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:

1.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.

2. This contribution does not cause me to cumulatively or in the aggregate exceed the contribution limit of $800. 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.

3. I am not a lobbyist or lobbying firm that is prohibited from contributing under Los Angeles City Charter § 470(c)(11).

4. 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).

5. I am a United States citizen or a lawfully admitted permanent resident (i.e., green card holder).

6. This contribution is from my personal funds.

7. The address provided is my residence address.

8. The information provided regarding my address, occupation, and employer is correct.