CONTRIBUTIONS TO

THE COMMITTEE TO ELECT TOM JOHNSON, SR

are solicited and appreciated

Please print this page and mail along with your contribution to support the election of Tom Johnson, Sr. in his campaign for the seat as Pitt County County Commissioner from District 3.

Name:_________________________________________________________

Address:_______________________________________________________

City:___________________________________ State ______ Zip ________

Telephone (Home) ____________________ (Office) _________________

Employer _____________________________ Occupation _____________

Enclosed is my contribution of $__________________________________

North Carolina law requires political committees to report the name, mailing address, job title or profession and name of employer or employer's specific field for each individual who contributes more than $100 in a single election cycle.  Please make personal checks (no company checks) payable to "Committee to Elect Tom Johnson, Sr. and mail to 1304 Kingsbrook Road, Greenville, NC 27858.3812