I AFFIRM THAT THE FOLLOWING STATEMENTS ARE TRUE AND ACCURATE: To comply with federal law, we must use best efforts to obtain, maintain, and submit the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in an election cycle. By making a contribution, I certify that I am a United States citizen or a permanent US resident. This contribution was made from my own funds and will not be reimbursed by any other person or entity. This contribution is not made from the general treasury funds of a corporation, labor organization or national bank. Federal law requires us to report the name, address, occupation and name of employer of each contributor. The maximum an individual may contribute is $2,800 for the primary election and $2,800 for the general election, for a total of $5,600. Contributions made by both spouses on a joint check must be signed by both or their separate written authorizations. Federal multi-candidate PAC's may contribute $5,000 per election. Contributions are not tax deductible for federal income tax purposes. Contributions by corporations, foreign nationals, and federal government contractors are prohibited.