• This contribution is not made from the general treasury funds of a corporation, business entity, labor union, professional association, or insurance company.

• This contribution is made on my personal credit card for which I have a legal obligation to pay and is not made on a corporate credit card.

• I am not a foreign national who lacks permanent residence in the United States.

• I am at least eighteen years old.

Contributions to Committee To Elect Kim Coley are not deductible as charitable contributions for federal income tax purposes. Contributions from corporations, business entities, labor unions, professional associations, insurance companies, or anonymous contributions are prohibited. An individual may contribute $5,600 per election. Couples may contribute $11,200 per election from a joint account, but such a contribution requires a written consent form signed by both donors stating the amount that should be attributed to each donor. All contributions are required to be made with personal funds and not those of another. Personal/Individual Credit Cards only.

All contributors contributing over $50 for the election must be reported with the full name of the contributor, the address, employer and occupational information. If you are self-employed, please list the name of the entity that is on your paycheck. Please list your line of work. "Business Person" is not acceptable, please enter the type of business instead. If Retired or otherwise Not Employed, please include that in both fields along with the last job held, if any. Example: "retired elementary school teacher."

If you prefer to send a personal check, please make it payable to the Committee To Elect Kim Coley, include your employer and occupation in the memo line, and mail to:

Committee To Elect Kim Coley

PO Box 97275

Raleigh, NC 27624

Paid for by Committee To Elect Kim Coley