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JAMES E. ADKINS FOR HERNANDO COUNTY COMMISSION DISTRICT 5, REPUBLICAN |
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Click here to download this form. Contribution Limits for Candidates IMPORTANT: Except for political parties, no person, political committee, or committee of continuous existence may make contributions in excess of $500 per election to any candidate for election of retention in office. The primary and general elections are separate elections. These limits do not apply to contributions made by a state or county executive committee of a political party regulated by Chapter 103, F.S., or to amounts contributed by a candidate to his own campaign. Federal law prohibits contributions from foreign nationals to any federal, state, or local candidate, unless the foreign national possesses a green card. Further information can be accessed by contacting the Federal Election Commission at 1-800-424-9530 or on their website at www.fec.gov. Your support to the James Adkins campaign is very much appreciated! Please provide the information below. Information marked with and asterisk (*) is required of all contributors regardless of amount. * Donation Amount: $ _______________ * Legal Name _________________________________________________ * Print Name ________________________________________________ * Address _______________________________________________________________ Address _______________________________________________________________ * City ___________________________ * State __________________________ * Zip ______________ Daytime Phone Number: ______________________________ Employer __________________________________________ * Occupation _________________________________________ Email ______________________________________________ Check or money order enclosed? _________ Please make your check payable to James E. Adkins – Campaign Hernando County Commission. Send to: James E. Adkins 24402 Mondon Hill Rd. Brooksville, FL 34601 Contributions are not deductible for federal income tax purposes . |