Campaign Contributor Information This campaign is committed to transparency and accountability. The campaign will be managed to a higher standard than is normal in traditional Illinois politics. We will use our best efforts to obtain, maintain and submit the name, mailing address, occupation and name of employer of individuals whose contributions exceed $150 in aggregate per election cycle. Contributors are asked to provide their employment information. If you are retired, please enter N/A under Employer and Retired under Occupation; if a homemaker, please enter N/A - Homemaker; if self-employed, please enter "Self-Employed" under Employer and describe your line of work under Occupation. Name: Address: City: State Code: Zip Code: Phone: Occupation: Employer: Amount: I confirm that the following statements are true and accurate: I am not a foreign national who lacks permanent residence in the United States. I am not an Illinois government contractor. This contribution is made from my own funds, and not those of another. This contribution is not made from the funds of a corporation or labor organization. I am at least eighteen years old. If you prefer not to give online, you may print this page and send a check to: Illinois Votes Voltair 450 Meadow Hill Lane Round Lake Beach, IL 60073-3726 Please make checks payable to : Illinois Votes Voltair
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