BARGAINING UNIT I - NOTICE OF CONSCIENTIOUS OBJECTION

I am an employee in Bargaining Unit I (Sworn Police) whose religious beliefs are opposed to joining or financially supporting any collective bargaining organization. The bases of my religious beliefs are as follows:

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I hereby promise to pay a sum equal to the service fees required by SLEOLA to the following charitable organization exempt from taxation under §501(c)(3) of the Internal Revenue Code:

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This contribution will be paid to the charity no later than the ______day of each month or as a single lump sum payment by ______.

I understand that I am required to furnish – to SLEOLA and to the Department of Budget and Management – written proof that charitable contributions contemplated hereby have actually been made. The written proof must be mailed, prior to the end of each contract year, to the following two addresses:

SLEOLA Cindy Kollner

PO Box 6647 Department of Budget and Management

Annapolis, MD 21401 301 W. Preston St. Room 609

Baltimore, MD 21201


Signature ______


Address______


Date: ______