Request PAC Funds

MNEA Request for PAC Funds

PAC funds are voluntary contributions, not taken from dues dollars. 


Please complete a different form for each check request. All sections must be completed in order to process your PAC fund request. If you have questions about this form or about using PAC funds, contact the MNEA Political Director Elizabeth Zerr at (573) 644-9610 or elizabeth.zerr@mnea.org

Funds requested from which account?





Total amount of funds requested:


Election the request is for:





Purpose of Request:





Complete the appropriate information below, which corresponds to your answer to "Purpose of Request."
 
1) If contribution to a candidate:
Candidate must have a committee filed with the Missouri Ethics Commission or County Election Authority.

Name and address of Committee:


Name and address of the Candidate:
 
2)
If contribution to a school bond or levy committee:
 

Funds cannot be dsitributed until the committee is filed with the Missouri Ethics Commission or County Election Authority.

Do you support or oppose the issue?




Name and address of Committee:


Name and address of Committee Treasurer:

3)
If payment to a vendor for campaign materials or supplies:

Vendor Name:

Ballot Measure Name:

School District/Political Subdivision:


Candidate Name & Address:


Do you support or oppose?




What is the purpose of the this vendor payment? (i.e. yard sign, postage, refreshments)


Local or Individual Authorizing:
 

First Name:

Last Name:

Email Address:
Primary Phone Number:  

Local MNEA Affiliate:

 
President of Local Affiliate:  
     
Mail Check to the Following:
Name Check should be made to:

 
Mailing Address:



Are you an Education Advocate? 



As an Education Advocate, I am willing to complete at least two of the following four activities:  

  • Stay connected through email alerts.
  • Volunteer during a campaign.
  • Encourage MNEA members to attend Capitol Action Lobby Days in Jefferson City.
  • Participate in candidate screenings.
  • Coordinate a meeting with my legislator.  

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