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. My contribution is not from the general treasury funds of a corporation, organization or national bank. I affirm that I am making this contribution via my personal credit or debit card for which I have a legal obligation to pay, and not through a corporate or business entity card or the card of another person. I understand that contributions to Jimmy Lindblom for State Senate are limited to $5,100 per individual or $10,200 for married couples with a joint bank account for the entire election cycle.