2018 Candidate Statement Fundraiser

1. Amount

$

2. Your information

Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.
Contributions are not tax deductible.

3. Payment information

California law requires political committees to report the name, mailing address, occupation and the name of the employer for each individual whose contributions aggregate in excess of $100 in a calendar year. Political contributions are not tax deductible.
Please select an amount