Hubert Delany for State Representative

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Is contribution being made from the account of a sole proprietorship?*

If yes, and name is different than individual contributor, list NAME OF SOLE PROPRIETORSHIP.

Employer: If multiple employers and one is a state contractor, list the state contractor. If self-employed, provide Name of Business. (Example: Dave's Painting. Other examples: Retired, Unemployed, Student, Homemaker)*

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Are you a communicator lobbyist, OR the spouse or dependent child of a communicator lobbyist? (Communicator lobbyists may not make contributions to General Assembly candidates during the legislative session).*

Legal Terms*

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I hereby certify that all information disclosed by me on this contributor form is true and accurate to the best of my knowledge and belief.

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