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Home My WebLink AboutFriends of Dr. Ryan Argot - 2019 30-Day Post Election Reset Form f Print Form Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification 83-4101537 Report Filed By Candidate Committee Lobbyist — 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) I-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2"Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election I X Date Of Election Year Amendment Termination (MM/DD/YYYY) 11/5/2019 2019 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 10/22/2019 11/25/2019 A.Amount Brought Forward From Last Report $ 655.43 B.Total Monetary Contributions and Receipts $ ' (From Schedule i) 114.57 ' C.Total Funds Available $ ' t (Sum of Lines A and B) 770 7 i t D.Total Expenditures $ I (From Schedule III) 732.92 t E.Ending Cash Balance $ '"o t (Subtract Line 0 from Line C) 37.08 , F.Value of In-Kind Contributions Received $ • (From Schedule II) 0 / G.Unpaid Debts and Obligations $ -, (From Schedule IV) 336.50 Affidavit Section Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. I swear(or affirm)that this report,including the attached schedules on paper,is to the best of my knowledge and belief true,correct and complete. Sworn to and subscribed before me this 2 dl day of 1U0 J'r.b✓ 20 %1 ./// / �ll Si at bt_ P t",4/ ittin�g feport /ti/i-Gl L ignature �. Printed Name �J�}/� My Commission expires'i AA O o Z�1 / / 7 -5O `, • { - ! q 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 an, .elief this political committee has not violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as amended. ‘ Swo n to and subscribed before me this �' / o r ` day of �f'Ie.r20 �is,�''�,,lJEO�'4 �i 4000100---.0,,-- ♦.�Ji�/�, /�/1 ''.r,4.q> 4,7 4- 40.,, , Signature of .••.id to 1,��'V�jf 644.. Vct,�4 li.i^ /7y � Signature %� ,..,40. et.. Printed Name My Commission expire aA"` /I/ 4W �66�0,13 ' 7 f 7 kiNLIVONWW9An0 MO. DAY YR. Area Code Daytime Telephone Number 81 :21 W 4 'i- 330 6101 COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL Kristina Rodriguez,Notary Public Straban Twp.,Adams County My Commission Expires Jan.6,2021 MEMBER.PENNSYLVANIAASSOCIATION OF NOTARIES el SCHEDULE I Contributions and Receipts Detailed Summary Page IFiler Identification Number I83-4101537 I 11.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 14.57 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 B) $ 100 Total for the reporting period (2) $ 100 13.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 0 Total for the reporting period (3) $ 0 I4.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 Cover Page,Item B) 114.57 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 83-4101537 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] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee 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] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee 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] $ 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] $ Carol Staz 10/24/2019 100 House# Street Address Date(MM/DD/YYYY] $ 3800 Lamp Post Lane City State Zip Code Date(MM/OD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date(MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ Full Name of Contributor Date(MM/OD/YYYY) $ House# Street Address Date[MM/OD/YYYYJ $ City State Zip Code Date[MM/DO/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date(MM/DD/YYYY) $ City State Zip Code Date[MM/DD/YYYYJ $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/OD/YYYYJ $ Full Name of Contributor Date[MM/DD/YYYY) $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ 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/OD/YYYY] $ Contributing Committee NA House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/OD/YYYY] $ Full Name of bate[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 St 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] $ 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/DD/YYY1 $ 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/DD/YYYY] $ NA House# 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/YYYY] $ House# 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/YYYY] $ House U 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/YYYY] $ House U Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/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/YYYY] $ 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/OD/YYYY] $ 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/YYYY] $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/OD/YYYY] $ 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 Filer 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 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) f TOTAL for the reporting period (2) $ 0 I3. 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) 0 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/YYYY] $ NA House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYY] $ Description 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] $ Description of Contribution Full Name of Contributor Date(MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/00/YYYY] $ Description 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] $ 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/DD/YYYYJ $ NA House it Street Address Date[MM/DD/YYYY] $ 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[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 Description Place of Business of Contribution Full Name of Contributor Date]MM/DD/YYYY] $ House Si Street Address Date[MM/DD/YYYY] $ 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[MM/DD/YYYYI $ House It Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution SCHEDULE Ill Statement of Expenditures Filer Identification Number: 83-4101537 To Whom Paid Date[MM/DD/YYYY] $ Ryan Argot 732.92 10/25/2019 House U Street Address Description of Expenditure 1034 Chelmsford Drive City State Zip Mechanicsburg PA Code 17050 Payment of campaign loan To Whom Paid Date[MM/DD/YYYY] $ House It Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/OD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House U Street Address Description of Expenditure City State Zip Code To Whom Paid Date IMM/DD/YYYY] $ House It Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House Si Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House ti Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House g 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 t! Street Address DATE DEBT INCURRED $ 1034 Chelmsford Drive [MM/DD/YYYY] 10/22/2019 City Zip Mechanicsburg State PA Code 17050 81.50 Description of Debt • Payment for shirts Name of Creditor Ryan Argot Outstanding Balance of Debt House U Street Address DATE DEBT INCURRED $ 1034 Chelmsford Drive [MM/DD/YYYY] 10/23/2019 City Zip Mechanicsburg State PA Code 17050 25 Description of Debt facebook ad Name of Creditor Ryan Argot Outstanding Balance of Debt House it Street Address DATE DEBT INCURRED $ [MM/DD/YYYYI 1034 Chelmsford Drive 10/30/2019 City Zip Mechanicsburg State PA 17050 25 Code Description of Debt facebook ad Name of Creditor Ryan Argot Outstanding Balance of Debt House N Street Address DATE DEBT INCURRED $ 1034 Chelmsford Drive [MM/DD/YYYY] 11/5/2019 City Mechanicsburg State PA ZidCe 17050 25 Description of Debt facebook ad Name of Creditor Ryan Argot Outstanding Balance of Debt House it Street Address DATE DEBT INCURRED $ 1034 Chelmsford Drive [MM/DD/YYYY] 11/08/2019 City State PA Zip 17050 3.93 Mechanicsburg Code Description of Debt facebook ad Name of Creditor Outstanding Balance of Debt House if Street Address DATE DEBT INCURRED $ [MM/DD/YYYY[ City State Zip Code Description of Debt