The Democratic National Committee

Cordially invites you to a discussion with special guest

Monday, September 9th

Evening
Location TBD
Los Angeles, CA
Please contact Lindsay Rachelefsky with any questions
Lindsay@skyadvisorygroup.com or (310) 299-7988
or Charlie Johnson at
johnsonc@dnc.org or at (202) 863-8039

Paid for by the Democratic National Committee, www.democrats.org. This communication is not
authorized by any candidate or candidates committee.
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

Yes! I/we would like to attend as a Discussion Guest:

$32,400 per individual to attend the one hour discussion
I am unable to attend, but would like to support the Democratic National Committee by contributing: $___________

Name(s) of attendee(s): ____________________________________________________________________________

I was invited to attend by: ________________________________________________________________________ __
Please make checks payable to:
Democratic National Committee
Attn: Charlie Johnson
430 S. Capital St., SE
Washington, DC 20003
Fax: (202) 572-7819

Total Amount: $________________

(Maximum contribution ~ $32,400)

Click here to contribute online: https://my.democrats.org/LADiscussionSept9

Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and employer of individuals whose
contributions exceed $200 in a calendar year.
First & Last Name: __________________________________________________________________________________________________
Address: ___________________________________________________________________________________________________________
City/State/Zip: ______________________________________________________________________________________________________
Employer: _____________________________________________ Occupation: _________________________________________________
Work Phone: __________________________________________ Work Fax: ___________________________________________________
Home Phone: __________________________________________ Email: ______________________________________________________
Federal law prohibits foreign nationals from contributing to the DNC. By signing below, I certify that I am a U.S. citizen or lawfully admitted
permanent resident of the U.S. and the funds I am donating are not being provided to me by another person or entity for the purpose of making this
contribution.
Signature: ____________________________________________________________________________________________________________
Second Signature (if contributing from joint account*):_______________________________________________________________________
Second Name (printed): _________________________________________________________________________________________________
Second Name Employer: ______________________________________ Second Name Occupation: __________ ______________________
*Contributions will be evenly attributed between names.
Contribute by Personal Check:
Please make checks payable to the Democratic National Committee and mail to the address listed above.
Contribute by Credit Card:
Please bill my personal credit card:
Card Number: _____________________________________________________________________Exp: _______________________________
Name as it appears on the card: _________________________________________________________________________________________
Signature: ____________________________________________________________________________________________________________
The Democratic National Committee does not accept contributions from currently registered federal lobbyists, registered foreign agents, political action
committees, or minors under the age of 16.
Federal law prohibits the acceptance of corporate or labor union contributions.
Contributions or gifts to the Democratic National Committee are not tax deductible.

CA409

Paid for by the Democratic National Committee, www.democrats.org. This communication is not
authorized by any candidate or candidates committee.
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.