Chair: Ken Paskar Co-hosts: Cody Carlson David Karopkin Jon Parks Justin Brannan Mary and Peter

er Max Cynthia King Cassie Karopkin Lisa Drapkin John Phillips Gail Sheehy Sharon Nelson Erika Mansourian Pat Sellers (Host List in Formation)

Cordially invite you to a reception in support of

Animal Advocates for Bill de Blasio

Candidate for Mayor of NYC

Monday, August 26th, 2013 6:00pm- 8:00pm

Location: The Peter Max Studio 37 W. 65 th St., 7 th Floor New York, NY 10023 (between Broadway and Central Park West)
Suggested Contribution Levels $100 Host $50 Co-Host $25 Guest

*Contributions from NYC residents up to $175 will be matched 6 to 1 by the NYC Campaign Finance Board*
Personal contributions only. Corporate, LLC, and LLP contributions are strictly prohibited.

The maximum contribution for an individual to the campaign is $4,950.

Please make checks payable to: New Yorkers for de Blasio To RSVP or for additional information please contact Elana Leopold by phone: (646) 361-2530 or email: elana@billdeblasio.com
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

Monday, August 26th, 2013 6:00pm- 8:00pm

Yes! I would like to attend the event on August 26th, and I would like to contribute $______________________ No, I cannot attend the event on August 26th, but I would still like to support Bill and contribute $____________
Name: __________________________________ Home Address: ____________________________________________________ City: __________________ State: ______________ Zip Code: __________ Contribution Amount: $ _________________

Bill de Blasio Reception

Your Employers Name: ____________________________ Your Occupation: _____________________________________ Your Work Address: _________________________________City: _______________ State: _______ Zip Code: _________ Home Phone: ____________________ Work Phone: ______________________ Fax: _______________________ Cell Phone:_______________________

E-mail address: _____________________________________________

Please indicate if contribution is being made by: Cash_______ Money Order________ Credit Card______ Check______ Please charge my: ___Visa ___MasterCard ___AMEX Credit Card No:_________________________________________ Exp. Date: _______ Please make checks payable to: New Yorkers for De Blasio and mail to New Yorkers for de Blasio 32 Court Street, Suite 902 Brooklyn, NY 11201 **Contributions from NYC residents up to $175 will be matched 6 to 1 by the NYC Campaign Finance Board** The maximum contribution for an individual to the campaign is $4,950. *For contributions of more than $400 only: Please complete Doing Business questionnaire. The following statement is required by NYC Campaign Finance Board Rules: I understand that State law requires that a contribution be in my name and be from my own funds. I hereby affirm that this contribution is being made from my personal funds, is not being reimbursed in any manner, and is not being made as a loan. Credit Card Contributors: I affirm that this contribution is being made from my personal credit card account, billed to and paid by me for my personal use and having no corporate and business affiliation, and is not being made as a loan.

Your signature required: _________________________________________ Date Signed: ________________________

We cannot accept: contributions from corporations, partnerships or limited liability companies (LLCs); cash contributions that are more than $100; any
contributions over $4,950. *If a contributor has business dealings with the City as defined in the Campaign Finance Act, the contribution limit is $400. Federal law prohibits contributions from foreign nationals. We cannot accept contributions from political committees, unless the committee registers with the Campaign Finance Board. If you wish to make a contribution from an unregistered committee, call Elana 646-361-2530 for a registration form. Contributions are not tax deductible. State law prohibits making a contribution in someone elses name, reimbursing someone for a contribution made in your name, being reimbursed for a contribution made in your name, or claiming to have made a contribution when a loan is made.

Contribution Requirements:

Paid for by New Yorkers for De Blasio. Printed in house

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