All Other Contributions Over$250.00 Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) Filer Identification Number: 83-4101537 Full Name of Contributor Date[MM/DO/YYYY] $ NA House# Street Address Date IMM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYY] $.., Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYYJ $ House It Street Address Date[MM/DD/YYYYJ City State Zip Code Date IMM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date(MM/DD/YYYY] $ House It Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYYJ $ House it Street Address Date.IMM/DD/YYYY] $ City State Zip Code Date[MM/Dp/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business PART E Other Receipts REFUNDS,INTEREST INCOME,RETURNED CHECKS,ETC. Use this Part to report refunds received,interest earned,returned checks and prior expenditures that were returned to the filer. Filer Identification Number: NA Full Name House# Street Address City State Zip Date[MM/DD/YYYYJ $ Code Receipt Description Full Name House# Street Address City State Zip - Date[MM/DD/YYYYJ $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYYJ $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYYJ $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYYJ $ Code Receipt Description SCHEDULE II IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD DETAILED SUMMARY PAGE IFiler Identification Number: 83-4101537 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR I TOTAL for the reporting period (1) $ 0 I . IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) 11 TOTAL for the reporting period (2) $ 419.35 t3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ 0 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $ PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter on Page 1,Report Cover Page,Item F) 419.35 SCHEDULE ii PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number: 83-4101537 Full Name of Contributor Date[MM/DD/YYYYj $ Cumberland County Democratic Committee 08/25/2019 estimated$250 House it Street Address Date[MM/DD/MY] $ 46 W.Louther St.P.O.Box 1121 City State Zip Code Date(MM/DD/YYYY] $ Carlisle PA 17013 Description of Contribution Combined Literature for walking fliers and access to vote builder Full Name of Contributor Date[MM/00/YYYYj $ Jenna and Mark Behringer 10/09/2019 169.35 House# Street Address Date[MM/DD/YYYY] $ 888 Mandy Lane 10/20/2019 City State Zip Code Date(MM/DO/YYYY] $ Camp Hill PA 17011 Description of Contribution Website design and video services Full Name of Contributor Date[MM/DD/YYYY] $ House It Street Address Date[MM/DD/YYYYI $ City State Zip Code Date[MM/DD/YVYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYYI $ House# Street Address Date(MM/DD/YYYY] $ City State Zip Code Date IMM/DD/YYYYJ $ Description of Contribution Full Name of Contributor Date[MM/DO/YYYYj $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ Description of Contribution SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Filer identification Number: 83-4101537 Full Name of Contributor Date[MM/OD/YYYYJ $ NA House IS Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date IMM/DD/MY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date(MM/DD/YYYYJ $ . Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution 11 Full Name of Contributor Date[MM/DO/MY] 5 House# Street Address Date(MM/DO/YYYYJ $ City State Zip Code Date[MM/DD/YYYY] Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution SCHEDULE III Statement of Expenditures Filer Identification Number: 83-4101537 To Whom Paid Date(MM/DD/YYYY] $ NONE House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date(MM/DD/YYYY) $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date(MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/WW] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date(MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date(MM/DD/WW] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date(MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code SCHEDULE IV Statement of Unpaid Debts Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. Filer Identification Number: 83-4101537 Name of Creditor Ryan Argot Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 1034 Chelmsford Drive {MM/OD/YYYtI] 09/10/2019 City State Zip 125.88 Mechanicsburg PA Code 17050 Description of Debt Payment for Car Magnets from Artistic Imprints Name of CreditorRyan Argot Outstanding Balance of Debt House It Street Address DATE DEBT INCURRED $ 1034 Chelmsford Drive [MM/DO/YYYY] 07/25/2019 City Mechanicsburg State PA Zip 17050 122 Description of Debt Payment for Shirts from EBexpress Name of Creditor Ryan Argot Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYYJ 1034 Chelmsford Drive 09/03/2019 City Mechanicsburg State PA Zip 17050 399.28 Code Description of Debt Payment for Signs on the Cheap Name of Creditor Ryan Argot Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 1034 Chelmsford Drive {MM/DD/YYYYJ 04/28/2019 City Mechanicsburg State ZiPA Copde 17050 210.95 Description of Debt Payment for Signs on the Cheap Name of Creditor Ryan Argot Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 1034 Chelmsford Drive {MM/DD/YYYYJ 09/07/2019 City Mechanicsburg State PA Zip 17050 50.88 Code Description of Debt Payment for buttons Name of Creditor Outstanding Balance of Debt House It Street Address DATE DEBT INCURRED $ (MM/DD/YYYY) City State Zip Code Description of Debt