EFTA00296095.pdf

UoMNEY VICTORY MITTR0MNEY.00M EVENT CO-CHAIRS IRA AK-SELRAD HON. SCOTT FRAN12 DOUG KORN BRET PEARLMAN JEFF ALTMAN IRA GANGER BILL KOURAKOS ADRIENNE A. PRICE CLIFF ASNESS JAMIE GERARD HON. OHN LEHMAN STEVE PRICE BARRY BAUSANO SANDER GERBER PETER LEIDEI. JIM QUIGLEY BARRY BELGOROD CHRISTOPHER GIANCARLO STEVE LESSING MARY ROBERTSON TODD BICKMEYER BILL GREENBLA1T ERIK LISHER NATHAN ROMANO TOM BRITF JAY GRUSHKIN DAVID LOBEL ROBERT ROSANIA JON BURKAN REUVEN HAHN FRANK LORENZO PHIL ROSEN RAY CALDIERO JAMES HERRING KEVIN LUNG WILBUR L ROSS DAVID CANNON BILL. HEYMAN ADELE & DAVID MALPASS JOE SANTOMO ANNA & MICHAEL CARLEY BARBARA & MET. IMMERGUT WILLIAM MANGER, JR. ANTHONY SCARAMUCCI JOHN CATSIMATIDIS HON. BRENDA JOHNSON AUDREY MCNIFF DAVID SCHIZER MICHAEL. COHEN WOODY JOHNSON SAM MEEK CHIP SCHORR TOM DEAN CHARLIE JOYCE JOHN MESERVE MICHELLE & ANDY SRIUBAS VINCENT DEVITO HON. KENNETH JUSTER GEORGETTE MOSBACHER CHRIS STADLER. WENDY DIETZE JOE KAKATY KEVIN MOYNIHAN SUSAN SUTHERLAND JIM FORBES CALVIN KLEINMAN JACQUF-S NORDEMAN PAUL VERBINNEN KEITH FRANKEL BEN KOETHER MINA NYUGEN CHARLES WANG CORDIALLY INVITE YOU To A SEATED BREAKFAST WITI GOVERNOR MITT ROMNEY THURSDAY, AUGUST 9, 2012 AT "583 PARK AVENUE" 583 PARK AVENUE AT 63RD STREET • NEW YORK, NY 8:00 AM SUGGESTED CONTRIBUTIONS: $2,500 PER PERSON OR $10,000 - $50,000 PER TABLE OF TEN KINDLY RSVP To Fin KNOTT BY TUESDAY, AUGUST OR *ALL ATTENDEE NAMES MUST BE SUBMITTED PRIOR TO AUGUST 7TH Romney Victory, Inc. Post Office Box 149757 Boston, MA 02114-9757 Contributions to Romney Victory, Inc. ("RY") are not tax deductible for federal income tax purposes. RV is a joint fundraising committee composed of Romney for President, Inc. (-REP"), the Republican National Committee ("RNC"), the official Republican Panics in four states (the Idaho Republican Party, the Massachusetts Republican Party, the Oklahoma Leadership Council, and the Vermont Republican Federal Election Committee), the National Republican Senatorial Committee ("NRSC"), and the National Republican Congressional Committee ("NRCC"). However, contributions solicited by th's invitation will be deposited into the accounts of Romney for President, Inc., the Republican National Committee, the National Republican Senatorial Committee, and the National Republican Congressional Committee only. This invitation does not solicit funds for the four state Republican parties. Paid for by Romney Victory, Inc., a joint fundraising committee authorized by and composed of Romney for President, Inc., the Republican National Committee, the Idaho Republican Party, the Massachusetts Republican Party, the Oklahoma Leadership Council, the Vermont Republican Federal Election Committee, the National Republican Senatorial Committee, and the National _ _ EFTA00296095  t49MNEY VICTORY MITTROMNEY.COM REPLY INFO BREAKFAST • THURSDAY, AUGUST 9, 2012 ❑ Yes, I will be attending the August 96 Breakfast. Enclosed is my contribution of $ ($2.500 per anon)for number ofseats. *Attendee Names Must Be Submitted to prior to August 7th to ❑ Yes, I will be attending the August 96 Breakfast and contributing for a table of ten. Enclosed is my contribution of ($10,000 - $50.000 per table of ten) *Attendee Names Must Be Submitted prior to August 7m to ❑ No, I am unable attend, but enclosed is a contribution of S Please make your check payable to: Romney Victory, Inc. Name Address City State Zip Home Phone Work Phone E-mail CONTRIBUTOR INFO This contribution is made by check or credit card from my personal funds and is not drawn on an account maintained by an incorporated entity. I am a U.S. citizen or permanent resident and this contribution will not be reimbursed by another person. Signature For a contribution from a joint account to be attributed to two individuals, both must sign this form, indicating agreement with the above statement. Joint Contributor Signature Federal law requires us to collect and report the name, mailing address, occupation, and name of employer of each contributor whose contributions aggregate in excess of $200 in a calendar year (RNC and state parties) or election cycle (RFP). Please complete the following: Occupation Employer Joint Contributor Occupation Joint Contributor Employer CREDIT CARD REPLY Please charge my contribution of $ to my credit card. ❑ Visa ❑ MasterCard ❑ AMEX ❑ Discover Account Number Expiration Date Name on Card Signature Mail to: Romney Victory, Inc. do Fifi Knott •190 Elizabeth Street, #6R •New York, NY, 10012 ■ USPS Mail Only Or Fax: 212-298-8339; or Scan/Email to: Or Contribute Online: Fundraiser ID: Source (or Event) Code: ENY090B Proceeds shall be allocated by the following formula: 1. Individuals and non-multicandidate PACs - The first $2,500 will go to RFP's primary account. The next $2,500 will go to RFP's general account. The next $30,800 will go to the RNC. The remaining amount will be split evenly between the NRSC and NRCC, up to a maximum of $20,000 per committee. 2. Multicandidate PACs - The first $5,000 will go to RFP's primary account. The next $5,000 will go to RFP's general account. The next $15,000 will go to the RNC. The remaining amount will be split evenly between the NRSC and NRCC, up to a maximum of $15,000 per committee. Notwithstanding this allocation formula, a contributor may designate a contribution for a specific participant or participants. In addition, the allocation formula may change if any contribution would exceed applicable contribution limits. However, no part of any contribution made pursuant to this Notice will be allocated to any Committee not identified in the above formula. Contributions from corporations, labor unions, federal contractors, and foreign nationals are prohibited. Federal law requires us to collect and report the name, mailing address, occupation, and employer of each contributor whose contributions aggregate in excess of $200 in a calendar year (RNC, NRSC and NRCC) or election cycle (RFP). Contributions solicited by this invitation will be deposited into the accounts ofRFP, the RNC, the NRSC, and the NRCC only. This invitation does not solicitfundsfor thefour state Republican parties. Paid for by Romney Victory, Inc., a joint fundraising committee authorized by and composed of Romney for President, Inc., the Republican National Committee, the Idaho Republican Party, the Massachusetts Republican Party, the Oklahoma Leadership Council, the Vermont Republican Federal Election Committee, the National Republican Senatorial Committee, and the National Republican Congressional Committee EFTA00296096