I am the contributor identified on this form, and this contribution is made with funds belonging to the contributor.
This contribution is not being provided by another person, organization, or foreign national for the purpose of making this contribution.
Please Note
Contributions are not tax deductible.
California campaign-finance law requires additional contributor information, including occupation and employer for individual contributors, to be reported for contributions of $100 or more. This includes cumulative contributions from the same contributor totaling $100 or more in a calendar year.