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$900.00
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Please select a contribution amount
Please select an even decimal contribution amount if giving as a couple.
If you are retired, please put: Occupation: Retired, Employer: None
If you are unemployed, please put: Occupation: Unemployed, Employer: None
If you are a stay-at-home parent, please put: Occupation: Stay-at-home parent, Employer: None
If you are self-employed or an independent contractor and do business under your first and last name, please put: Occupation: <describe your business>, Employer: First and Last Name
If you are self-employed and do business under a business name, please put: Occupation: <describe your business, i.e., "photographer">, Employer: The name that people put on checks to your business, i.e., "Jake's Discount Photography"
If you are employed by a company, please put Occupation: <describe your job title, i.e., "Director of Sales">, Employer: <the name of your employer>.
CVC on Visa/MasterCard/Discover is a 3 digit code on the back of the card. CVC on AMEX is a 4 digit code on the front of the card.
I certify under penalty of perjury under the laws of the City of Los Angeles and the state of California that all of the following statements are true and correct.
• This contribution is not being made under a false name, or not being made under another person’s name, and has not been and will not be reimbursed.
• This contribution does not cause me to cumulatively or in the aggregate exceed the contribution limit of $900. I understand that a contribution from another individual or entity whose contribution activity I control, such as a business that I own or control, must be aggregated with this contribution, and both contributions will be treated as a single contribution from me.
• I am not a lobbyist or lobbying firm that is prohibited from contributing under Los Angeles City Charter § 470(c)(11).
• I am not a bidder, subcontractor, principal, or underwriting firm that is prohibited from contributing under Los Angeles City Charter § 470(c)(12) or 609(e).
• I am not a planning applicant, owner, or principal that is prohibited from contributing under Los Angeles Municipal Code §49.7.37.
• I am a United States citizen or a lawfully admitted permanent resident (i.e., green card holder).
• This contribution is from my personal funds.
• The address provided is my residence address.
• The information provided regarding my occupation and employer is correct.
Total donation amount may not exceed $900.00
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Only use the above payment option(s) for individual contributions. Contribute by credit card for corporate or couple donations
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