FORM G-1A
Candidate Certification for Public Financing and
Debate Participation
NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION
P.O. Box 185, Trenton, NJ 08625-0185
Phone: (609) 292-8700
Website: www.elec.nj.gov
Candidate Name :
Street Address :
City, State, Zip :
Election Date :
Office Sought :
Select an option below:
I have raised at least $580,000, in contributions eligible for match, have spent or am committed to spend $580,000, and have
1.
submitted or will be submitting Form P-1, demonstrating those contributions and expenditures;
I am obligated to participate in a series of interactive debates, (2 as a gubernatorial candidate, 1 as a lieutenant gubernatorial
2.
candidate), each of which shall be at least one hour in duration. I acknowledge the timing, contents and procedures set forth
in N.J.S.A. 19:44A-46, for the prescribed debates and agree to those terms as conditions of receiving public matching funds.
3.
I further acknowledge that should the Commission find that I failed to participate in a required debate(s) without justification or
excuse, I am liable for the return of public funds received, consistent with N.J.S.A. 19:44A-47; and
4.
Simultaneously with filing Form P-1, I have filed Form P-2 or Form P-2A, for the disclosure of issue advocacy participation,
and will continue to file Form P-2 with every submission and report, consistent with N.J.A.C. 19:25-16.18A and
N.J.A.C. 19.25-15.17A.
I have raised at least $580,000, in contributions and have spent or am committed to spend $580,000, and have submitted or
1.
will be submitting the required documentation demonstrating those contributions and expenditures; and
I intend to participate in a series of interactive debates, (2 as a gubernatorial candidate, 1 as a lieutenant gubernatorial
2.
candidate), each of which shall be at least one hour in duration. I acknowledge the timing, contents and procedures set forth
in N.J.S.A. 19:44A-46, for the prescribed debates and agree to those terms as conditions of participating.
I certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me are
willfully false, I may be subject to punishment.
Registration Number
Pin
Candidate
Date
New Jersey Election Law Enforcement Commission
Page 1 of 1
Form G-1A Revised: Aug. 2024
Required;
I intend to make application for public matching funds for the above referenced election pursuant to N.J.S.A. 19:44A-33, and hereby certify as follows:
I do not intend to make application for public matching funds for the above referenced election, however, I do intend to participate in the gubernatorial and/or lieutenant gubernatorial debate(s) and certify as follows:
Required;
Required;
Required;
Required;
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