I am a United States citizen or
a permanent resident alien.
This contribution is not made
from the general treasury funds
of a corporation, labor organization
or national bank.
This contribution is not made
from the treasury of an entity
or person who is a federal contractor.
The funds I am donating are not
being provided to me by another
person or entity for the purpose
of making this contribution.
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. Your contribution
will be used in connection with
Federal elections and is subject
to the limits and prohibitions
of the Federal Election Campaign
Act.
Your
contribution is not tax-deductible
as a charitable contribution for
Federal income tax purposes.