State Law requires political committees to report the name, physical address, occupation, and employer for each individual whose contributions aggregate in excess of $100 per election cycle. Contributions are not tax deductible for state and federal income tax purposes.
By submitting this form you hereby confirm that the following statements are true and accurate: 1) I am a United States citizen or a permanent resident alien. 2) I am making this contribution from my own funds, and not those of another.
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