Você está na página 1de 2

Reception with

SENATOR
CHUCK SCHUMER
Monday,
November 9, 2009
6:30 PM
rrlie Souree
575 Pennsylvania
Avenue, NW
Washington, DC
Space is very fimited;
so prease CBS1!cP earCy to
:Manjiri :Mannino at:
(202) 546-7220 or
Manjiri @Jtonyafulkerson.c01TI
cro 6enefit
IMPACT
Senator Schumer's
Leadership PAC
Suggested
contribution levels:
$5,000 Chair
$2,500 Co-Host
$1,000 Attend
Contri6utions sliouCd6e made
paya6Ce to "/9rtPjlC(l:
c/o Manjiri Mannino
426 C Street,NE
Washington, DC 20002
r- gifts to IMPACT are not tax deductible. ...... _
Paid for by IMPACl' (2 J2532 102 J) and nol authorized by any candiJate OJ' candidate's (.'(lIlHuillet:.
IMPACT PAC DONOR CARD
J?or November 9
th
Reception with Senator Schumer
__ YES. I would like to attend the reception and contribute $
__ I am unable to attend the event, but enclosed is my contribution of $ .. .
PLEASE MAKE CHF':CKS PAYABLE TO IMI)ACT AND MAIL TO:
c/o Manjiri M,mnino
426 C Street, NE
Washington, DC 20002
PERSONAL CREDIT CARl) CONTRIUlJTIONS CAN BE SENT VIA TO (202) 449-4118.
Federnllaw requires us to use our best effol1s to collect and repol1 the name, mailing address, occupation,
and name or employer for individuals whol:;c contributions exceed $2(X) in an election cycle.
Name: _
Address: . . m_._.._ ... n .. .__._._. ._. ._._
City/StatelZip:__. . . _
Occupation: _.__..__.__. . _ __ Employer:_._ _._._ _._ .. _._._ .
Home Phone: . . Work Phone: . _
Fax.:
n
_ _.
n
_ EmaiL ._.._
m
__ __
m
.... _
If you prefer t.o pay by PERSONAL credit card, please till out the following information:
ij Visa ;] American Express :; MasterCard (1 Discover
Card Numbcr: Exp.: Amount: $ ..._
N'IJlle on Card:.._."."._..".."."_.."." " v_v_. ,,,.,"v.'-"_, __w _._v .v._.v,,,..,,',_.,., _.".._ " __'w ,..","' ""'""""",..,.,_".,-."."....,."-_,..__.. __,._,,,_",.""',,, , .- ..,._,_,_
Federal Contribution Limits and Restrictions
An individual may contribute up to $5,000 per calendar year to a PAC
A married couple may contribute up to $10,000 per calendar year: a (.."ouple that wishes to make a
joint contribution of $10.000 may use one check but each person must sign the check or all
accompanying document
Partnerships may conlJibute up to $5.000 per calendar year; however. the contribut.ion also counts
against each participating parmer's own contribution limit for that year.
Multi-candidate political action (:ommittees may contribute up to $5,000 per calendar year.
Contributions from corporations, labor organizat.ion treasury funds, foreign nationals, and federal
government contractors ure prohibited,
Printed in
Contributions to IMPACT are not tax deductible for federal income tax. purposes.
Paid for by !rvlPACT (212-532-1021) and not by any candidate candidate's cOllllniUec.

Você também pode gostar