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Home My WebLink AboutArgot, Ryan - 2021 Annual Report Pennsylvania Department of State I Bureau of Campaign Finance&Lobbying Disclosure bifif 500 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.pa&ov/camp.aipnfinance • ra stcamp_aignf.nance@.pa.gov Unsworn Declaration 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), 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 Reports. This form must be signed by hand where a signature is required. ❑ Cycle 1 ❑ Cycle 2 0 Cycle 3 ❑ Cycle 4 0 Cycle 5 6`h Tuesday 2nd Friday 30 Day 61h Tuesday 2"d Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election 0 Cycle 6 ycle 7 0 Cycle 8 0 Cycle 9 30 Day Post-Election ( Annual Report 2nd 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 accompanying Campaign Finance Report is true and correct. -7 ? // 6 j ' c , ` L-Signature of Treasurer,.Candidate, or Lobbyist Date (MM/DD/YYYY) Printed Name / Location (City/State/Country) DSEB-502R Updated 1/5/2022 H II Reset Form I Print Form 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) 1-61h Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday Li5.2^d 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 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 11/23/2021 12/31/2021 A.Amount Brought Forward From Last Report $ 1075.29 B.Total Monetary Contributions and Receipts $ (From Schedule I) 1075.29 C.Total Funds Available $ (Sum of Lines A and B) 0 D.Total Expenditures $ 0 (From Schedule Ili) E.Ending Cash Balance $ (Subtract Line D from Line C) 0 F.Value of In-Kind Contributions Received $ (From Schedule II) 0 G.Unpaid Debts and Obligations $ . (From Schedule IV) 0 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 _. —;: '---Y day of 20 �1 ? ,Signature of Person S itting report Signature r 1-4 7 Printed Name/. My Commission expires 7/1 612 G 7 1` 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.Unitemized Contributions and Receipts-$50.00 or less per Contributor I Total for the reporting period (1) $ 0 2.Contributions of$50.01 to $250.00(From Part A and Part B) I Contributions Received from Political Committees(Part A) $ p All Other Contributions(Part B) $ 0 Total for the reporting period (2) $ 0 t 3.Contributions Over$250.00(From Part C and Part D) !`Contributions Received from Political Committees(Part C) $ 1075.29 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 . Cover Page,Item B) 107 S 2 i 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 11/24/2021 1075.29 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/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYI $ 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] $