Cocktail Reception For Nan Hayworth
Uploaded by
Sunlight FoundationCocktail Reception For Nan Hayworth
Uploaded by
Sunlight FoundationSteven
L. Alfasi, Richard Barasch, Steven A. Gaines,
Hon. Kieran Lalor, John M. Murtagh, Ted A. Novick,
and David E. Venditti
CORDIALLY INVITE YOU TO A COCKTAIL RECEPTION IN SUPPORT OF THE CONGRESSIONAL CAMPAIGN OF
NAN HAYWORTH, M.D.
Gaines, Novick, Ponzini, Cossu, & Venditti LLP
11 Martine Ave.
White Plains, NY 10606
Monday October 20th, 2014
5:30 p.m. 7:00 p.m.
$150 Guest - $500 Sponsor - $1,000 Co-Host
To contribute online, please visit:
www.nanhayworth.com/donate
Kindly RVSP to Samantha Menh Email: [email protected] Call: 405-887-7700
Contributions
are
not
tax
deductible
as
charitable
contributions
for
federal
income
tax
purposes.
By
law,
the
maximum
amount
an
individual
may
contribute
is
$5,200
($10,400
per
couple)
per
election
cycle.
Federal
multi-
candidate
PACs
may
contribute
$5,000
per
election.
Federal
law
requires
us
to
obtain
and
report
the
name,
mailing
address,
occupation
and
name
of
employer
for
each
individual
whose
contributions
aggregate
in
excess
of
$200
per
election
cycle.
Contributions
by
corporations,
foreign
nationals
(non-green
card
holders),
labor
unions,
federal
government
contractors,
and
minors
under
the
age
of
18
are
prohibited.
Friends
of
Nan
Hayworth
P.O.
Box
511
Chester,
NY
10918
Paid for by Friends of Nan Hayworth
www.NanHayworth.com
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.
I
am
happy
to
join
you
on
October
20th
2014
to
support
your
election
campaign.
I
am
enclosing
my
most
generous
contribution
in
the
amount
of:
Please
reserve
1
ticket
and
accept
my
contribution
of
$________________.
Unfortunately,
I
am
unable
to
participate
but
am
enclosing
a
contribution
in
the
amount
of:
$1,000
$750
$500
$250
$_______
Other
Please
make
checks
payable
to
Friends
of
Nan
Hayworth
and
send
to:
Friends
of
Nan
Hayworth
P.O.
Box
511,
Chester,
NY
10918
To
contribute
by
personal
credit
card,
please
complete
the
following:
Name
on
card:
____________________________________________________
Card #:
Amount: $_________________
____________________________________________________ Exp. Date: ___________ Security Code: ___________
My
signature
verifies
that
this
contribution
represents
my
personal
funds
and
is
not
drawn
on
an
account
maintained
by
an
incorporated
entity
or
other
prohibited
source.
Signature
of
Contributor:
_________________________________________________________________
Federal
law
requires
us
to
use
our
best
efforts
to
collect
and
report
the
name,
mailing
address,
occupation,
and
name
of
employer
of
individuals
whose
contributions
exceed
$200
in
a
calendar
year.
Corporate
and
foreign
national
contributions
are
not
permitted.
Contributions
are
not
deductible
for
income
tax
purposes.
Full
Name:
____________________________________________________________________________________________________________________________________________________
Spouses
Name
(if
joint):
________________________________________________
Spouses
Signature
(if
joint)_________________________________________________
Employer:
________________________________________________________________
Occupation:
___________________________________________________________________
Spouses
Employer
(if
joint):
___________________________________________
Spouses
Occupation
(if
joint)_______________________________________________
Address:
____________________________________________________________________________________________________
City:
___________________________________________
State:
________
Zip:
______________
Home
Phone:
__________________________
Work
Phone:
__________________________
Fax:
_________________________________
Email:
______________________________________________________________________
Mobile
Phone:
_______________________________________________________________
Paid for by Friends of Nan Hayworth
www.NanHayworth.com
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.
