By contributing, I hereby certify and state that all of the information disclosed by me and set forth on this form is true and accurate to the best of my knowledge and belief. I certify that I am either a United States citizen or a foreign national with permanent resident status in the United States. I certify that this contribution is being made from my personal funds, is not being reimbursed in any manner, is not being made as a loan, and is not an otherwise prohibited contribution. I am at least 18 years old. I understand that this contribution is NOT tax deductible.
To view definitions for various terms from the State Elections Enforcement Commission, click here.