By submitting the form above, I confirm that the following statements are true and accurate:
I am a citizen or permanent resident in the United States.
The funds I am contributing are my own personal funds and not those of another person or entity.
Donations are not deductible as charitable contributions for federal income tax purposes. Corporate and foreign national contributions are prohibited by law. Not printed at taxpayer expense.
The law requires us to obtain and report the name, mailing address, occupation and name of employer for each individual whose contributions exceed $200 in an election cycle.