Va. Code § 3-8; W. Va. C.S.R. § 146-3).
By submitting this form, you acknowledge/certify that:
1. This contribution is made from your own personal funds and is not being reimbursed or funded by another person or entity.
2. You are not contributing in the name of another person.
3. You are a U.S. citizen or a lawfully admitted permanent resident alien.
4. You are not a foreign national prohibited from making contributions in connection with a U.S. election.
5. This contribution does not exceed the legal limit of $2,800 per person per election (Primary and General Elections are counted separately).
6. You are not a corporation, labor union, or membership organization making a direct contribution to a candidate committee, as such contributions are prohibited under W. Va. Code § 3-8-8.
7. You are not making this contribution in connection with a contract with the State of West Virginia or any of its subdivisions, departments, or agencies.
**All contributions are a matter of public record** and are reported to the appropriate filing authority in accordance with West Virginia law.
**Anonymous contributions cannot be accepted.
** Any contribution for which a donor cannot be identified must be turned over to the West Virginia General Revenue Fund. (W. Va. Code § 3-8-5a(j))
**If you are a state, county, or municipal government employee, please disregard this solicitation.
** Solicitation of contributions from public employees at their workplace is prohibited under W. Va. C.S.R. § 146-3-10.7.