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Home My WebLink AboutFriends of Dr Ryan Argot - 2021 Annual Report tiPennsylvania Department of State Bureau of Campaign Finance&Lobbying Disclosure 500 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.pa.gov/campaignfinance • ra-stcampaignfinance@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. ci ❑ Cycle 1 0 Cycle 2 ❑ Cycle 3 0 Cycle 4 0 Cycle 5 6th Tuesday 2nd Friday 30 Day 6thTuesday 2nd Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election ❑ Cycle 6 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 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 a companying Campaign Finance Report is true and correct. Signature of Treasurer, Candidate, or Lobbyist Date (MM/DD/YYYY) 4( 1. '✓;7 (, ) ; t j(`•r/✓ l (V)( t- I1411t<' Y r (W. r' (- Printed Name Location (City/State/Country) DSEB-502R Updated 1/5/2022 Pennsylvania Department of State Bureau of Campaign Finance&Civic Engagement '' 500 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) - www.dos.pov/campaignfinance • ra-stcampaignfinance@pa.gov Part!!-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 accompanying Campaign Finance Report is true and correct. 'f ? `7 -.) •- . /72 / /2 2 • Signature of Treasurer„,CAdidate, or Lobbyist Date (MM/DD/YYYY) • /<. e, A- "L ill er 4 › iic. P-4 Printed Name Location (City/State/Country) DSEB-502R Updated 1/5/2022 II II Reset Form C 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) n 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) 1-6th Tuesday 2- 2"d Friday 3-30 Day Post 4-6rhTuesday 5-2"d Friday 6-30 Day Post 7-Annual Special 2"d Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election 4 I X Date Of Election Year Amendment Termination (MM/DO/YYYY) 11/2/2021 2021 Report i Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 11/23/21 12/31/2021 A.Amount Brought Forward From Last Report $ 1437.37 0 B.Total Monetary Contributions and Receipts $ r..s (From Schedule I) 0 CO (.... C.Total Funds Available $ I''S V' (Sum of Lines A and B) 1437.37 D.Total Expenditures ' $ Z V' (From Schedule III) 1075.29 a 320 E.Ending Cash Balance $ 362.08 C", = (Subtract Line D from Line C) 0 C CO F.Value of In-Kind Contributions Received $ (From Schedule II) 0 ...44 N Cn 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 knowledge and belief true,correct and complete. Sworn to and subscribed before me this i .,_; • day of 20 j I /Signature of Person,Submitting report Signature r �/j Printed Nam My Commission expires I r1:�J 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 I Signatu f Ca didate \i( • Signature I Printed Nam, • My Commission expires 7/7 h i2 e> 7 -'2- MO. DAY YR. Area Code Daytime Telephone Number SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number 834101537 11.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 0 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) $ 0 Total for the reporting period (2) $ 0 3.Contributions Over$250.00(From Part C and Part D)I I 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) 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 Poge 1,Report • Cover Page,Item 8) 0 • 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) $ NA 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ NA 3. 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) NA SCHEDULE III Statement of Expenditures Filer Identification Number: 834101537 To Whom Paid Date[MM/DD/YYYYJ $ Ryan Argot 1075.29 11/24/21 House# Street Address Description of Expenditure 1034 Chelmsford Drive City State Zip Mechanicsburg PA Code 17050 Reimbursement To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DDJYYYY] $ 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 j Zip 11 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 To Whom Paid Date[MM/DD/YYYY] $ House# Street Address' Description of Expenditure City State Zip Code