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GLENDA & FRITZ CORRIGAN


BILL HEYMAN
MICHAEL GORMAN
SUSAN & KEVIN GREEN
AIMEE & BILL GUIDERA
MARK KAPLAN
SARAH & MICHAEL LEBENS
MARY & TOM MCGILL

SHYAN & MIKE OSHAUGHNESSY


CHRISTINE & JAMES RENIER
JESSICA RENIER
JENNIFER & DAVID ROWLAND
MAUREEN & DICK SCHULZE
MARY LYNN & WARREN STALEY
HON. BEN WHITNEY

*COMMITTEE IN FORMATION

INVITE YOU TO AN EVENING RECEPTION WITH

JEB BUSH
WEDNESDAY, DECEMBER 2, 2015
6:00 PM
MINNEAPOLIS CLUB
729 2ND AVENUE SOUTH
MINNEAPOLIS, MINNESOTA
$10,800 CO-CHAIR GIVE & RAISE
HOST COMMITTEE RECEPTION, PHOTO & EVENING RECEPTION
$2,700 CO-HOST GIVE
HOST COMMITTEE RECEPTION, PHOTO & EVENING RECEPTION
$1,000 SUPPORTER GIVE
PHOTO & EVENING RECEPTION
$500 GUEST GIVE
EVENING RECEPTION
F O R M O R E IN F O R M A TIO N , P L E A S E C O N TA C T E M M A N E L S O N A T
E N E L S O N @ J E B 2 0 1 6 .C O M O R 8 1 6 -5 5 0 -0 8 0 1

XXXXXXXXXXXXXXXXXXXXXXXXXX
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DONATE ONLINE AT WWW.JEB2016.COM/DONATE/122MINNEAPOLIS

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REPLY INFO:
! Yes, I /we will serve as a co-chair for the Minneapolis Reception and raise $10,800 for the event.
! Yes, I /we will attend the Minneapolis Reception. Enclosed is my contribution of $_________________ ($2,700 per person /
$5,400 per couple)
! Yes, I /we will attend the Minneapolis Reception. Enclosed is my contribution of $1,000 for the event.
! Yes, I /we will attend the Minneapolis Reception. Enclosed is my contribution of $500 for the event.
! No, I am unable to attend, but enclosed is my contribution of $___________________.
Step 1: Enter contributor information:
Prefix:
Last Name:
Address:
City:
Email:

First Name:
Informal Salutation:

Business Phone:

Home Phone:

State:
Cell Phone:

Zip:

Occupation:
(Required) Employer:
(Required)
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:_______________________________________________________
Step 2: Enter joint contributor information (if applicable):
If your contribution is drawn on a joint account, please consider making a joint contribution.
Prefix:
Last Name:

First Name:
Informal Salutation:

Email:

Cell Phone:

Business Phone:

Home Phone:

Occupation:
(Required) Employer:
(Required)
Joint contributions require the signatures of both contributors. Please sign below indicating agreement with the above
statement.
Signature:_______________________________________________________
Step 3: Contribution:
o Check Please make checks payable to: Jeb 2016, Inc.
Or
Credit Card (check one): o Visa
o MasterCard

o American Express

o Discover

Card Number: ______________________________________________ Expiration Date: ______________ CVV:______________


Cardholder Name: _______________________________________________________________

Billing Zip:_________________

Contribution Amount: $________________________________


By law, the maximum amount an individual may contribute is $2,700 ($5,400 per couple) per election. Federal multicandidate PACs may contribute $5,000 per election.
Step 4: Return this form:

Please donate: online at http://www.jeb2016.com/event/122minneapolis, mail your contribution to: Jeb


2016 Inc. c/o Emma Nelson PO Box 440644, Miami, FL 33144 Fax to: 630-472-8843, Scan/Email form to:
enelson@jeb2016.com
Fundraiser ID: ____2006____________________
Source Code: ________________2015EMN001___________________
If this contribution should be attributed to a volunteer fundraiser please note their name or tracking number above.
Contributions to Jeb 2016, Inc. are not tax deductible as charitable contributions for federal income tax purposes. Federal
law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer of
individuals whose contributions aggregate in excess of $200 per election cycle. Contributions from corporations, foreign
nationals (non-green card holders), federal government contractors and minors under the age of 16 are prohibited.