MARK GOLDMAN & JESSICA SMITH

AND

THE HOST COMMITTEE

Tom Asimou Jesse Hernandez Michael Pollack

Barbara Caldwell Steven Hirsch Kevin Rogers
David Cantor Michelle Iafrate Jason Rose
Tim Casey Bradley Jardine Paul Theut
Tom Chauncey Charles Jensen Carol Turoff
Todd DeMasseo Jack LaSota, Jr. Marlene VanSickle
L. Eric Dowell Tim LaSota S. Vengurlekar, M.D.
Steve Ellman Richard Mallery Dennis Wilenchik
Mark Goldman Ed Marshall Chad Willems
Barry Goldwater, Jr. Linda Masaryk Grant Woods
Sean Healy Patrick McGroder Scott Zwillenger
Matthew McMahon

Cordially Invite You to Join them for an Evening and Dinner with
MARICOPA COUNTY ATTORNEY
BILL MONTGOMERY
Wednesday, May 25, 2011
5:30 – 7:30 P.M.
At the residence of
Linda Masaryk
5937 N LA COLINA DR.
PARADISE VALLEY, AZ 85253
Suggested Contribution: $250 ($410 Maximum)
Special Appearances by Joe Miller, 2010 U.S. Senate Candidate from Alaska
& Maricopa County Sheriff, Joe Arpaio
Dinner and Beverages provided
PLEASE RETURN THE ACCOMPANYING R.S.V.P. FORM A.S.A.P. OR
R.S.V.P. WITH JESSICA SMITH AT 480.686.5076 OR AT JESSICA@GOLDMANSMITH.COM

Paid for by Bill Montgomery for County Attorney

 ____ Yes, I/we will be attending. A contribution of $___________ is enclosed.
Attendees are as follows: (First and Last Names for Nametags)
1.________________________________ 2. ________________________________

____ I/We cannot attend the dinner but enclosed is my personal contribution
to Bill Montgomery for County Attorney, or I have contributed on-line.

Simply go to Montgomery2010.com and contribute on-line by credit card or

return this form and a check to:

Bill Montgomery for County Attorney

3131 E. Camelback Road – Suite 200
Phoenix, Arizona 85016
PLEASE MAKE CHECKS PAYABLE TO: MONTGOMERY FOR COUNTY ATTORNEY

ALL CONTRIBUTERS PLEASE COMPLETE

CONTRIBUTIONS TO MONTGOMERY FOR COUNTY ATTORNEY ARE NOT TAX DEDUCTIBLE. THE MAXIMUM AN INDIVIDUAL MAY
CONTRIBUTE IN AN ELECTION CYCLE IS $410. STATE LAW REQUIRES US TO OBTAIN AND REPORT THE NAME, MAILING ADDRESS,
OCCUPATION AND NAME OF EMPLOYER FOR EACH INDIVIDUAL WHOSE CONTRIBUTIONS AGGREGATE IN EXCESS OF $25 IN AN
ELECTION CYCLE. COUPLES MAY CONTRIBUTE $820. IF THAT CHECK IS DRAWN ON A JOINT ACCOUNT, THEN BOTH MUST SIGN
THE CHECK. STATE LAW DOES NOT ALLOW CORPORATE/COMPANY CHECKS FOR CAMPAIGN CONTRIBUTION PURPOSES.

__________________________________________________________________________________________________________
FULL NAME SPOUSE NAME
__________________________________________________________________________________________________________
ADDRESS

__________________________________________________________________________________________________________
CITY STATE ZIP

__________________________________________________________________________________________________________
HOME PHONE OFFICE PHONE

__________________________________________________________________________________________________________
FAX PHONE E-MAIL

__________________________________________________________________________________________________________
EMPLOYER (REQUIRED) OCCUPATION (REQUIRED)

__________________________________________________________________________________________________________
SPOUSE’S EMPLOYER (IF CONTRIBUTING) SPOUSE OCCUPATION (IF CONTRIBUTING)

__________________________________________________________________________________________________________
SIGNATURE SPOUSE SIGNATURE (IF CONTRIBUTING)

FOR EVENT QUESTIONS, PLEASE CONTACT JESSICA SMITH AT

480.686.5076 OR JESSICA@GOLDMANSMITH.COM

Paid for by Bill Montgomery for County Attorney