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  • all of the information disclosed by me and set forth above on this contributor form is true and accurate,
  • I am 18 years or older and either a United States citizen or a foreign national with permanent resident status in the United States, and
  • this contribution is being made from my personal funds, is not being reimbursed in any manner, and is not being made as a loan.


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  1. The law requires disclosure for each itemized contribution made by a lobbyist, the spouse of a lobbyist or any dependent child of a lobbyist who resides in the lobbyist’s household. General Statutes § 9-608 (c) (1) (H). The term lobbyist includes anyone required by law to register as a lobbyist with the Office of State Ethics because they (a) expend or agree to expend $2,000 or more in a calendar year on lobbying; OR (b) receive or agree to receive $2,000 or more in a calendar year for lobbying. General Statutes § 1-91. Individual lobbyists may contribute to candidate committees and exploratory committees for municipal office up to the limits for those offices.
  2. A “business with which you are associated” refers to any business in which the contributor is a director, officer, owner, limited or general partner, or stockholder of 5% of more of the total stock of the business.

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