Resolutions - Jersey City

C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORMRequired Pursuant To N.J.S.A. 19:44A-20.26This form or its permitted facsime must be submitted to the local unitno later than 10 days prior to the award of the contract.Part I - Vendor InformationVendor Name: I MotorolaAddress: I 5 Paragon Drive, Suite 200City: I Montvale I State: NJ I Zip: 0764')The undersigned being authorized to certfy, hereby certfies that the submission provided herein representscompli with the provisions ofN.J.S.A. 19:44A-20.26 and as represented by the Instrctions accompanying thisformPart II - Contribution DisclosureDavid R. White, Jr.Printed NameVice PresidentTitleDisclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all reportablepolitical contributions (more than $300 per election cycle) over the 12 months prior to submission to thecommittees of the governent entities listed on the form provided by the local unt.D Check here if disclosure is provided in electronic form.N/A,Contributor Name Recipient Name Date Dollar Amount$,,.D Check here ifthe inormation is contiued on subsequent page(s)