The URL can be used to link to this page

Home My WebLink AboutFriends of Dr. Ryan Argot - 2021 2nd Friday Pre-Election 10Pennsylvania Department of State . Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www. os.pa.rtov/campagafinancg • ra-stcamnaian)innnce(Opa.kp_v Unsworn Statement in Lieu of Sworn Statement for Campaign Finance Reports Note: Per Act 2020-15, which was signed into low on April 20, 2020 and allows for unsworn declarations, Campaign Finance Reports(form DSEB-502),Campaign Finance Statements In lieu of full reports(form OSEB-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. f -tit�T-�olue4 •orn.' ttte •e"01"tln: l : lf; rf•^' ,+tx.. +i-' .*1i•LK.i`.i. � `-,i3°Rr?c•''i+r 3.? •j�^ 'Fk "f.fA+".$' . ❑ Cycle 1 0 Cycle 2 0 Cycle 3 TA Cycle 4 0 Cycle 5 6th Tuesday 2""Friday 30 Day 6ih Tuesday 2nd Friday • Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election ❑ Cycle 6 • 0 Cycle 7 ❑ Cycle 8 0 Cycle 9 30 Day Post-Election Annual Report 2'Friday Pre-Special Election 30 Day Post-Special Election Part 1-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 fore ' g is true and correct. • /0/ 0/:, 0 1 Signature o1 treasurer,Candidate,or Lobbyist Date(DD/MM/YYYY) IflOtk/U/111 ;40—‹• c( ,csb�� 1P/9 � �- Printed Name Location(City/State/Country) D5E8.502R Updated 6/24/2020 IIPennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) wwtt,.dos pa.gov/campaignfinance • ra•sttampaienfinance@pa goy Part II-if this form is submitted with a report by a Candidate's Authorized Committee,the candidate must sign here. I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the foregoing is true and correct. gym . f Signature of Treasurer, idate,or Lobbyist Date(DD/MM/YYYY) A4t yfnt.eI•w ,t.:In.-4 /4I�5J/ Printed Name Location(City/State/Country) • DSEIY50211 Updated 6/24/2020 • 011 Reset Form 1 Print Form Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification Report Filed By Candidate Committee Lobbyist Number 834101537 (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) I1-6th Tuesday 2- 2"d Friday 3-30 Day Post 4-6th Tuesday S_2"d Friday 6-30 Day Post 7-Annual Special 2"tl Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election X Li Date Of Election Year Amendment Termination (MM/DD/YYYY) 11/2/2021 2021 Report Report i ) • Summary of Receipts and From Date To Date For Office Use Only • Expenditures 5/4/21 10/18/2021 - A.Amount Brought Forward From Last Report $ C") 154.72 r.a B.Total Monetary Contributions and Receipts $ fY ..r``-'Y,. (From Schedule I) 5786.17 C.Total Funds Available $ -^^ (Sum of Lines A and B) 5940.89 ..= --t D.Total Expenditures $ - — (From Schedule III) 3003.52 E.Ending Cash Balance $ f") (Subtract Line D from Line C) 2937.37 C)+ F.Value of In-Kind Contributions Received $ (From Schedule II) 341 `;°;f G.Unpaid Debts and Obligations $ ^� - (From Schedule IV) 1580.33 '` 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 wledge and belief true,correct and complete. Sworn to and subscribed before me this day of 20 I el gnature of Person Sub i 'ttin r ort Signature C l CI. Printed Name My Commission expires -7 I ! I - "�y�} .'7 $ 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 �y Signature of idate . r=r - ;t Signature I Printed Name 6 My Commission expires -7 /7 /Z fry 7.5 MO. DAY YR. Area Code Daytime Telephone Number SCHEDULE 1 Contributions and Receipts Detailed Summary Page Filer Identification Number 834101537 I1.Unitemlzed Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 537 I2.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) $ 1874.17 Total for the reporting period (2) $ NA I3.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 2875 All Other Contributions(Part D) $ 500 Total for the reporting period (3) $ 3375 I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) $ NA 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) 5786.17 PART B Ali 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: 834101537 Full Name of Contributor Date[MM/DD/YYYYJ $ Connie(Constance)Sajer 7 31 21 100 House# Street Address Date[MM/DD/YYYY] $ 140 Rodney Lane City State Zip Code Date IMM/DD/YYYYJ $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Robert Kline 100 8.18.21 House# Street Address Date[MM/DD/YYYY] $ 3828 Carriage House Dr, City State Zip Code Date[MM/DD/YYYYJ $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYYJ $ Lisa Furlong 8/20/21 100 House# Street Address Date[MM/DD/YYYY] $ 6085 Run Cross Lane City State Zip Code Date[MM/DD/YYYYJ $ Enola PA 17025 Full Name of Contributor Date[MM/DD/YYYYJ $ Charles Kline 8/19/21 100 House# Street Address Date[MM/DD/YYYY] $ 55 West Lauer Lane City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Tim Maclean 100 8.18.21 House# Street Address Date[MM/DD/YYYY] $ 508 Gale Road City State Zip Code Date[MM/DD/YYYYJ $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYYJ $ Vanessa Selby 8 17 21 100 House# Street Address Date[MM/DO/YYYYJ $ 11 Creekside Lane City State Zip Code Date[MM/DD/YYYY) $ Camp Hill PA 17011 PART B Ail 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: 834101537 Full Name of Contributor Date(MM/ODJYYYYJ $ Christine Licata 8 17 71 100 House# street Address Date jMM/DD/YYYY) $ 5006 Pellingham Circle City State Zip Code Date[MM/DD/YYYY) $ Enola PA 17025 • Full Name of Contributor Date)MM/DO/YYYY1 $ Lisa Kock 8.17.21 100 House# Street Address Date(MM/DD/YYYY] $ 3828 Carriage House Dr, 8 3 21 150 City State Zip Code Date(MM/DD/YYYY) . $ Camp Hill PA 