Source: https://secure.anedot.com/ertc/c4606b2a82c89b39eb1c3?embed=true
Timestamp: 2019-04-20 01:03:46+00:00

Document:
Are you a communication lobbyist? No Yes Are you the spouse or dependent child of a communication lobbyist? No Yes Are you a principal of a state contractor or prospective state contractor? No Yes If yes, please indicate if contract is with Legislative or Executive branch of government, or both. Are you a principal of a holder of a valid prequalification issued by the Commissioner of Administrative Services? No Yes Please indicate the number of tickets purchased and the ad type.
I certify that I am either a United States citizen or a foreign national with permanent resident status in the United States. I certify that this contribution is being made from my personal funds, is not being reimbursed in any manner, is not being made as a loan, and is not an otherwise prohibited contribution.
I certify that as the individual contributor, I have provided my residential address, employer and principal occupation.
I certify that this contribution is made on my personal debit or credit card for which I have a legal obligation to pay and intend to pay from my own personal funds; the name on the card is the name provided above, payment on this card is not made from the funds of a corporation, labor organization or any other entity.
I certify that if I am a communicator lobbyist or the immediate family member of a communicator lobbyist that my contributions are limited to no greater than $100.
I certify that this contribution is not being reimbursed in any manner, is not being made as a loan, and is not an otherwise prohibited contribution.
Connecticut General Statutes § 9‐612 (f) (2) (A) & (B) provide in part that no state contractor, prospective state contractor, principal of a state contractor or principal of a prospective state contractor, with regard to a state contract or state contract solicitation with or from the General Assembly, Executive Branch, or a quasi public agency or a holder, or a principal of a holder of a valid prequalification certificate, shall make a contribution to a party committee.
Connecticut General Statutes § 9‐610 (g) provides in part that no communicator lobbyist or member of the immediate family of a communicator lobbyist shall make a contribution or contributions to, or for the benefit of a party committee in excess of one hundred dollars.
Please Note: The state contractor contribution bans do not apply to a principal of a state contractor or prospective state contractor who is an elected public official. See General Statutes § 9-612 (f) (4). Likewise, the communicator lobbyist contribution limit does not apply to a spouse or dependent child of a communicator lobbyist who is an elected public official. See General Statutes § 9-610 (j).
“Individual contributor”: a human being, a sole proprietorship, or a professional service corporation organized under chapter 594a and owned by a single human being. A sole proprietorship is a business in which one human being owns all the assets, owes all the liabilities, and operates in his or her personal capacity. Any other type of business is not permitted to make a contribution, including LLCs. See General Statutes § 9-601 (9).
quasi-public agency that is exclusively federally funded, an education loan, a loan to an individual for other than commercial purposes or any agreement or contract between the state or any state agency and the United States Department of the Navy or the United States Department of Defense. See General Statutes § 9-612 (f) (1) (C).
“State contractor”: a person, business entity or nonprofit organization that enters into a state contract. Such person, business entity or nonprofit organization shall be deemed to be a state contractor until December thirty‐first of the year in which such contract terminates. “State contractor” does not include a municipality or any other political subdivision of the state, including any entities or associations duly created by the municipality or political subdivision exclusively amongst themselves to further any purpose authorized by statute or charter, or an employee in the executive or legislative branch of state government or a quasi‐public agency, whether in the classified or unclassified service and full or part‐time, and only in such person’s capacity as a state or quasi‐public agency employee. See General Statutes § 9‐612 (f) (1) (D).
“Prospective state contractor”: a person, business entity or nonprofit organization that (i) submits a response to a state contract solicitation by the state, a state agency or a quasi‐public agency, or a proposal in response to a request for proposals by the state, a state agency or a quasi‐public agency, until the contract has been entered into, or (ii) holds a valid prequalification certificate issued by the Commissioner of Administrative Services under section 4a‐100. ʺProspective state contractorʺ does not include a municipality or any other political subdivision of the state, including any entities or associations duly created by the municipality or political subdivision exclusively amongst themselves to further any purpose authorized by statute or charter, or an employee in the executive or legislative branch of state government or a quasi‐public agency, whether in the classified or unclassified service and full or part‐time, and only in such person’s capacity as a state or quasi‐public agency employee. See General Statutes § 9‐612 (f) (1) (E).

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