I certify that I am NOT a principal of a state contractor or prospective state contractor.
I certify that I am either a United States citizen or a foreign national with permanent resident status in the United States.
I certify that I have provided my residential address.
I certify that this contribution is being made on my personal debit or credit card for which I have legal obligation to pay and intend to pay from my own personal funds, is not being reimbursed in any manner, is not being made as a loan, and is not an otherwise prohibited contribution and that payment is not made from the funds of a corporation, labor organization, or any other entity.
I hereby certify that all information disclosed by me on this contributor form is true and accurate to the best of my knowledge and belief. Click here for the Definitions of Terms