This recurring donation will process on 22nd of every month.
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First Contributor
Responsible Officer is the Name of Individual with Primary Responsibility for Approving this Contribution
Second Contributor
Joint Address
First Contributor
If you have no occupation or employer, do not leave blank. For occupation use general terms such as 'manager', 'homemaker', or 'none.' If not employed by a company, use terms such as 'self', 'retired', or 'unemployed.'
Second Contributor
If you have no occupation or employer, do not leave blank. For occupation use general terms such as 'manager', 'homemaker', or 'none.' If not employed by a company, use terms such as 'self', 'retired', or 'unemployed.'
The maximum contribution amount is $800.00. Please lower your contribution amount.
Your credit card verification code (CVC) is a 3 or 4 digit number. It can be found on the back of your card.
Please select a contribution amount
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 $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.
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 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 address, occupation, and employer is correct.
Apple Pay is for individual contributions only. Contribute by credit card for corporate or couple donations
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