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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 sole proprietorship name: Employer: If multiple employers and one is a state contractor, list the contractor. If self-employed, provide business name. (Ex: Dave's Painting. Others: retired, unemployed, student, homemaker.) Principal Occupation: If self-employed, provide job description. (Ex.: retired, unemployed, student, homemaker.) Age (Please see restrictions regarding contributions from minors) Are you a principal of a state contractor or prospective state contractor? If yes, please indicate which branch or branches of government the contract(s) is with: 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)

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