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 $1200. 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.