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Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.

If you are doing business with the City, enter the agency and business category. List the "Doing Business Entity" and your relationship in the 'Employer' and 'Occupation' fields.

Contributions are not tax deductible.

$25  $50  $100  $500  $1,000  $2,750   Other $

I understand that State law requires that a contribution be in my name and be from my own funds. I hereby affirm that this contribution is being made from my personal credit card account, billed to and paid by me for my personal use and having no corporate or business affiliation; and is not being made as a loan. State law prohibits making a contribution in someone else's name, reimbursing someone for a contribution made in your name, being reimbursed for a contribution made in your name, or claiming to have made a contribution when a loan is made. Contributions from political committees are not permitted unless they are registered with the New York City Campaign Finance Board.The first $175 contributed by individual NYC residents is matched at a 6 to 1 rate. Corporate, LLC, LLP and partnership contributions are not permitted. Contributions from other business entities are permitted but are not matched. The maximum allowable contribution is $2750, unless a contributor is "doing business" with NYC, in which case the maximum allowable contribution is $250.

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