By submitting this form, I certify that:
- Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in a calendar year.
- Contributions are not deductible as charitable contributions for Federal income tax purposes. Contributions from foreign nationals are prohibited.
- I am a U.S. citizen or lawfully admitted permanent U.S. Resident (Greencard holder), and this contribution is made from my own funds and not those of a national bank or federal government contractor, and I will not be reimbursed by any other person or entity.
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Use of the name and likeness of any candidate or officeholder is for the purpose of this PACs political communication only and IN NO WAY indicates any authorization by, affiliation with, direction from, or endorsement by that person of any kind.