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Contributions are not tax deductible for state or federal income tax purposes. • 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 individual or business entity. • I am at least eighteen years old. All contributors of $100 or more are required to provide their occupation/employer, in addition to name and street address, which are required for all donors of $25 or more. Spouses and domestic partners may each contribute from a joint account but both must sign the check or credit card authorization form. Contributions must be made voluntarily from the donor’s own funds and may not be reimbursed by any other person or business. Paid for by Jim Wood for Assembly 2016. (FPPC I.D.# 1373420). 1787 Tribute Road, Suite K Sacramento, CA 95815

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Thank you for your generous contributions to our campaign. You may make an online contribution here via PayPal or download this form to contribute by mail.

Contributions are not tax deductible for state or federal income tax purposes.

Paid for by Jim Wood for Assembly 2016 • FPPC# 1373420

Who's donating: from Santa Rosa, CA donated. Thank you!

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