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Committee Name: Shah for NYC

PERSONAL INFORMATION

EMPLOYMENT INFORMATION

Provide your employment information below. If you are not employed, indicate what best describes your employment status (e.g., “homemaker”, “retired”, “student,” or “unemployed”). If self-employed, indicate employer as “self” and provide your occupation and employment address.

I understand that State law requires that a contribution be in my name and be from my own funds. I hereby affirm that I was not, nor, to my knowledge, was anyone else, reimbursed in any manner for this contribution; that this contribution is not being made as a loan; and that this contribution is being made from my personal funds or my personal account, which has no corporate or business affiliation.

DOING BUSINESS CONTRIBUTION INFORMATION

An individual is generally considered to be “doing business” with the City if he/she is a registered NYC lobbyist or is a principal owner, principal officer, or senior manager of an entity that has engaged in, held, applied for, or proposed on any of the following during the prior 12 months:

• Contracts, concessions, franchises, or grants that total over $100,000 ($500,000 for construction contracts) other than contracts awarded by competitive sealed bid.

• Economic development agreements, including payments in lieu of taxes, City tax incentives, and City financing.

• Contracts for the investment of pension funds or related services.

• The sale, purchase, or lease of real property with or by the City, unless by public auction or competitive sealed bid.

• Uniform Land Use Review Procedure (ULURP) actions, or City Charter office lease or zoning change applications.

Contributions from or intermediated by individuals doing business with the City will not be matched with public funds.

For more information, see www.nyccfb.info/candidate-services/doing-business-faqs.