Late Contributions – 24 Hour Report

Document Overview

This is a blank reporting form used to track and disclose late campaign contributions. It is designed for filing committees or candidates to report donations received after the standard reporting deadline, typically within a 24-hour window as required by election laws.

Form Structure and Requirements

The document is divided into three main sections: Header Information, Contribution Details, and Submission Contact Info.

Header Information

• Name of Filing Committee or Candidate: A field to identify the political entity making the report.
• Filer Identification Number: A unique ID assigned to the filer for tracking purposes.

Contribution Details

The bulk of the form consists of repeated blocks (eight total) for entering individual contributor data. Each block requires:

• Full Name of Contributor: The name of the person or entity donating.
• Mailing Address: Including City, State, and Zip Code (Plus 4).
• Date Received: Specific fields for Month, Day, and Year the contribution was received.
• Amount $: The monetary value of the contribution.

Submission Contact Information

At the bottom of the page, the form requires contact details for the person submitting the report:

• Name of Person Submitting Report
• Contact Phone Number
• Email Address
• Date of Report: A field to record when the form is filed.