By submitting the form above, I verify the following statements are accurate and true:
- This contribution is made from my own funds and will not be reimbursed by any other person or entity;
- This contribution is not made from the treasury funds of a corporation, labor union, or national bank;
- I am a U.S. citizen or lawfully admitted permanent U.S. resident
Federal Election Law requires political committees to report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $200 in a calendar year.