Personal Information
For US addresses
Only for US citizens based internationally
Contribution Information

I authorize Goldman Sachs & Co. LLC to deduct the amount designated below from my paycheck, either entirely from one paycheck or in equal installments over the pay periods for the respective year. Unless I have chosen to make a one-time contribution, I understand that this authorization will remain in effect perpetually, unless and until rescinded by me in writing to Steve.Pastrick@gs.com.

* Only enter a dollar amount if you have selected "Other" in the previous field.

** The maximum contribution to the PAC for an individual per calendar year is $5,000.

By submitting this contribution authorization you hereby certify that:

  • My payroll deduction authorization will continue in force for the duration that I specified above until revised or revoked by me in writing to the PAC treasurer. This revocation would need to be received no later than the 1st of the month in which I wish to cease contributions.
  • All contributions are completely voluntary and I have the right to refuse to contribute without any reprisal.
  • The amounts listed above are only suggestions. I may contribute more or less than the suggested amount (subject to federal limits), and I will not be benefited or disadvantaged because of the amount I give or because of my decision not to contribute.
  • Federal law requires the PAC to exercise its best efforts to collect and report the name, mailing address, occupation and employer of each individual who contributes.
  • Contributions are not tax?deductible as charitable contributions for federal income tax purposes.
  • I must be a US citizen or permanent resident alien (a green card holder) currently residing in the US to make a contribution to the PAC, and I certify that I meet this requirement.

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