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Paid for by the Democratic National Committee, www.democrats.org.

This
communication is not authorized by any candidate or candidates committee.


Chairs
Betsy & Ed Zimmerman
&
Co-Chairs
Chef Floyd Cardoz
Anne Hess & Craig Kaplan
Sarah & Victor Kovner
Margo Lion
Ken Rosen
Andrew Tobias
(Host committee in formation)
and the Democratic National Committee
cordially invite you to a reception with special guest
President Barack Obama
Tuesday, October 7
th

2:30p.m.
White Street
221 West Broadway
New York City

Please contact Claire Olszewski with any questions at
OlszewskiC@dnc.org or 202-572-5480.
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 the barbeque on October 7
th
:
$25,000 per couple (write/raise) includes co-host reception, photo and general reception
$10,000 per couple includes photo and general reception
$1,000 per person includes general reception
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
Attention: Claire Olszewski
430 S. Capitol Street, SE
Washington, DC 20003
Fax: (202) 572-7819
Total Amount: $________________
(Maximum contribution ~ $32,400)


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, except lawfully admitted permanent residents of the U.S., from contributing to the Democratic National
Committee. By signing below, I certify that I am a U.S. citizen or lawfully admitted permanent resident of the U.S., and that, 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 *: ______________________________________
Second Name (printed): ____________________________________________________________________________________
Second Name Employer: ______________________________________ Second Name Occupation: ____________________
Contribute by Personal Check:
Please make checks payable to Democratic National Committee and mail to the address listed above.
Contribute by Credit Card:
Please bill my personal credit card: Visa MasterCard AMEX Discover
Card Number: ____________________________________________________________________Exp: ___________________
Name as it appears on the card: _____________________________________________________________________________
Signature: _______________________________________
* If contributing from joint account. Contributions made from joint accounts will be evenly attributed between names.
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.
Click here to contribute online: http://finance.democrats.org/Oct7ReceptionNY
























Paid for by the Democratic National Committee, www.democrats.org. This communication is not
authorized by any candidate or candidates committee.

NY413a
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.