DR. WHITE 4 SCHOOL BOARD 2022

1 Contribution

  • $1300.00

  • $1000.00

  • $500.00

  • $250.00

  • $100.00

  • $50.00

2 Personal Information

First Contributor
Joint Address
First Contributor

If you are retired, please put: Occupation: Retired, EmployerNone

If you are unemployed,  please put: Occupation: Unemployed, Employer: None

If you are a stay-at-home parent,  please put: Occupation: Stay-at-home parent, Employer: None

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

Credit Card Icon

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 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 $1300. 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.