9 12 12 DWS Cabin John Royal Scott .pdf

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PLEASE JOIN

JUDIE AND FRED MOPSIK
AND
SCOTT ROYAL
AS THEY WELCOME

Congresswoman
Debbie Wasserman Schultz
CHAIR, DEMOCRATIC NATIONAL COMMITTEE
FOR A
DESSERT RECEPTION AND DISCUSSION
AT THE HOME OF
JUDIE AND FRED MOPSIK
6415 79TH STREET
CABIN JOHN, MD
WEDNESDAY, SEPTEMBER 12ND, 2012
6:30PM
TO RSVP, PLEASE CONTACT CHARLIE JOHNSON
CHARLES.JOHNSON@BARACKOBAMA.COM OR (202) 863-8150

RSVP Online: https://my.barackobama.com/September12CabinJohnReception
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.

Please make checks payable to:

Obama Victory Fund 2012
c/o Charlie Johnson | 430 South Capitol Street SE, Floor 3
Washington, DC 20003

 I would like to contribute to the Obama Victory Fund 2012: (Maximum contribution is $75,800)
______$ 1,000 CHAIR
______$ 500
HOST
______$ 250
SPONSOR
Invited by: ______________Scott Royal_________________

Click here to RSVP online: https://my.barackobama.com/September12CabinJohnReception
Obama Victory Fund 2012 does not accept contributions from currently registered federal lobbyists, registered foreign agents,
political action 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 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
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: ___________________________

DC223
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 election, 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. This allocation formula may change if following it
would result in an excessive contribution. Contributions will be used in connection with a Federal election. Contributions to OVF
2012 may be spent on any activities of the participant committees as each committee determines in its sole discretion and will not be
earmarked for any particular candidate.

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.


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