Please  join  TOM  BUIS,  JEFF  BROIN  &  

GENERAL  WESLEY  CLARK,  RET.    

for  a  reception  with    

Josh  Gottheimer  Candidate  for  Congress  in  New  Jersey’s  5th  Congressional  District  

 

 

Wednesday,  September  16,  2015  7:30  PM  

 

The  Monocle  Restaurant  107  D  Street,  NE  

Washington,  DC  20002    

SUGGESTED  CONTRIBUTION:  $500  per  person  

 To  make  a  contribution  online,  click  here.  

 Please  contact  Josh’s  team  at  jake@josh4congress.com  or    

(973)  800-­‐8475  with  any  questions.                          

    Paid  for  by  Josh  Gottheimer  for  Congress  Committee    

 

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

YES,  I  will  attend!  Enclosed  is  my  contribution  of:    

________  $5,400      ________  $2,700      ________  $1,000      ________  $500    ________  $250    ________  Other    

I  am  unable  to  attend  but  enclosed  is  my  contribution  of:  $___________                    First  &  Last  Name(s):  ________________________________________________________________      Address:  ___________________________________________________________________________    City:  _________________________________________     State:  ________     Zip:  ________________    Cell  Phone:  ____________________________________   Office  Phone:  ___________________________    Email  Address:  _________________________________   Fax:  ________________________________    Employer:  _____________________________________   Occupation:  ____________________________    If  you  prefer  to  contribute  via  credit  card:    

Charge  my  contribution  (address  above  must  match  billing  card  address)    

Credit  Card  #:  ________________________________________________  Exp.  Date:  ____________________    

Please  sign  here  to  indicate  that  you  have  read  and  agree  with  the  following  Contribution  Guidelines:      

X  _________________________________________________________________________________________    

1. This  contribution  is  made  from  my  own  funds,  and  funds  are  not  being  provided  to  me  by  another  person  or  entity  for  the  purpose  of  making  this  contribution.  

2. I  am  making  this  contribution  with  my  own  personal  credit  card  and  not  with  a  corporate  or  business  credit  card  or  a  card  issued  to  another  person.  

3. I  am  not  a  federal  contractor.  4. I  am  at  least  eighteen  years  old.  5. I  am  a  U.S.  citizen  or  lawfully  admitted  permanent  resident  (i.e.,  green  card  holder).    Contributions  are  not  tax  deductible.  Federal  law  requires  us  to  use  best  efforts  to  collect  and  report  the  name,  mailing  address,  occupation  and  employer  of  individuals  whose  contributions  exceed  $200  in  an  election  cycle.  Contributions  are  limited  to  personal  funds  of  $2,700  for  the  2016  Primary  election  and  $2,700  for  the  2016  General  election.  Contributions  from  qualified  Federal  PACs  are  limited  to  $5,000  per  PAC  for  the  2016  General  election.  Corporate  checks,  funds  from  government  contractors,  foreign  nationals,  and  labor  organizations,  and  contributions  made  in  the  name  of  another,  cannot  be  accepted.                        

15DC0916TB    

Paid  for  by  Josh  Gottheimer  for  Congress  Committee  

Please  make  contributions  payable  and  mail  checks  to:    Josh  Gottheimer  for  Congress  Committee    

PO  Box  584  Ridgewood,  NJ  07451  

For  online  contributions  visit  www.josh4congress.com  

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