Elect
Mark Tucker
Jessamine County Judge/Executive
Yes, I want to help Mark’s campaign for Jessamine County Judge/Executive with a contribution of:
[ ] $1000 [ ] $500 [ ] $100 [ ] $50 [ ] $25 or any in-kind services to help assist me.
Please, make checks payable to The Campaign Fund of
Mark Tucker
P.O. Box 1214
State Law requires us to provide the following information for our records. You can cut and paste this form or you can just provide the needed information when you mail your check.
Thank you very much!
Amount of contribution___________________ Date____________________________________
Name__________________________________________________________________
Address________________________________________________________________________
City_______________________________State________________________Zip_____________
Please Provide your e-mail for campaign updates____________________________________
Occupation________________________________Employer______________________________
Signature_______________________________________________________
Contributions or gifts are not tax deductible. We may accept contributions from individuals up to $1000 per election cycle. State Law prohibits contributions from corporations and from any person contributing another person’s funds. By signing above, you affirm that your contribution is from personal funds and not funds otherwise prohibited by law.
If this contribution is from more than one individual, please provide the requested information ands signature for each. To comply with State law, we must use best efforts to obtain, maintain, and submit the name, address, occupation, and employer for individuals whose contributions exceed $100 per election cycle.
Paid for and Authorized by the Campaign Fund of
Mark Tucker
P.O. Box 1214
Nicholasville, KY 40340
Thank you very much!