HomeMy WebLinkAboutArgot, Ryan - 2021 2nd Friday Pre-Primary r_
itrifPennsylvania Department of State
Bureau of Campaign Finance&Civic Engagement
210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
www.dos.pa.gov/campaignfinance • ra-stcampaignfinance@pa.gov
Unsworn Statement in Lieu of Sworn Statement for
Campaign Finance Reports
Note: Per Act 2020-15, which was signed into law on April 20, 2020 and allows for unsworn
declarations, Campaign Finance Reports (form DSEB-502), Campaign Finance Statements In lieu
of full reports(form DSEB-503), and Independent Expenditure Reports(form DSEB-505)need not
be notarized. Instead, the filer may file with each report or statement the corresponding version
of this form signed by the required individual(s). This particular form is to be used only for
Campaign Finance Reports. This form must be signed by hand where a signature is required.
Name of Filing Committee, Candidate, or Lobbyist
Reporting Cycle Name•
❑ Cycle 1 ►'; ycle 2 ❑ Cycle 3 0 Cycle 4 0 Cycle 5
6th Tuesday "d Friday 30 Day 6th Tuesday 2nd Friday
Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election
0 Cycle 6 0 Cycle 7 0 Cycle 8 0 Cycle 9
30 Day Post-Election
Annual Report 2nd Friday Pre-Special Election 30 Day Post-Special Election
Part l- If this form is submitted with a Committee report, the treasurer must sign here. If
this form is submitted with a Candidate report, the candidate must sign here. If this report
is submitted with a report by a contributing lobbyist, the lobbyist must sign here.
I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania
that the foregoing is true and correct.
Ste/ Y(2e' 2 /
SignaturTreasurer, Candie e, or Lobbyist Date (DD/MM/YYYY)
kl) (-e
Cr+ I?/1L,c��,��s�t.,� P� GAS/l
Y Printed Name Location (City/State/Country)
DSEB-502R
Updated 6/24/2020
! I i ReJet rum'1 1 ' I lung to l l`
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed By Candidate X Committee Lobbyist
Number NA (Mark X)
Name of Filing Committee,Candidate or Ryan Argot
Lobbyist
Street Address 1034 Chelmsford Drive
City Mechanincsburg State PA Zip Code 17050
Type of Report(Place x under report type)
1-6th Tuesday 2- 2"d Friday 3-30 Day Post 4 6thTuesday 5-2"d Friday 6-30 Day Post 7-Annual Special 2na Friday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
1X
Date Of Election Year Amendment Termination
(MM/DD/YYYY) 05/18/2021 2021 Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
1/1/2021 05/03/2021
A.Amount Brought Forward From Last Report $ 479 80 C) r
C=
B.Total Monetary Contributions and Receipts $ —
0
(From Schedule I) r,i - •
C.Total Funds Available $ - _'
(Sum of Lines A and B) '479.80 - I
. Cli
D.Total Expenditures $ ` -
(From Schedule III) -509.00 u �.
E.Ending Cash Balance $ 988.80
(Subtract Line D from Line C)
F.Value of In-Kind Contributions Received $' 0 `_{ CO
(From Schedule II) --G
G.Unpaid Debts and Obligations $ 0
(From Schedule IV)
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 kno e and belief true,correct and complete
Sworn to and subscribed before me this
day of 20
. E igna re of Person Submi • "port
Ky"N .,4.9 c f
Signature Printed Name
My Commission expires 7 r 7 6 12 0 7 S 2-
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.
Sworn to and subscribed before me this
day of 20 .
Signature of Candidate
Signature Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
SCHEDULE I
Contributions and Receipts
Detailed Summary Page
Filer Identification Number
NA .
1 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I
Total for the reporting period (1) $
0
2.Contributions $50.01 to $250.00(From
Part A and Part B)of
Contributions Received from Political Committees(Part A) $ 0
All Other Contributions(Part B) $ 0
Total for the reporting period (2) $
0
3.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
4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) I
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
0
Cover Page,Item B)
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:
NA
1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR I
TOTAL for the reporting period (1) $
NA
2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F)
I
TOTAL for the reporting period (2) $
NA
3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) I
TOTAL for the reporting period (3) $ NA
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) NA
SCHEDULE 111
Statement of Expenditures
Filer identification Number:
NA
To Whom Paid Date[MM/DD/YYYY] $
Just Yard Signs 3/19/2021 y1f p
House# Street Address Description of Expenditure
2235 Mercator Dr.
City Orlando State FL CodeZip 32807 Signs and stands
To Whom Paid Date[MM/DD/YYYYJ $
Just Yard Signs
03/26/2021 6 7
House# Street Address Description of Expenditure
2235 Mercator Dr.
City Zip
Orlando State FL Code 32807 stands
To Whom Paid Date[MM/DD/YYYYj $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYYJ $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYYJ $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYYj $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYYJ $
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