(1)Contents of verified reports and statement. If a signed report or statement is submitted, the report or statement shall include:(i) The reporting person's name, mailing address, occupation, and the name of his or her employer, if any;(ii) The identification (name and mailing address) of the person to whom the expenditure was made;(iii) The amount, date, and purpose of each expenditure;(iv) A statement that indicates whether such expenditure was in support of, or in opposition to a candidate, together with the candidate's name and office sought; if the expenditure meets the criteria set forth in 11 CFR 104.3(b)(3)(vii)(C) , memo text must be used to indicate the states in which the communication is distributed, as prescribed in that section;(v) A verified certification under penalty of perjury as to whether such expenditure was made in cooperation, consultation, or concert with, or at the request or suggestion of a candidate, a candidate's authorized committee, or their agents, or a political party committee or its agents; andNote to § 109.10(e)(1):
On August 3, 2018, the United States District Court for the District of Columbia vacated 11 CFR 109.10(e)(1)(vi). CREW v. FEC, 316 F. Supp. 3d 349 (Aug. 3, 2018), aff'd, 971 F.3d 340 (D.C. Cir. 2020). Section 30104(c) of title 52 of the U.S. Code and the remaining provisions of 11 CFR 109.10 remain in force.