I certify that the following statements are true and correct:
• This contribution is made from my own funds and not those of another.
• This contribution is not made from the general treasury funds of a corporation, business entity, labor unions 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.
Contributions to The Jefferson Griffin Committee 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 $5,200 per election. Couples may contribute $10,400 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.