Mar 30, 2012 - RSVP online at: http://my.barackobama.com/march30sanfranfamilyreception ... 2nd Signature, if Contributin
Obama Victory Fund and Families for Obama Cordially invite you to a reception with special guest
First Lady Michelle Obama Friday, March 30th, 2012 4:30 in the afternoon
(4:00 in the afternoon for photo line attendees)
California Academy of Sciences Golden Gate Park 55 Music Concourse Drive San Francisco, CA Please contact Erik Stowe with any questions at
[email protected] RSVP online at: http://my.barackobama.com/march30sanfranfamilyreception Paid for by Obama Victory Fund 2012, a joint fundraising committee authorized by Obama for America, the Democratic National Committee, and the State Democratic Parties in the following states: CO, FL, IA, NV, NH, NC, OH, PA, VA, and WI.
Yes! I/we would like to attend the reception on March 30th: ☐$35,800 Family Co-Host – includes greet, photo, and reception for up to six family members ☐$7,000 includes photo and reception for two (additional $2,000 per additional guest) ☐$5,000 includes photo and reception ☐$1,000 Reception ☐I am unable to attend, but would like to support Obama Victory Fund 2012 by contributing: $___________ Name(s) of attendee(s): ____________________________________________________________________________ I was invited to attend by: __________________________________________________________________________ Please make checks payable to: Obama Victory Fund 2012 450 Pacific Ave San Francisco, CA 94133 Fax: (312) 361-‐‑8073
Total Amount: $________________
Click here to contribute online: http://my.barackobama.com/march30sanfranfamilyreception 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. 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 Obama Victory Fund 2012. 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. Signature: ________________________________________________________________________________ 2nd Signature, if Contributing from Joint Account*: ____________________________________________ Contribute by Personal Check: Please make checks payable to “Obama Victory Fund 2012” and mail to the address listed above. Contribute by Credit Card: Please Bill my Personal Credit Card:
Visa
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Card Number: ____________________________________________________________________Exp: __________________ Name as it appears on the Card: ____________________________________________________________________________ Signature: ______________________________________________________________________________________________ 2nd Name on Account, if Joint Account*: _________________________________________________________________ *Contributions will be evenly attributed between names. 2nd Name Employer: _________________________ 2nd Name Occupation: _____________________________________
CA447
2nd Signature for Joint Account: _______________________________________________________________ Contributions or gifts to Obama Victory Fund 2012 are not tax deductible. The allocation for funds raised under this Agreement shall be as follows: The first $5,000 of a contribution to OVF 2012 will be allocated to Obama for America (with the first $2,500 designated for the primary election, and the next $2,500 for the general election). The next $30,800 of a contribution will be allocated to the Democratic National Committee. Any additional amounts 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: FL (17%); OH (16%); PA (13%); CO (11%); NC (11%); VA (11%); NV (6%); WI (6%); IA (5%); and NH (4%)A contributor may designate his or her contribution for a particular participant. The allocation formula above may change if following it would result in an excessive contribution. Contributions will be used in connection with a Federal election.
Paid for by Obama Victory Fund 2012, a joint fundraising committee authorized by Obama for America, the Democratic National Committee, and the State Democratic Parties in the following states: CO, FL, IA, NV, NH, NC, OH, PA, VA, and WI.
