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