150 West State Street, Suite 110 Trenton, New Jersey 08608
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Individual contributions and their contributions as a corporate officer/contributing partnermay not exceed a total of $7,200 per year
For contributions drawn on joint personal accounts Contributions drawn on joint accounts will be allocated to the individual whose signature appears on the check. Joint account checks can be allocated to multiple accountholders. In such case, joint account checks will be allocated equally to those joint accountholders whose names and signatures appear on the check.
For contributions drawn on non-personal accounts
Sole proprietorship You are limited to $7,200 per year
Partnership As a partner and individual donor your total may not exceed $7,200 per year. Checks must be signed by the contributing partner(s). Alternatively, a separate sheet that lists the name(s) of the partner(s) to whom the contribution is being attributed, the amount contributed by the listed partner(s), and bears the signature(s)
of the contributing partner(s) may be submitted with a contribution check
This LLC is NOT treated as a corporation for tax purposes (On a separate sheet, list the name(s) of the member(s) of the LLC to whom the
contribution is being attributed and identify the amount contributed by the listed member(s) and provide the signature(s) of the contributing
member(s).) As an LLC officer and individual donor your total may not exceed $7,200 per year.
This LLC is treated as a corporation for tax purposes (The LLC will be reported as a corporate contributor.) This LLC is limited to $7,200 per year and separately, as an individual your personal contribution total is limited to $7,200 per year
Corporation Your corporation is limited to $7,200 per year and separately, as an individual your personal contribution total is limited to $7,200 per year
Federal law prohibits NJAPAC from accepting contributions from foreign nationals. Individuals who have permanent U.S. residency (green cards) may contribute, however. State law prohibits NJAPAC from accepting contributions from banks, insurance companies, public utilities, cable television companies, and any majority shareholder in such entities. State law (The Casino Control Act – NJSA 5:12-138) prohibits NJAPAC from accepting contributions from companies that hold or are applicants for a casino license, including any holding company or subsidiary of a casino licensee or applicant. Contributions from officers, directors, and key employees of any such company are prohibited. In addition, contributions by members of the New Jersey Casino Control Commission and its employees are barred. It is illegal to reimburse any individual for a contribution to NJAPAC. It is illegal to receive a reimbursement for any contribution to NJAPAC. Contributions or gifts to NJAPAC are not tax-deductible
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Print and complete the form, and return with payment to:
NJAPAC 150 West State Street, Suite 110 Trenton, NJ 08608
Thank You For Your Support
Paid for and authorized by New Jersey Anesthesia PAC 150 West State Street, Trenton, NJ 08608.