Candidate Contribution Form

 

      Candidate Contribution Form

 

As a political action committee, JACPAC provides financial contributions to candidates who will benefit from financial support and who will, once elected, act in accordance with JACPAC's issues - including supporting a strong U.S.-Israel relationship, reproductive rights, and separation of religion and state. As a PAC, JACPAC is limited in how much we can give directly to each candidate, so JACPAC also collects donations from our members for candidates who support our issues. These donations are bundled together and delivered directly to the candidates by JACPAC members, using JACPAC as a conduit, to make a greater impact than any single donation could make on its own. ​


DIRECTIONS: 

  1. Fill out this form completely, including occupation and employer information. 
  2. Identify the candidate to whom you are contributing and the amount you are donating.
  3. If you are donating to multiple candidates, please submit a separate form for each candidate.
  4. If you would like to make a general donation and let JACPAC choose which campaign would benefit most, click on the button below labelled "Let JAC Choose."
  5. If you are making donations by credit card, please complete and submit this form. Be sure to include the best contact information so we can contact you for your credit card number. (JAC does not process these payments, but bundles them to the candidates, so we will call you for your credit card number to forward to the campaign.)
  6. If you are making donations by check, print out this completed form, write the checks to the individual campaign (e.g. "So & So for Senate", or "Friends of Candidate Name") and include them in an envelope with this form and mail to:
JACPAC
PO Box 105
Highland Park, IL 60035
 
Prefer to fax this to us? Click on the "printer friendly version" button at the end of the form below to print out; then send it to 847.433.6194.
 
Please complete all information requested.
 
 

Federal law requires political committees to report the name, mailing address, occupation and employer for each individual whos contributions aggregate in excess of $200 in a calendar year. Contributions may total up to $5400 per individual per candidate ($2700 for the primary election, and $2700 for the general election.) According to law, corporate contributions and contributions from nonU.S. citizens who are not lawfully admitted for permanent residence are prohibited. All contributions by individuals must be made from personal funds and may not be reimbursed or paid by another person. Contributions, gifts or other payments are not deductible as charitable contributions for federal income tax purposes.

 

Address
Federal election law requires political committees to report the name, mailing address, occupation and name of employer each individual whose contributions aggregate in excess of $200.
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Federal election law requires political committees to report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $200. Individuals may donate up to $5,400 per election cycle to a candidate: $2,700 for the primary election, and $2,700 for the general election. According to the law, JACPAC cannot accept corporate contributions. Membership, gifts, or other payments to JACPAC are not deductible as charitable contributions for federal income tax purposes.
If you have any special comments or directions, please note them here.
If you would like JACPAC to determine which candidates your donation will best benefit, please click "Let JAC Choose."