17011 Full Name of Contributor Date)MM/DD/YYYYj $ Kelly O'Conner 8.17.21 100 House# Street Address Date[MM/DD/YYYY] $ 380 Saint Johns Drive City . State Zip Code Date(MM/OD/YYYYJ $ 380 Saint Johns Drive PA 17011 Full Name of Contributor Date(MM/DD/YYYY) $ Kathieeon Keaden 8119121 100 House# Street Address Date(MM/DO/YYYY] $ 380 Saint Johns Drive City State Zip Code Date(MM/DD/YYYY1 $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Shah Amanat 200 8.17.21 House# Street Address Date(MM/DD/YYYY) $ 26 Fargrem City State Zip Code Date)MM/DD/YYYY] $ Camp Hill PA 17011 • Full Name of Contributor Date[MM/OD/YYYYI $ Samuel and Katharine Dalke 250 9.20.21 House If Street Address Date(MM/DD/YYYY) 5 • 115 Northgate Drive Camp Hil City State Zip Code Date(MM/DO/YYYYI $ Camp Hill PA 17011 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: 834101537 Full Name of Date[MM/DD/YYYYj $ Contributing Committee Hampden Democrats 9/6/2021 500 House# Street Address Date[MM/DD/YYYY] $ 102 Saint Johns Road City State Zip Code Date[MM/DD/YYYYJ $ Camp Hill PA 17011 Full Name of Date[MM/DD/YYYY] $ Contributing Committee Turn South Central Pennsylvania Blue 1500 8/21/2021 House# Street Address Date[MM/DD/YYYY] $ 701 N 2nd Street 10/7/2021 875 City State Zip Code Date[MM/DD/YYYY] $ Hairrisbug PA 17102 Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYYJ $ 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/YYYYJ $ Contributing Committee House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYYJ $ 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: 834101537 Full Name of Contributor Date[MM/DD/YYYY] $ Gregory Werkheiser 500 9/10/21 House# Street Address Date[MM/DD/YYYY] $ 7300 Lookout Drive City State Zip Code Date[MM/DD/YYYY] $ Richmond VA 23225 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/YYYYJ $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business • Full Name of Contributor Date[MM/DD/YYYYI $ House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYYj $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYYI $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYj $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business 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: 834101537 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ estimated$341 for votebuilder,thank you cards and I2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ NA I3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) 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) 341 / SCHEDULE Ill Statement of Expenditures Filer Identification Number: NA To Whom Paid Date[MM/DD/YYYY] $ Facebook 12.63 6/10l2021 House# Street Address Description of Expenditure 1 Hacker Way City State Zip Menlo Park CA Code 94025 Advertising To Whom Paid Date[MM/DD/YYYY] $ GreenGeeks 105.12 6/15/21 House# Street Address Description of Expenditure 3411 Silverside Rd.Tatnall Building Ste 104,Wilmington, City State Zip Willmington D Code 19810 Website To Whom Paid Date[MM/DD/YYYY] $ GreenGeeks 23.90 6 29 21 House# Street Address Description of Expenditure 3411 Silverside Rd.Tatnall Building Ste 104, City State Zip website Wilmington DE Code 19810 To Whom Paid Date[MM/DD/YYYY] $ United States Post Office 1620 8.21.21 House# Street Address Description of Expenditure City State Zip Code stamps To Whom Paid Date[MM/DD/YYYY] $ • CVS 16.94 8.21.21 House# Street Address Description of Expenditure 6706 Carlisle Pike City State Zip Mechanicsburg PA Code 17050 Thank you cards To Whom Paid Date[MM/DD/YYYY] $ PaYPal 38.37 various House# Street Address Description of Expenditure City State Zip Code processing • To Whom Paid Date]MM/DD/YYYY] $ Staples 110.43 various House# Street Address Description of Expenditure 128 s 32nd Street City State Zip Camp Hill PA Code 17011 toner and paper To Whom Paid Date(MM/DD/YYYY] $ Giant 47.76 9.21.21 House# Street Address Description of Expenditure 3301 Trindle Road City Camp Hill State PA Code 17011 supplies for postage party SCHEDULE III Statement of Expenditures Filer Identification Number: 834101537 To Whom Paid Date[MM/DD/YYYYJ $ Ryan Argot 2200 8/28/21 House# Street Address Description of Expenditure 1034 Chelmsford Drive City State Zip Mechanicsburg PA Code 17050 Reimbursement To Whom Paid Date[MM/DD/YYYYj $ Ryan Argot 600 9/12/21 House# Street Address Description of Expenditure 1034 Chelmsford Drive City State Zip Mechanicsburg PA Code 17050 Reimbursement To Whom Paid Date[MM/DD/YYYY] $ Keystone Buttoneer 55.12 9/10/2021 House# Street Address Description of Expenditure 219 Briggs St. City State Zip Harrisburg ( PA Code 17102 buttons To Whom Paid Date[MM/DD/YYYY] $ 219 Briggs St. 148.40 9/16/21 House# Street Address Description of Expenditure 219 Briggs St. City State Zip Harrisburg PA Code 17102 buttons To Whom Paid Date[MM/DD/YYYY) $ • 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 _ .:To Whom Paid- - - Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code 1 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: 834101537 Name of Creditor Ryan Argot Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 1034 Chelmsford Drive [MM/DD/YYYY] various City State Zip 1580.33 Mechanicsburg PA Code 17050 Description of Debt 'ongoing campaign expenses Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ (MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ (MM/DD/YYYYj City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DO/YYYY] City State Zip Code Description of Debt