Subject: Contribution: Donate to help Democrats (new abroad) / Madeleine Cooper / 10.00 USD
From: Contribution <[email-masked]>
To: <[email-masked]>, <[email-masked]>, <[email-masked]>
Date: Tue, 26 Apr 2016 16:19:37 -0400

CONTRIBUTION DATA
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            Page: Donate to help Democrats (new abroad)
            Type: One-time
    Total Amount: $10.00
      First Name: Madeleine
       Last Name: Cooper
         Address: 105 Cottingham St.
                  Toronto, Ontario M4V1B9
                  CA
           Phone: 416-801-4314
           Email: [email-masked]
        Employer: Investment Industry Regulatory Organization of Canada
Employer Address: 
                  ,  
                  US
      Occupation: Lawyer
    Payment Type: Visa
       Account #: 4763
   Transaction #: %%TransactionId%%
       User Id #: %%UserId%%
Contribution Key: IHTQTTdaWsp6eYW1jb

COMPLIANCE DATA
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Check this box to confirm that the following statements are true and accurate:  I am a United States citizen or a permanent resident alien.  This contribution is not made from the general treasury funds of a corporation, labor organization or national bank. This contribution is not made from the treasury of an entity or person who is a federal contractor. This contribution is not made from the funds of a federally registered foreign agent. I am not a minor under the age of 16. The funds I am donating are not being provided to me by another person or entity for the purpose of making this contribution.: 1

CUSTOM FIELD DATA
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(Section header: "Additional Information")
Please enter your US Passport # or Green card # below: US Passport #529228939

GENERAL INFORMATION
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      Submit Date: Tue, 26 Apr 2016 16:19:36 -0400
           Status: Under Review
Client IP Address: 158.106.91.4
   Client Browser: Mozilla/5.0 (Windows NT 6.1; WOW64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/49.0.2623.112 Safari/537.36