PLEASE JOIN

SENATOR TOM HARKIN

Chairman, Health, Education, Labor, and Pension Committee

FOR A EVENING RECEPTION BENEFITTING

HIS LEADERSHIP PAC

TOMPAC
AT

300 INDEPENDENCE AVENUE, SE

WASHINGTON, DC
THURSDAY DECEMBER 09, 2010 6:00 PM

$5,000 HOST/$2,500 SPONSOR/$1,000 GUEST

FOR MORE INFORMATION OR TO RSVP
PLEASE CONTACT JEREMY S. GOLD
JEREMYSGOLD@YAHOO.COM
P. 202-546-9292

PLEASE SEND ALL CHECKS PAYABLE TO:

TOMPAC
426 C STREET, NE
WASHINGTON, DC 20002

PAID FOR AND AUTHORIZED BY TOMPAC

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.
 DECEMBER 09, 2010 RECEPTION FOR TOMPAC

___ YES, I WOULD LIKE TO ATTEND WITH A $___________ CONTRIBUTION.

___ SORRY, I AM UNABLE TO ATTEND THE EVENT, BUT ENCLOSED IS MY CONTRIBUTION OF

$_____________.

FEDERAL LAW REQUIRES US TO USE OUR BEST EFFORTS TO COLLECT AND REPORT THE NAME, MAILING ADDRESS,
OCCUPATION, AND NAME OF EMPLOYER OF INDIVIDUALS WHOSE CONTRIBUTIONS EXCEED $200 IN AN ELECTION
CYCLE.

CORPORATE CONTRIBUTIONS, CONTRIBUTIONS FROM INDIVIDUALS UNDER THE AGE OF 18, AND CONTRIBUTIONS FROM
NON-U.S. CITIZENS WHO ARE NOT LAWFULLY ADMITTED FOR PERMANENT RESIDENCE ARE PROHIBITED. ALL
CONTRIBUTIONS BY INDIVIDUALS MUST BE MADE FROM PERSONAL FUNDS AND MAY NOT BE REIMBURSED OR PAID BY
ANY OTHER PERSON.

NAME_________________________________________________________

ORGANIZATION_________________________________________________

TITLE_________________________________________________________

ADDRESS______________________________________________________

CITY, STATE, ZIP_______________________________________________

PHONE_________________________ FAX___________________________

EMAIL________________________________________________________

PLEASE MAKE CHECKS PAYABLE AND MAIL TO:

TOMPAC
426 C STREET, NE
WASHINGTON, DC 20002

OR FAX TO (202) 543-8455

CONTRIBUTIONS TO TOMPAC ARE NOT

DEDUCTIBLE FOR FEDERAL INCOME TAX PURPOSES.

PAID FOR AND AUTHORIZED BY TOMPAC

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.