1 Contribution

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  • $250

  • $500

  • $750

  • $1000

  • $1200

  • $1500

2 Personal Information

First Contributor
Joint Address
First Contributor

If you are retired, please put: Occupation: , Employer:   retiredRetiredNot employed

If you are unemployed,  please put: Occupation: Unemployed, Employer: Not employed

If you are a stay-at-home parent,  please put: Occupation: Stay-at-home parent, Employer: Not employed 

If you are self-employed or an independent contractor and do business under your first and last name, please put: Occupation: <describe your business>, Employer: First and Last Name

 If you are self-employed and do business under a business name, please put: Occupation: <describe your business, i.e., "photographer">, Employer: The name that people put on checks to your business, i.e., "Jake's Discount Photography"

If you are employed by a company, please put Occupation: <describe your job title, i.e., "Director of Sales">, Employer: <the name of your employer>.

3 Additional Information

4 Payment Method

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Your credit card verification code (CVC) is a 3 or 4 digit number. It can be found on the back of your card.

This is the custom employment information requirements message

I certify the following:

?   This contribution is not being made under a false name, is not being made under another person’s name, has not been reimbursed, and will not be reimbursed.

?  This contribution does not cause me to exceed my contribution limit of $1,500.00.  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.e., green card holder).

?  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, sub-contractor, principal, or underwriting firm that is prohibited from contributing under Los Angeles City Charter  § 470(c)(12) or 609(e).


I certify under penalty of perjury under the laws of the City of Los Angeles and the state of California that all of the information in this contributor certification is true and correct.