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Please select an even decimal contribution amount if giving as a couple.
EMPLOYER: If self-employed, enter the name of your business; if unemployed enter 'none'
OCCUPATION: Please complete even if self-employed with the type of work you do; enter 'none' if unemployed.
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I am an individual, 18 yrs or older and this contribution is from my personal funds, or I am a business owner or controlling officer and this contribution is from my business funds. I understand that this contribution is to Anais Medina for Rio Hondo College Board 2026 ID#1434829. I certify the following:
• This contribution is not being made under a false name, is not being made under another person’s name, and has not been and will not be reimbursed back to me.
• The contribution limit for this committee is $5,900 per contributor per election.
• I understand that all contributions I make to this candidate or committee must be cumulated.
• 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 a United States citizen or a lawfully admitted permanent resident
• I am not a person or business that is prohibited from contributing.
• I certify under penalty of perjury under the laws of the County of Los Angeles and the State of California that all of the information above is true and correct.
捐款总额不得超过 $5900.00
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