By proceeding with this transaction, you affirm that:
1. The contribution is made from your personal funds and not from funds provided or to be
provided to you by another person or entity for the purpose of making this contribution.
2. You are at least eighteen years old.
3. You are making the contribution with a personal credit or debit card issued in your name
and not with a corporate, business or labor union card.
4. You are a U.S. citizen or U.S. national. [Contributions by individuals with permanent
resident status in the U.S. (green card holders) are prohibited.]
Contributions or gifts to Ohio Assisted Living Association PAC are not tax deductible for federal income
tax purposes.