CONTRIBUTOR CERTIFICATION:

I hereby certify that:

• I am a United States citizen or a permanent resident alien.

• The funds being contributed are my own and were not provided to me by another person or entity for the purpose of making this contribution.

• I am not prohibited by State or Federal law from making this contribution.

• I do not currently have a redevelopment contract that receives State money in the legislative district which the Legislator receiving this contribution represents.

Proceeds will benefit Friends of Annetta Piperno and Eulner for LD11. New Jersey law prohibits entities operating in certain regulated industries (casinos, financial institutions, insurance companies, utilities) from contributing. Election Law allows contributions with a limit of $2,600 per candidate (total $7,800), per election cycle from individuals and corporations and $8,200 per candidate (total $24,600), per election cycle from PAC’s.

A partnership or limited liability company may not contribute as an entity. However, a check from a partnership or limited liability company may be accepted so long as it is accompanied by a letter allocating the contribution to the individual partner(s) or member(s) and is signed by each contributing partner or member. The letter must include each contributing partners’ home address. A partner’s total contribution, through the partnership and personally, cannot exceed the $2,600 per candidate (total $7,800), per election limit. Contributions are not deductible for income tax purposes.

Cash contributions will not be accepted. Contributions are not deductible for federal tax purposes.

Friends of Annetta Piperno and Eulner for LD11

Ron Gravino, Treasurer

PO Box 999 Edison NJ 08818