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State of Connecticut Office of the TreasurerCAMPAIGN CONTRIBUTION DISCLOSURECOMPANY (Respondent) I (name and title) duly authorized, after diligent inquiry, hereby certify that none of the following
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i name and title refers to the official name and title of an individual.
Individuals are required to file their own name and title.
You can fill out i name and title by providing your full legal name and job title.
The purpose of i name and title is to accurately identify an individual in official documents.
The information required to be reported on i name and title includes the individual's full legal name and job title.
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