Form Ss 1119 C PDF Details

In the realm of political campaign financing, transparency and accountability are paramount. The SS 1119 C form plays a crucial role in this process, serving as an itemized statement of contributions for Political Action Committees (PACs). This comprehensive document requires detailed information about each contributor who has donated more than $100 during a specified reporting period, ensuring that campaign finance laws are adhered to and allowing for public scrutiny. It includes sections for the committee's name, the reporting period, and a continuation of itemized campaign contributions from preceding pages if necessary. For each contribution, the form mandates the complete details of the contributor such as first name, middle initial, last name or organization name, the amount of contribution, address, city, state, zip code, date of contribution, and the contributor's occupation and employer. This meticulous record-keeping facilitates a transparent link between financial contributions and political activities, highlighting the importance of each donation's impact on the political landscape. As a tool for ethical governance, the SS 1119 C form underscores the foundational principles of democracy by promoting an informed electorate and safeguarding against undue influence in political decision-making.

QuestionAnswer
Form NameForm Ss 1119 C
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesPRECEDING, canada pension plan statement of contributions, totaling, ITEMIZED

Form Preview Example

ITEMIZED STATEMENT OF CONTRIBUTIONS - PAC

1.

NAME OF COMMITTEE

 

 

 

2. REPORT COVERING THE PERIOD

 

 

 

 

 

FROM:

TO:

 

 

 

 

 

 

 

 

 

 

 

 

 

Amount

3. TOTAL ITEMIZED CAMPAIGN CONTRIBUTIONS FROM PRECEDING PAGE (enter $0 if first itemized page)

 

4.

COMPLETE THE APPROPRIATE ITEMS FOR EACH ITEMIZED CONTRIBUTION (contributions totaling more than $100 from any contributor during the period)

 

 

 

 

 

First Name

 

M.I.

Last Name/Organization Name

Amount of Contribution

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

Zip Code

Date of Contribution

 

 

 

 

 

 

 

 

 

 

 

Occupation

 

 

Employer

 

 

 

 

 

 

First Name

 

M.I.

Last Name/Organization Name

Amount of Contribution

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

Zip Code

Date of Contribution

 

 

 

 

 

 

 

 

 

 

 

Occupation

 

 

Employer

 

 

 

 

 

 

 

 

 

 

 

 

 

First Name

 

M.I.

Last Name/Organization Name

Amount of Contribution

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

Zip Code

Date of Contribution

 

 

 

 

 

 

 

 

 

 

 

Occupation

 

 

Employer

 

 

 

 

 

 

First Name

 

M.I.

Last Name/Organization Name

Amount of Contribution

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

Zip Code

Date of Contribution

 

 

 

 

 

 

 

 

 

 

 

Occupation

 

 

Employer

 

 

 

 

 

 

First Name

 

M.I.

Last Name/Organization Name

Amount of Contribution

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

Zip Code

Date of Contribution

 

 

 

 

 

 

 

 

 

 

 

Occupation

 

 

Employer

 

 

 

 

 

 

First Name

 

M.I.

Last Name/Organization Name

Amount of Contribution

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

Zip Code

Date of Contribution

 

 

 

 

 

 

 

 

 

 

 

Occupation

 

 

Employer

 

 

 

 

 

 

 

 

 

 

 

5.TOTAL ITEMIZED CONTRIBUTIONS

 

 

 

 

(Carry forward to item 3. of

next page if additional pages of this form are used.)

 

 

(If this is the last page of contributions, this amount must be shown in item 13b. of summary.)

 

 

 

 

 

 

 

 

SS-1119-C (Rev. 2/06)

Page _______ of _______

RDA 1159