DAVID RYU
GROUP: _______________ CODE: ________________ DAVID RYU FOR LA CITY COUNCIL 2015 Candidate for Council District 4 __ YES, I live in the 4th DISTRICT! Info. requested below is required by CA State laws. The maximum contribution is $700 per person/per cycle. ___ YES, I endorse David Ryu and you may use my name publicly. To donate online: https://davidryu.nationbuilder.com/donate ___ YES, I would like to host/co-host a fundraiser for David Ryu. Please contact me. Checks payable to: David Ryu for Council 2015-General Contributor FULL NAME: (required) _______________________________________________________________________ HOME or BUSINESS (please circle one)- (NOTE- P.O. Box not allowed) Street Address: (required) _______________________________________________________________________________ City / State / Zip Code: (required) _________________________________________________________________________ Phone: (required) ________________________________ Email: (optional) __________________________________ Occupation/Title: (required) _____________________________________________________________________________ Employer (Business name): (required) _____________________________________________________________________ Contribution is ___ PERSONAL or ___ BUSINESS I would like to contribute: $700 $500 // If Political Action Committee, ID: _______________________ $250 $100 OTHER: $____________ FOR CREDIT CARD TRANSACTIONS ONLY- please complete & sign below: MC VISA DISCOVER AMEX Name as it appears on the Credit Card: (required) ____________________________________________________________ Complete Billing Address: (required) _______________________________________________________________________ CC #: (required) ______________________________________________________ Security Code: (req): ___________ (3 back of card or 4 front AMEX) Signature: _________________________________________________________ EXP DATE: (required) ______ /_______ Card is __ PERSONAL or __CORPORATE. If corporate, name of business _________________________________ MAIL TO: David Ryu for Council 2015 - General 521 N. Wilton Place, Los Angeles, CA 90004 Paid for by the David Ryu Council 2015 - General ID#1375994 * Treasurer- Yolanda Miranda & Assoc, Inc., 728 W. Edna Place, Covina, CA 91722. 1. Contributions are not tax deductible; 2. You are not a foreign national who lacks permanent residence in the USA; 3. You are at least 18 years old; 4. The contribution has not been and will not be reimbursed; 5. The contribution is not being made under another person’s name unless the contributor is acting as an intermediary and has identified the information in Subsection A or B for the source of the contribution; 6. The contribution is not being made under a name other than the name by which the contributor is identified for legal purposes; 7. The contribution is not from a lobbyist or lobbying firm that is prohibited from contributing under Charter Section 470(c)(11); and 8. The contribution is not from a bidder, sub-contractor, principal, or underwriting firm that is prohibited from contributing under Charter Section 470(c)(12) or Section 609(e). For questions or more information please contact Yena (213) 760-8809
© Copyright 2024