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I confirm that the following statements are true and accurate: 1. I am not a foreign national who lacks permanent residence in the United States. 2. I am not a Federal government contractor. 3. This contribution is made from my own funds, and not those of another. 4. This contribution is not made from the funds of a corporation or labor organization. 5. This contribution is made on a personal credit card or debit card for which I have the legal obligation to pay, and is not made either on a corporate or business entity card or on the card of another person. 6. I am at least eighteen years old. Federal law requires us to use our best efforts to collect the name, address, occupation and name of employer of individuals whose contributions exceed $200 per election cycle. We may accept contributions from an individual totaling up to $2,700.00 per election. Contributions or gifts to La Riva for President 2016 Socialism and Liberation Campaign are not tax deductible. Paid for by the La Riva for President 2016 Socialism and Liberation Campaign

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