Matriarch Pledge Form

A Matriarch is a visionary. She knows that balancing gender representation requires deep, long-lasting dedication to female candidates – now and in the future. Emboldened and convicted, the Matriarch embraces The Matriots’ most deeply-held belief that when women’s voices are equally represented politically, families and society will prosper.

YES! I pledge my support as a Matriarch of The Matriots, an Ohio independent political action committee.

I PLEDGE A CONTRIBUTION OF A MINIMUM OF $10,000 ACCORDING TO THE FOLLOWING SCHEDULE:

in 2019:

in 2020:

in 2021:

in 2022:

First Name *

Last Name *

Address 1 *

Address 2

City

State

Zip

Email *

Phone

Occupation

Employer

I will send a check
Please send me an invoice

Contributions are limited to $13,292.35 per individual per calendar year. Ohio law requires all contributors to provide their name and address, and in the case of a contribution of more than $100 to also provide the name of their employer and, if self employed, their occupation. Contributions from corporations and persons under the age of 7 are prohibited, but unincorporated entities, partnerships, LLCs and LPAs may contribute. Contributions are not tax deductable as charitable contributions for federal income tax purposes.

By typing my name below, I am affirming:

1. I am a U.S. citizen or have permanent residency (green card) status in the U.S;

2. I agree to the pledge indicated on this form

Signature: *

Date: *

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Matriarch Pledge Form