Professional Documents
Culture Documents
Kevin de Leon For Senate 2014 Remit Form PLEASE NOTE NEW ADDRESS
Kevin de Leon For Senate 2014 Remit Form PLEASE NOTE NEW ADDRESS
In order to comply with state law, please provide the following information:
NAME OF
CONTRIBUTOR________________________________________________
STREET ADDRESS
______________________________________________________
CITY _______________________ STATE ________
ZIP __________________
PHONE __________________________ FAX ____________________________
EMPLOYER
_____________________________________________________________
OCCUPATION ________________________________________________________
IF SELF-EMPLOYED, NAME OF BUSINESS ______________________________
Visa
MasterCard
American Express
_______________________________________________________________
Contributions to Kevin De Len for Senate 2014 (ID #1334203) are not tax deductible as charitable
contributions for federal income tax purposes. Kevin De Leon for Senate 2014 may accept
contributions of up to $3900 for the general election from individuals, businesses, corporations,
unions and PACs, and up to $7800 for the general election from Small Contributor Committees.
Couples may contribute up to $7800 from a
joint checking account if both account holders sign the check. Contributions must be from the donors
own funds and may not be reimbursed by any other person. Contributions from foreign nationals are
prohibited..
Paid for by Kevin de Len for Senate 2014, 550 South Hope Street, Suite 1910, Los Angeles, CA 90071
Computer Generated Entirely In-House