SUNDAY, OCTOBER 7

TH
O' CLOCK l N THE MORNl NG
PLEASE CONTACT KEI TH TI LLEY WI TH ANY
QUESTI ONS AT KTI LLEY@BARACKOBAMA.COM
HOST COMMI TTEE I N FORMATI ON
MY. BARACKOBAMA.COM/OCTOBER7BRUNCHDC
PENTHOUSE POOL CLUB
V| da F| t nes s - 1612 U St reet Nor t hwes t
WASHI NGTON, DC
THE OBAMA VI CTORY FUND' S LEADERSHI P COUNCI L
I N WELCOMI NG
FOR A MI MOSA RECEPTI ON & VI P BRUNCH
BENEFI TI NG OBAMA VI CTORY FUND
/NDRE LEON T/LLEY
w| t h ve r s ec | al ques t
DR. Jl LL Pl DEN
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.
CONTRIBUTE ONLINE AT: MY.BARACKOBAMA.COM/OCTOBER7BRUNCHDC
SIGNATURE:
SECOND SIGNATURE, IF CONTRIBUTING FROM JOINT ACCOUNT*:
FIRST & LAST NAME:
ADDRESS:
CITY/STATE/ZIP:
EMPLOYER: OCCUPATION:
WORK PHONE: WORK FAX:
HOME PHONE: EMAIL:
NAME(S) OF ATTENDEE(S):

I WAS INVITED TO ATTEND BY:
TOTAL AMOUNT:
SECOND SIGNATURE FOR JOINT ACCOUNT:
CONTRIBUTE BY PERSONAL CHECK
PLEASE MAKE CHECKS PAYABLE TO OBAMA VICTORY FUND 2012 AND MAIL TO:
ObamaV|ctorFund2012-Attn:Ad|t|Hard|kar-180EastRandolhStreet-Ch|caqo,Ill|no|s
CREDIT CARD
Pleaseb|llmersonalcred|tcard: VISA MASTERCARD AMEX DISCOVER
CARD NUMBER: EXP:
NAME AS IT APPEARS ON THE CARD:
SIGNATURE:
SECOND NAME ON ACCOUNT, IF JOINT ACCOUNT*:
*Contributions will be evenly attributed between names.
SECOND NAME EMPLOYER: SECOND NAME OCCUPATION:
*
Alsol|stsecondemloer/occuat|onbelow
Obama Victory Fund 2012 does not accept contributions from currently registered federal lobbyists, registered foreign agents, political action committees, or minors under the age of
16. Corporate and labor union contributions are prohibited. 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 an election cycle.
Federal law prohibits foreign nationals, except lawfully admitted permanent residents of the U.S., from contributing to the Obama For America. By signing below, I certify that I am
a U.S. citizen or lawfully admitted permanent resident of the U.S., the funds I am donating are not being provided to me by another person or entity for the purpose of making this
contribution, and that my contribution shall be allocated as stated below.
Contributions or gifts to Obama Victory Fund 2012 are not tax deductible.
The first $2,500 from a contributor to Obama Victory Fund 2012 will be allocated to Obama for America, designated for the general election. The next $30,800 from a contributor
will be allocated to the Democratic National Committee. Any additional amount(s) from a contributor will be divided among the State Democratic Party Committees as follows,
up to $10,000 per committee and subject to the biennial aggregate limits: OH (24%), FL (15%); WI (12%); IA (10%); NV (10%); VA (9%); CO (7%); NC (7%); PA (3%); and NH (3%).
A contributor may designate a contribution for a particular participant. This allocation formula may change if following it would result in an excessive contribution. Contributions
will be used in connection with a Federal election, may be spent on any activities of the participants as each committee determines in its sole discretion, and will not be earmarked
for any particular candidate.
DC235

$500 PER PERSON Attend as a reception guest.

$1,000 PER PERSON Attend as a reception host.

$5,000 PER PERSON Attend as a VIP Brunch guest (Includes VIP brunch and photo opportunity with special guests).

$10,000 PER PERSON Attend as a VIP Brunch chair (Includes VIP brunch and photo opportunity with special guests and recognition at event).
I am unable to attend, but would like to support Obama Victory Fund 2012 by contributing: $
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.