Event Chairs

Michael R. Bloomberg
Tim Gill
Paul E. Singer

Co-Chairs
Donald A. Capoccia
Daniel S. Loeb
Frank Selvaggi & Bill Shea

Host Committee
Jeff Cook
Brian Ellner
Patrick Guerriero
Bill Smith
Marc Solomon
Cordially Invite You
To a Reception in Celebration of
Marriage Equality in New York
In Honor of

New York State Senators
James S. Alesi
Mark J. Grisanti
Roy J. McDonald
Stephen M. Saland
Thursday, October 13, 2011
Wine & Hors d’oeuvres
5:30 – 7:00 PM
Union League Club
38 East 37th Street
New York City
Please e-scan completed attached forms with your credit card information for each State Senator and email to:
SRalston@SusanRalston.com or you can complete each form and attach a check for each State Senator and
mail to:
Susan Ralston/SBR Enterprises LLC
590 Madison Ave, Suite 2100
New York, NY 10022
For questions or to RSVP contact Susan Ralston at SRalston@SusanRalston.com or call 202-309-1516.

REPLY FORM

Friends of Jim Alesi
R- 55th District

______ Yes, ___# will attend. Please find my check enclosed and recognize me at the following level:
______ *Platinum Level: $16,800
______ Gold Level: 10,000
______ Silver Level: $6,500
OTHER LEVELS OF PARTICIPATION TO ATTEND EVENT:
______ $2,500 ______ $1,000 ______ $500 ______ $250
______ No, I am unable to attend the event however, enclosed is my contribution of $___________
*Includes primary and general election limits. In the event there is no primary election, excess contributions will be refunded.
These limits relate to contributions by individuals & partnerships. Any partnership contributions in excess of $2,500
must be allocated amongst the individual partners, (please provide separate list of partners contributing, include
amount, name, address and employer/occupation).
Please make checks payable to “Friends of Jim Alesi”and mail to:
SBR Enterprises LLC (this MUST be on the envelope)
590 Madison Avenue, Suite 2100, New York, NY 10022
E-Scan the completed forms with your credit card information to Sralston@SusanRalston.com.
For questions
call 202-309-1516.
Creditand
CardRSVP
Contribution

Visa MasterCard Discover Amex
Name as it appears on card:_____________________________________ Amount: $_______________
Card #:_____________________________________________ Exp. Date:_____________Code:______
Signature:_______________________________________________________
For compliance with NYS Election Law, please provide the following information *:
*Name:______________________________________________________________________________________
*Address:____________________________________________________________________________________
Cell #________________________________________Email _________________________________________
Business #:____________________________________Fax #:__________________________________________
Contributions are not tax deductible as charitable contributions for State or Federal income tax purposes.

REPLY FORM

Grisanti for Senate
R- 60th District

______ Yes, ___# will attend. Please find my check enclosed and recognize me at the following level:
______ *Platinum Level: $16,800
______ Gold Level: 10,000
______ Silver Level: $6,500
OTHER LEVELS OF PARTICIPATION TO ATTEND EVENT:
______ $2,500 ______ $1,000 ______ $500 ______ $250
______ No, I am unable to attend the event however, enclosed is my contribution of $___________
*Includes primary and general election limits. In the event there is no primary election, excess contributions will be refunded.
These limits relate to contributions by individuals & partnerships. Any partnership contributions in excess of $2,500
must be allocated amongst the individual partners, (please provide separate list of partners contributing, include
amount, name, address and employer/occupation).
Please make checks payable to “Grisanti for Senate” and mail to:
SBR Enterprises LLC (this MUST be on the envelope)
590 Madison Avenue, Suite 2100, New York, NY 10022
E-Scan the completed forms with your credit card information to Sralston@SusanRalston.com.
For questions
call 202-309-1516.
Creditand
CardRSVP
Contribution

Visa MasterCard Discover Amex
Name as it appears on card:_____________________________________ Amount: $_______________
Card #:_____________________________________________ Exp. Date:_____________Code:______
Signature:_______________________________________________________
For compliance with NYS Election Law, please provide the following information *:
*Name:______________________________________________________________________________________
*Address:____________________________________________________________________________________
Cell #________________________________________Email _________________________________________
Business #:____________________________________Fax #:__________________________________________
Contributions are not tax deductible as charitable contributions for State or Federal income tax purposes.

REPLY FORM

Committee to Elect McDonald to the Senate
R- 43rd District
______ Yes, ___# will attend. Please find my check enclosed and recognize me at the following level:
______ *Platinum Level: $16,800
______ Gold Level: 10,000
______ Silver Level: $6,500
OTHER LEVELS OF PARTICIPATION TO ATTEND EVENT:
______ $2,500 ______ $1,000 ______ $500 ______ $250
______ No, I am unable to attend the event however, enclosed is my contribution of $___________
*Includes primary and general election limits. In the event there is no primary election, excess contributions will be refunded.
These limits relate to contributions by individuals & partnerships. Any partnership contributions in excess of $2,500
must be allocated amongst the individual partners, (please provide separate list of partners contributing, include
amount, name, address and employer/occupation).
Please make checks payable to “Committee to Elect McDonald to the Senate” and mail to:
SBR Enterprises LLC (this MUST be on the envelope)
590 Madison Avenue, Suite 2100, New York, NY 10022
E-Scan the completed forms with your credit card information to Sralston@SusanRalston.com.
For questions
call 202-309-1516.
Creditand
CardRSVP
Contribution

Visa MasterCard Discover Amex
Name as it appears on card:_____________________________________ Amount: $_______________
Card #:_____________________________________________ Exp. Date:_____________Code:______
Signature:_______________________________________________________

For compliance with NYS Election Law, please provide the following information *:
*Name:______________________________________________________________________________________
*Address:____________________________________________________________________________________
Cell #________________________________________Email _________________________________________
Business #:____________________________________Fax #:__________________________________________
Contributions are not tax deductible as charitable contributions for State or Federal income tax purposes.

REPLY FORM

Saland for Senate
R- 41st District

______ Yes, ___# will attend. Please find my check enclosed and recognize me at the following level:
______ *Platinum Level: $16,800
______ Gold Level: 10,000
______ Silver Level: $6,500
OTHER LEVELS OF PARTICIPATION TO ATTEND EVENT:
______ $2,500 ______ $1,000 ______ $500 ______ $250
______ No, I am unable to attend the event however, enclosed is my contribution of $___________
*Includes primary and general election limits. In the event there is no primary election, excess contributions will be refunded.
These limits relate to contributions by individuals & partnerships. Any partnership contributions in excess of $2,500
must be allocated amongst the individual partners, (please provide separate list of partners contributing, include
amount, name, address and employer/occupation).
Please make checks payable to “Saland for Senate” and mail to:
SBR Enterprises LLC (this MUST be on the envelope)
590 Madison Avenue, Suite 2100, New York, NY 10022
E-Scan the completed forms with your credit card information to Sralston@SusanRalston.com.
For questions
call 202-309-1516.
Creditand
CardRSVP
Contribution

Visa MasterCard Discover Amex
Name as it appears on card:_____________________________________ Amount: $_______________
Card #:_____________________________________________ Exp. Date:_____________Code:______
Signature:_______________________________________________________
For compliance with NYS Election Law, please provide the following information *:
*Name:______________________________________________________________________________________
*Address:____________________________________________________________________________________
Cell #________________________________________Email _________________________________________
Business #:____________________________________Fax #:__________________________________________
Contributions are not tax deductible as charitable contributions for State or Federal income tax purposes.

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