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  • The information regarding address, job title, and employer is correct;
  • Whether the contribution is being made with business or personal funds;
  • Whether the address is the contributor’s residence address (for individuals);
  • The contribution is not being made under a false name;
  • The contribution is not being made under someone else’s name;
  • The contribution does not cause you to cumulatively or in the aggregate exceed the applicable contribution limit; • The contribution has not been and will not be reimbursed;
  • The contribution is from a United States citizen or a lawfully admitted permanent resident;
  • The contribution is not from a lobbyist or lobbying firm that is prohibited from making it;
  • The contribution is not from a bidder, subcontractor, principal, or underwriting firm that is prohibited from making it; and
  • The contribution is not from a restricted developer or principal.

WITH THIS CONTRIBUTION, YOU CERTIFY

  • The information regarding address, job title, and employer is correct;
  • Whether the contribution is being made with business or personal funds;
  • Whether the address is the contributor’s residence address (for individuals);
  • The contribution is not being made under a false name;
  • The contribution is not being made under someone else’s name;
  • The contribution does not cause you to cumulatively or in the aggregate exceed the applicable contribution limit; • The contribution has not been and will not be reimbursed;
  • The contribution is from a United States citizen or a lawfully admitted permanent resident;
  • The contribution is not from a lobbyist or lobbying firm that is prohibited from making it;
  • The contribution is not from a bidder, subcontractor, principal, or underwriting firm that is prohibited from making it; and
  • The contribution is not from a restricted developer or principal.