Campaign finance law requires us to collect your occupation and employer information. Please enter your job title or profession under “Occupation” and the name of your employer under “Employer.” If you are not currently employed, self-employed, an independent contractor, or retired, please follow the instructions below.

• Self-employed: enter your own name under Employer (do not enter ‘self’ or ‘self-employed’).

• Independent contractor: enter job title or profession under Occupation; for Employer enter (1) the name of your principal client, or (2) the field of business activity of your principal client.

• Not employed but maintain an active professional license: enter your profession under Occupation and ‘Not employed’ under Employer.

• Not employed or retired: enter ‘N/A’ under Occupation and ‘Not Employed’ under Employer.

Donations are not tax deductible as charitable contributions for federal income tax purposes.

By making this donation, you certify that:

• I am at least 18 years old.

• I am a U.S. citizen or lawfully admitted permanent resident (green card holder).

• This contribution is made from my own funds, and funds are not being provided to me by another person or entity for the purpose of making this contribution.

• I am making this contribution with my own personal credit card or debit card and not with a corporate or business card or a card issued to another person or to an entity.

• I am not contributing more than $6,800 per election, in aggregate, for the current election cycle.