I affirm that the following statements are true and accurate:
1. I am a United States citizen or a permanent resident alien.
2. The funds being contributed are my own and were not provided to me by another person or entity for the purpose of making this contribution.
3. I am not a “business entity” nor am I the spouse or child of an individual meeting the definition of a “business entity” as defined by N.J.S.A. 19:44A-20.3 et seq. and by Executive Order 117, that holds or is seeking a contract with the State of New Jersey in an amount in excess of $17,500 or I am contributing an amount less than $300.