Please join

FRANK SCIAME & RICHARD ANDERSON

for a reception in support of

NYC Council Speaker

CHRISTINE C. QUINN

Wednesday, April 20
6:00PM

Sciame Construction / Development

14 Wall Street
Second Floor
New York City

Suggested minimum contribution of $1,000

RSVP to Annie Mullaly Weir

at annie.mullaly@gmail.com or 917-438-7063.
State law prohibits making a contribution in someone else’s name, reimbursing someone for a contribution made in your name,
being reimbursed for a contribution made in your name, or claiming to have made a contribution when a loan is made.

PAID FOR BY QUINN FOR NEW YORK

PRINTED IN HOUSE
 QUINN FOR NEW YORK
Enclosed is my contribution of:
$4,950 $2,500 $1,000 $Other _______
Check (Please make check payable to: Quinn for New York)
Credit Card
Donations may be mailed to: Quinn for New York, PO Box 1445, Old Chelsea Station, NY, NY 10011
Contribution Requirements:
We cannot accept contributions from corporations; cash contributions that are more than $100; or any contributions over
$4,950. Federal law prohibits contributions from foreign nationals. Contributions are not tax deductible. State law prohibits
making a contribution in someone else’s name, reimbursing someone for a contribution made in your name, being reimbursed
for a contribution made in your name, or claiming to have made a contribution when a loan is made.

To contribute via credit card: please charge $________ to  AMEX  MasterCard  Visa

Credit Card #:________________________________________________________ Expiration Date: _______________

Name (as it appears on card):_________________________________________________________________________

Please complete the following:

Name __________________________________________________________________________________
Home Address __________________________________________________________________________
City/State/Zip ___________________________________________________________________________
Home Phone _________________________ Work Phone ____________________________________
Fax _________________________ Email _____________________________________________________

Campaign finance reporting rules require that you provide the following information:
Occupation ____________________________ Employer _____________________________________
Work Address ___________________________________________________________________________

I understand that State law requires that a contribution be in my name and be from my own funds. I
hereby affirm that this contribution is being made from my personal funds, is not being reimbursed in
any manner, and is not being made as a loan; in addition, in the case of a credit card contribution, I
also hereby affirm that this contribution is being made from my personal credit card account, billed
to and paid by me for my personal use, and has no corporate or business affiliation.

Signature ________________________________________________ Date ________________________

The New York City Campaign Finance Board will match the first $175
contributed by individual New York City residents at a $6 to $1 rate.
Corporate contributions are not permitted.

FOR FURTHER INFORMATION PLEASE CALL 347.325.0699

TO RETURN THIS FORM MAIL TO: Quinn for New York, PO Box 1445, Old Chelsea Station, NY, NY 10011
Sciame
PAID FOR BY QUINN FOR NEW YORK
PRINTED IN HOUSE
 Doing Business Contributor Form (only required for contributions in excess of $400)

INSTRUCTIONS: There are now “doing business” contribution restrictions that cover persons who have had specific types of
business dealings with the City of New York within the past 12 months. The law applies if you are doing the business yourself, or if
you are a principal officer, principal owner, or senior manager of an entity or firm that does the business. The law may also
apply to you even if you are just bidding or applying for business. The doing business contribution restrictions only apply to
contributors listed in the City’s doing business database. If you would like more information, or to check if you are in the doing
business database, please go to the Campaign Finance Board’s website, http://www.nyccfb.
info/candidates/candidates/doing_biz.htm. The following categories of business are covered*:

 Lobbying: Are a registered NYC lobbyist.

 Contracts, Concessions & Franchises, and Grants: Hold these totaling over $100,000 (construction contracts over $500,000),
excluding emergency contracts and contracts awarded by competitive sealed bidding.
 Bidders and Proposers: Answer a bid or proposal request for any contract, concession, or franchise covered above.
 Economic Development Agreements: Receive a contract or agreement, including payments in lieu of taxes, City tax
incentives, and City financing.
 Pension Fund Investments: Hold contracts or proposals for investment of pension funds or related services.
 Real Property: Are a party to sales, purchases, or leases of real property with or by the City, except public auction.
 Land Use: Make any application subject to Uniform Land Use Review Procedure (“ULURP”) or application for zoning change

or special permit.

*The doing business contribution restrictions take effect in three phases: (1) contracts, concessions, franchises, and lobbyists—
effective date February 2, 2008; (2) grants, economic development agreements, pension fund agreements, bidders and
proposers, and senior managers associated with the entities covered in Phases 1 and 2—effective date July 31, 2008; (3) real
property and land use—effective date December 3, 2008.

You will NOT be considered to have business dealings with the City merely because you pay real estate, income, or business
taxes or receive a refund or rebate; work for the City; pay into or receive a City pension; drive a City taxi; hire a lobbyist; seek
permits for your 1, 2, or 3 family home; apply for street activity permits including parades, processionals, or street fairs; and other
kinds of similar individual activities with the City.

Doing Business Contributor Form

QUINN FOR NEW YORK
For contributors exceeding $400, please complete the following:
Contributor’s Name ________________________________________________________________________________________
Address _____________________________________________________________________________________________________
City/State/Zip _______________________________________________________________________________________________

Please indicate whether you have business dealings with the City: Yes No Not Sure

If yes, please complete the information below:

Name and Address of Doing Business Category Relationship(s)

City Agency/Agencies
Business Entity (for example, Contracts) (for example, CEO)

If a contributor has business dealings with the City as defined in the Campaign Finance Act, such contributor may contribute
only up to $250 for city council, $320 for borough president and $400 for mayor, comptroller or public advocate. Contributions
from persons doing business with the City also will not be matched with public funds.

The doing business contribution restrictions only apply to contributors listed in the City’s doing business database. If you would
like more information, or to check if you are in the City’s doing business database, please go to the Campaign Finance Board’s
website, www.nyccfb.info/ candidates/candidates/doing_biz.htm.
11/13/08