PO BOX 891

Indianapolis, IN 46206

317-231-7108

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Contributions or gifts to Donnelly for Indiana are not tax deductible. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and name of employer of individuals whose contributions exceed $200 in an election cycle. Federal contractors and foreign nationals who are not admitted for permanent residence in the United States are prohibited from making contributions. All contributions must be from personal funds and may not be reimbursed or paid by any other person.

If you are self-employed, please list the name of the entity that is on your paycheck. Please list your line of work. "Business Person" is not acceptable, please enter the type of business instead.

We respectfully request that Partners of Partnerships and Members of LLC's contribute individually, instead of through their respective business entity.

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  I confirm that the following statements are true and accurate:
  • I am not a foreign national who lacks permanent residence in the United States.
  • 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.
  • 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.
  • I am at least eighteen years old.
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