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

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Credit Card

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Electronic Check


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By clicking the donate button below, I acknowledge that my payment is being made to Democracy Engine, who accepts the responsibility of distributing the funds to my designated recipient(s) in accordance with applicable campaign finance laws. My card or bank statement will show a payment to “Democracy Engine” or “DEMENG” and if there are any issues or discrepancies with the payment or I wish to revoke the payment, I can contact Democracy Engine at support@democracyengine.com. Democracy Engine will charge each recipient an applicable service fee.

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