Broward County Elected Official Code Of Ethics Charitable Contribution Fundraising Disclosure Form

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BROWARD COUNTY ELECTED OFFICIAL CODE OF ETHICS CHARITABLE CONTRIBUTION
FUNDRAISING DISCLOSURE FORM
Name of Elected Official:__________________________________________________
Title:__________________________________________________________________
Governmental Entity Served:_______________________________________________
Name of the charitable organization for which you are soliciting funds:
Event (if any) for which the funds were solicited, including date of event:
Name of each individual or entity that requested that you engage in the charitable solicitation, if any:
Signature of Elected Official:_______________________________________________
Date:__________________________________________

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