7/29/2019 Animal Advocates for Bill de Blasio

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C h a i r : K e n P a s k a rC o-hos t s : C ody C ar l son D a v i d K a r o p k i nJ o n P a r k s J u s t in B r a n n a n M a r y a n d P e t e r M a xC y n t h i a K i n g C as s i e Karopkin L i sa Drapkin John Ph i l li p sGai l Sheehy S h a r o n N e l so n E r i k a M a n s o u r i a n Pat S e l l e r s(Hos t L i s t in Form at ion)Cordially invite you to a reception in support of

Animal Advocates for

Bill de BlasioCandidate for Mayor of NYC

Monday, August 26th, 20136:00pm- 8:00pmLoca t i on : The Pe te r Max S tud i o

3 7 W . 6 5 th St . , 7 th F loo r N ew Y o r k , N Y 10 023(b e t ween B r o ad way a n d Cen t r a l P a r k W es t )

Suggested Contribution Levels$100 Host $50 Co-Host $25 Guest

*Contributions from NYC residents up to $175 will be matched 6 to 1 by theNYC Campaign Finance Board*

Personal contributions only. Corporate, LLC, and LLP contributions are strictly prohibite

The maximum contribution for an individual to the campaign is $4,950.Please make checks payable to: New Yorkers for de Blasio

To RSVP or for additional information please contactElana Leopold by phone: (646) 361-2530 or email: elana@billdeblasio.com

ource: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sou

7/29/2019 Animal Advocates for Bill de Blasio

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Bill de Blasio ReceptionMonday,August26

th,20136:00pm-8:00pm

Yes! I would like to attend the event on August 26th, and I would like to contribute $______________________

No, I cannot attend the event on August 26th, but I would still like to support Bill and contribute $____________

Name: __________________________________ Home Address: ____________________________________________________

City: __________________ State: ______________ Zip Code: __________ Contribution Amount: $ _________________

Your Employers Name: ____________________________ Your Occupation: _____________________________________

Your Work Address: _________________________________City: _______________ State: _______ Zip Code: _________

Home Phone: ____________________ Work Phone: ______________________ Cell Phone:_______________________

Fax: _______________________ E-mail address: _____________________________________________

Please indicate if contribution is being made by: Cash_______ Money Order________ Credit Card______ Check______

Please charge my: ___Visa ___MasterCard ___AMEX

Credit Card No:_________________________________________ Exp. Date: _______

Please make checks payable to:New Yorkers for De Blasio and mail to

New Yorkers for de Blasio32 Court Street, Suite 902

Brooklyn, NY 11201

**ContributionsfromNYCresidentsupto$175willbematched6to1bytheNYCCampaignFinanceBoard**Themaximumcontributionforanindividualtothecampaignis$4,950.

*For contributions of more than $400 only: Please complete Doing Business questionnaire.

The following statement is required by NYC Campaign Finance Board Rules:I understand that State law requires that a contribution be in my name and be from my own funds. I hereby affirm that this contributionis being made from my personal funds, is not being reimbursed in any manner, and is not being made as a loan.

Credit Card Contributors: I affirm that this contribution is being made from my personal credit card account, billed to and paid by mefor my personal use and having no corporate and business affiliation, and is not being made as a loan.

Your signature required: _________________________________________ Date Signed: ________________________

Contribution Requirements:

We cannot accept: contributions from corporations, partnerships or limited liability companies (LLCs); cash contributions that are more than $100; anycontributions over $4,950. *If a contributor has business dealings with the City as defined in the Campaign Finance Act, the contribution limitis $400.Federal law prohibits contributions from foreign nationals.We cannot accept contributions from political committees, unless the committee registers with the Campaign Finance Board. If you wish to make acontribution from an unregistered committee, call Elana 646-361-2530 for a registration form.Contributions are not tax deductible.

State law prohibits making a contribution in someone elses 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 New Yorkers for De Blasio. Printed in house

ource: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sou