TEST PAGE for Patrick Kennedy for DC Ward 2 Council

D.C. OFFICIAL CODE § 1-1163.32b (b) requires that each qualified small dollar contribution from a District of Columbia resident individual and contribution from a Non-District of Columbia resident individual be acknowledged by a physical or digital receipt to the contributor, with a copy to be retained by the candidate.

This form must be completed by each individual making a contribution to a candidate.

Contributor

Employment

To comply with the Office of Campaign Finance reporting requirements, please provide your employment information. If you are not employed, indicate what best describes your employment status (e.g. “homemaker”, “retired”, “student”, or “unemployed”). If self-employed, indicate employer as “self” and provide your occupation and employment address.
e.g. 1234 Main St., My Town, NY 01234
If self-employed, enter 'self'; if unemployed enter 'none' or 'retired'.
Please complete even if self-employed; enter 'none' or 'retired' if unemployed.

Legal Compliance

Additional Information

Enter full legal name
Enter today's date [mm/dd/yyyy]

Recipients & Amounts

  • Test Recipient
    $
  • TOTAL

Select a payment method to continue …

Credit Card

Four_cards

Electronic Check


Omit any dashes or spaces
Omit any dashes or spaces
Contributions to political candidates and committees are not deductible for federal income tax purposes.

SUBMISSION OF LATE, FALSE, ERRONEOUS, OR INCOMPLETE INFORMATION MAY SUBJECT THE PERSON TO THE PENALITES OF D.C. OFFICIAL CODE § 1-1163.35