ASRT Political Action Committee (PAC)

ASRT PAC Contribution Information

Note that the ASRT PAC may not accept contributions from corporations, professional corporations, S corporations or limited liability partnerships or companies taxed as corporations. No check or credit card contribution may be made on the account or credit card of such a business entity.

Contributions may be accepted from the following business entities:

Partnerships
Limited partnerships
Sole proprietorships (as long as not incorporated)
Limited liability partnership (as long as not taxed as a corporation)
Limited liability company (as long as not taxed as a corporation)
Single member limited liability company that does not elect corporate status

To contribute by credit card, you must provide the information required to process your credit card. The credit card may be your personal credit card or the credit card of a business entity listed in items 1 through 6 above. If paying using a credit card other than a personal credit card, you must provide the allocation of the contribution among the partners if the contribution is not to be attributed 100% to you.

ASRT PAC Contribution Form

Name

Address:

City

Zip Code

Phone

E-mail

Employer

Occupation

Contributions are NOT tax deductible and will be used for political purposes. Contributions to ASRT PAC are voluntary and you have the right to refuse to contribute without fear of reprisal. Federal law requires us to make our best efforts to collect and report the name, mailing address, occupation and employer for individuals whose contributions exceed $200 in a calendar year.

To comply with Federal law, please check the box below to confirm the following statements are true and accurate.

Select a choice

Confirm

Your contribution will not be accepted without checking the box.

This contribution is made from my own funds and not from funds of another, and funds are not being provided to me by another person or entity for the purpose of making this contribution.
I am not a government contractor.
I am a U.S. Citizen or permanent resident alien.
This contribution is not made with corporate funds.
This contribution is made on a personal credit card for which I have the legal obligation to pay, and is not made either on a corporate card or on the card of another person.

ASRT PAC Contribution Information

ASRT PAC Contribution Form

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