Report of Independent Expenditures Made and Contributions Received (Form 5)
Please be advised that knowingly and willfully making any materially false, fictitious, or fraudulent statement or representation to a federal government agency, including the Federal Election Commission, is punishable under the provisions of 18 U.S.C. § 1001. The Commission may report apparent violations to the appropriate law enforcement authorities. 52 U.S.C. § 30107(a)(9).
Federal Election Commission, 1050 First Street, NE, Washington, DC 20463 (800) 424-9530 In Washington (202) 694-1100
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