HomeMy WebLinkAboutArgot, Ryan - 2021 30-Day Post Election Pennsylvania 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/campdignfinance • ri•gcampaianfiridrue/oa, ov
Unsworn Declaration in Lieu of Sworn Statement for
Campaign Finance Statements
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), Non-Bid Contract Reporting Form (DSEB-504) 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 Statements. This form must be
signed by hand where a signature is required.
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rye, G0+
0 Cycle 1 0 Cycle 2 0 Cycle 3 0 Cycle 4 ❑ Cycle 5
6th Tuesday 2"d Friday 30 Day 6th Tuesday 2nd Friday
Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election
Jae 6 0 Cycle 7 0 Cycle 8 0 Cycle 9
30 Day Post-Election Annual Report 2"d Friday Pre-Special Election 30 Day Post-Special Election
Part I — If this form is submitted with a statement in lieu of full report by a political
committee, the treasurer must sign here. If this form is submitted with a statement in lieu
of a full report by a candidate, the candidate must sign here. If this form is submitted with
a statement in lieu of full report by a contributing lobbyist, the lobbyist must sign here.
l declare under penalty of perjury under the law of the Commonwealth of Pennsylvania
that the accompanying Campaign Finance Statement is true and correct.
Signature of Treasurer, andidate, or Lobbyist Date (DD/MM/YYYY)
f G 7c' U.
Printed Name Location (City/State/Country)
DSEB-5035
Updated 1/22/2020
a
111I Reset Form Print Forth ^
fl Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification NA Report Filed By Candidate X Committee Lobbyist
Number (Mark X)
Name of Filing Committee,Candidate or
Lobbyist Ryan Argot
Street Address 1034 Chelmsford Drive
City Mechanincsburg State PA Zip Code 17050
Type of Report(Place x under report type)
1-6r"Tuesday 2- 2nd Friday 3-30 Day Post 4-60'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
1 X
Date Of Election Year Amendment Termination
(MM/DD/YYYY) 11/2/21 2021 Report Report
Summary of Receipts and From Date To Date For Office Use Only
• Expenditures
10/18/2021 11/22/2021
A.Amount Brought Forward From Last Report $ -1580.33
B.Total Monetary Contributions and Receipts $ 1500
(From Schedule I)
C.Total Funds Available $ -80.33 l " .
(Sum of Lines A and B) ; i '•
c
0.Total Expenditures $ -, ..,-4....994.96 t
(From Schedule III) CO
E.Ending Cash Balance $ ; Y"
(Subtract Line D from Line C)
-1075.29 a..::s
F.Value of In-Kind Contributions Received $ C•i
(From Schedule II) 0 C'-
r..,. N
G.Unpaid Debts and Obligations $ - F •
(From Schedule IV) 0 --i .r
Affidavit Section —.4
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 .——
day of 20 c
I ...„Signature of Pere Submitting report
Signature 1 I Printed'N me
My Commission expires 7/r E/.2 C% 7.i 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 I 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
I
1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor
Total for the reporting period (1) $
0
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) $ 0
Total for the reporting period (2) $
0
I 3.Contributions Over$250.00(From Part C and Part D)
I
Contributions Received from Political Committees(Part C) $ 1500
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) 1
Total for the reporting period (4) $ 1
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) 0
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:
NA
Full Name of Date[MM/DD/YYYY] $
Contributing Committee Friends of Dr.Ryan Argot 11/9/2021 1500
House# Street Address Date[MM/DD/YYYY] $
1034 Chelmsford Drive
City State Zip Code Date[MM/DD/YYYY] $
Mechanicsburg PA 17050
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/YYYYJ $
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/YYYYj $
Full Name of Date[MM/DD/YYYYJ $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
SCHEDULE III
Statement of Expenditures
Filer Identification Number:
NA
To Whom Paid Date[MM/DD/YYYY] $
Facebook 35
10/18/2021
House# Street Address Description of Expenditure
1 Hacker Way
City Menlo Park State CA Zide 94025 Advertising
To Whom Paid Date[MM/DD/YYYY] $
Facebook 50
10/25/21
House# Street Address Description of Expenditure
1 Hacker Way
City State Zip
Menlo Park CA Code 94025 Advertising
To Whom Paid Date[MM/DD/YYYYJ $
Facebook •
62.55
11.8.21
House# Street Address Description of Expenditure
1 Hacker Way
City State Zip Advertising
To Whom Paid Date[MM/DD/YYYYj $
Scale to Win 275.10
11.5.21
House# Street Address Description of Expenditure
13742 Harper Street
City State I Zip
Santa Anna CA Code 92703 texting
To Whom Paid Date[MM/DD/YYYY] $ •
Zippity Print 572.31
10.23.21
House# Street Address Description of Expenditure
1600 E 23rd St
City State Zip Cleveland OH Code 44114 Mailer(postage)
To Whom Paid Date[MM/DD/YYYYJ $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date IMM/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 I State Zip
Code