o I hereby certify that all of the information disclosed by me and set forth above on this contributor card is true and accurate to the best of my knowledge and belief.
o I certify that I am not a principal of a state contractor or prospective state contractor (see definition of terms if you are uncertain of these terms).
o I certify that I am either a United States citizen or a foreign national with permanent resident status in the United States.
o I certify that I have provided my residential address and that I am 18 years of age or older.
o I certify that this contribution is made on my personal credit card for which I have a legal obligation to pay and intend to pay from my own personal funds, is not being reimbursed in any manner, is not being made as a loan, is not an otherwise prohibited contribution, and that payment on this card is not made from the funds of a corporation, labor organization or any other entity.