Académique Documents
Professionnel Documents
Culture Documents
Sharon Stone
For the inaugural meeting of the Los Angeles Obama Leadership Circle
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.
Yes! I/we would like to attend the reception on June 20th and join the Obama Leadership Circle:
$5,000 Membership in the Los Angeles Leadership Circle $1,000 a month Membership in the Los Angeles Leadership Circle (five total payments) Name(s) of attendee(s) if applicable: _________________________________________________________________ I was invited to attend by: __________________________________________________________________________
Please make checks payable to: Obama Victory Fund 2012 6222 Wilshire Boulevard, Suite 280 Los Angeles, CA 90048 Fax: (312) 361-8074
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 Fund 2012. By signing below, I certify that I am a U.S. citizen or lawfully admitted 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: ________________________________________________________________________________ 2nd Signature, If Contributing From Joint Account*: ____________________________________________ Contribute by Personal Check: Please make checks payable to Obama Victory Fund 2012 and mail to the address listed above. Contribute by Credit Card: Please bill my personal credit card: Visa MasterCard AMEX Discover
Yolanda "Cookie" Parker
Card Number: ____________________________________________________________________Exp: __________________ Name as it appears on the card: ____________________________________________________________________________ Signature: _______________________ _________________________________________________________ ______________ Second Name on Account, if Joint Account*: _________________________________________________________________ *Contributions will be evenly attributed between names. 2nd Name Employer: _________________________ 2nd Name Occupation: _____ ________________________________ Second Signature for Joint Account: _______________________________________________________________
Contributions or gifts to Obama Victory Fund 2012 are not tax deductible. The first $5,000 of a contribution to OVF 2012 will be allocated to Obama for America (with the first $2,500 designated for the primary, and the next $2,500 for the general election). The next $30,800 of a contribution will be allocated to the Democratic National Committee. Any additional amounts from a contributor will be divided among the State Democratic Party Committees as follows, up to $10,000 per committee and subject to the biennial aggregate limits: FL (17%); OH (16%); PA (13%); CO (11%); NC (11%); VA (11%); NV (6%); WI (6%); IA (5%); and NH (4%). A contributor may designate his or her contribution for a particular participant. The allocation formula above may change if following it would result in an excessive contribution. Contributions will be used in connection with a Federal election. LC101
Paid for by Obama Victory Fund 2012, a joint fundraising committee authorized by Obama for America, the Democratic National Committee, and the State Democratic Parties in the following states: CO, FL, IA, NV, NH, NC, OH, PA, VA, and WI.
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.