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NY362 Paid for by Obama Victory Fund 2012, a joint fundraising committee authorized by

Obama for America and the Democratic National Committee.

OBAMA FOR AMERICA 

ALONG WITH HONORARY EVENT CO-CHAIRS

GOVERNOR ANDREW M. CUOMO 

SENATOR CHUCK SCHUMER SENATOR KIRSTEN GILLIBRAND 

INVITE YOU TO JOIN 

FOR THE RE-ELECTION CAMPAIGN 

INAUGURAL GALA DINNER 

WEDNESDAY , APRIL 27TH, 2011 AT 6:30PM 

AT THE 

WALDORF ASTORIA 

STARLIGHT ROOF 301 PARK AVENUE NEW YORK CITY  

(BETWEEN 49TH AND 50TH STREETS)

** PLEASE NOTE, DUE TO U.S. SECRET SERVICE REQUIREMENTS **ALL GUESTS MUST ARRIVE NO LATER THAN 6:30PM 

TO RSVP OR FOR MORE DETAILS, PLEASE CONTACT

NEWYORKDINNER@BARACKOBAMA.COM OR (202) 572-5451

HTTPS://MY .BARACKOBAMA.COM/APRIL27DINNER?CUSTOM1=SALLY +MINARD 

8/7/2019 Obama-2011-04-27-Dinner-Invite (2)

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NY362 Paid for by Obama Victory Fund 2012, a joint fundraising committee authorized by

Obama for America and the Democratic National Committee.

 Yes, I would like to attend the Gala Dinner on April 27th: $2,500 per person $5,000 per person –  Premium Seating   $10,000 per person –  Photo Reception & Dinner  

 Yes, I would like to join the Host Committee: Host –  write/raise $25,000 ( includes Photo Reception, Program Listing, Dinner  ) Trustee – raise $50,000 ( includes VIP Reception, Photo Reception, Program Listing, Dinner)

Chair – raise $100,000 ( includes Podium Acknowledgment, VIP reception, Photo Reception,Program Listing Dinner)

** If you are interested in joining the Host Committee, please contact NewYorkDinner@barackobama.com or (202) 572-5451.

If purchasing multiple seats, please list the names of your additional guests: ________________________________________________________________________ I am unable to attend, but would like to support the DNC with a contribution of $ _______ 

I was invited to attend by _________________Sally Minard_____________________ 

Obama Victory Fund 2012 does not accept contributions from currently registered federal lobbyists, registered foreign agents, politicalaction 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 Fund2012. By signing below, I certify that I am a U.S. citizen or legal 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: _____________________________________ Name (Print): ____________________________________ 

Contribute by Personal Check:Please make your contribution payable to the “Obama Victory Fund 2012” and mail with this completed form to: 

 Attn. Brad Thompson430 South Capitol St. SE, 3rd Fl

 Washington, DC 20003

Or fax this form to (202) 572-7854Or contribute online at: https://my.barackobama.com/April27Dinner?custom1=Sally+Minard 

For questions, please contact NewYorkDinner@barackobama.com or (202) 572-5451

Contribute by Credit Card:

Visa American Express MasterCard

Card Number: ____________________________________________________________________ Exp: ___________ 

Name on Card: ___________________________________________________________________________________ 

Signature: _______________________________________________________________________________________ Contributions or gifts to Obama Victory Fund 2012 are not tax deductible.

Contributions to Obama Victory Fund 2012 will be allocated as follows: The first $2,500 of each contribution from a person will be allocated to Obama for America and will be considered designated for the primary election. The next $2,500 of each contribution from a person will be allocated to Obama for America and will be considered designated for the

general election. The next $30,800 of each contribution from a person will be allocated to the Democratic National Committee. Any contributor may designate his or her contribution for a particular participant. The allocation formula above may change if any contributor makes

a contribution that, when allocated, would exceed the amount that the contributor may lawfully give to any participant.