I affirm that the following statements are true and accurate:

- I am a citizen or permanent resident in the United States.

- My contribution is not from the general treasury funds of a corporation, not for profit, labor organization or national bank.

- I am not a federal contractor.

- I am not a foreign national who lacks permanent resident status in the United States.

- I affirm that I am making this contribution via my personal credit or debit card for which I have a legal obligation to pay, and not through a corporate or business entity card or the card of another person.

- I am at least 18 years of age.

Individuals may make maximum contributions of $2,500 to the primary election and $2,500 to the general election. Married couples can donate a maximum of $5,000 per election if check is drawn from a joint account and both signatures are provided. Partnerships are also limited to $2,500 and must include the names of all partners with their percentage of ownership. Corporate contributions are prohibited by Federal Law. Cash contributions can not be accepted. Contributions from foreign nationals are prohibited.

Contributions to political committees are not deductible for Federal Income Tax purposes.

Federal Law requires the Committee to Elect Bill Flynn to use its best efforts to obtain and report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $200 in an election cycle. If you plan to mail a contribution to the campaign, please include this information along with your check.