For check contributions, please download this form and mail to Nithya Raman for City Council 2020, 16633 Ventura Blvd. #1008, Encino CA 91436
Personal Contributions: List Your Employer, (If Self Employed, list business name)Business Contributions: List Name of Business. Please be specific: i.e. XYZ Company, Retired, Unemployed
Personal Contributions: List Your OccupationBusiness Contributions: List Your Title at Business. Please be specific. I.E. Marketing Director, Owner, Film Editor, Retired, Unemployed, etc
I certify the following: This contribution is not being made under a false name, is not being made under another person’s name, and has not been and will not be reimbursed. This contribution does not cause me to exceed my contribution limit of $800. I understand that all contributions I make to this candidate or committee must be cumulated. 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 a United States citizen or a lawfully admitted permanent resident (i.e., green card holder). 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, sub-contractor, principal, or underwriting firm that is prohibited from contributing under Los Angeles City Charter § 470(c)(12) or 609(e).
I certify under penalty of perjury under the laws of the City of Los Angeles and the state of California that all the information above is true and correct.
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