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RECEIVED
of DU:,
FEB 0 5 2018
I CITY OF DUBLIN
19 �—I — 82
4 CITY MANAGER'S OFFICE
LIFOR���
CITY OF DUBLIN
DUBLIN MUNICIPAL CODE CHAPTER 2.28 et seq.
(Ordinance No. 18-14)
CAMPAIGN CONTRIBUTION LIMITATIONS
Dublin Municipal Code Chapter 2.28 limits campaign contributions with respect to an
election to a total cumulative amount of$500 from any person. On September 2, 2014,
Chapter 2.28 was amended to specify `that funds transferred from one candidate-
controlled campaign committee to another committee must be attributed to individual
contributors to the transferring committee. Chapter 2.28 further describes how to
attribute transferred funds. Previous to September 2, 2014, funds transferred from one
committee to another were not attributed to individual contributors.
To ensure full compliance with this Chapter, each candidate/office holder shall execute
a declaration under penalty of perjury on a form provided by the City Clerk stating that
such candidate/office holder did not receive any contribution or contributions totaling
more than five hundred dollars ($500) from any person with respect to an election.
This required declaration shall be filed with the City Clerk with each pre-election
statement filed pursuant to State Law and with the semi-annual statements required to
be filed pursuant to State Law.
This form is filed with my: ❑ pre-election statement 5] semi-annual statement
and relates to the office of: n Mayor Councilmember
I, DGA1 23/)5) t,c-- , hereby certify under penalty of perjury
that I understand the limitations discussed herein and further that I have complied with
said limitations.
(Date) (Signature)
G:\Elections\Elections\FORMS\$500 Limit 9-29-14.Doc