STEVE ROSENTHAL

cordially invites you to an event for

RICHARD R. TISEI

CANDIDATE FOR THE MASSACHUSETTS 6TH CONGRESSIONAL DISTRICT

with special guest

CONGRESSMAN KEVIN MCCARTHY (R-CA) MAJORITY WHIP

THURSDAY, MAY 15, 2014

5:00 pm – 6:30 pm

THE HARVARD CLUB ONE FEDERAL STREET

SHAWMUT ROOM, 38TH FLOOR BOSTON, MA

Sponsor $2,600 ♦ Friend $1,000 ♦ Other $500

Kindly RSVP to Julie Bates at jbates@northland.com  

   Paid for by the Tisei Congressional Committee

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

   Dear Richard, I am pleased to support your campaign for the United States Congress. To help ensure you have the resources you need, please accept my generous contribution of:

$10,400 (Couple Only) $5,200 $2,600 $1,000 Other Contribution Information: Name:______________________________________ Signature:_____________________________________

Address:__________________________________________________________________________________

City:________________________________ State:_____________ Zip:________________

Email:______________________________ Phone: Office Cell Home ______________________________

Occupation (required)_________________________ Employer (required)______________________________

Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and employer for individuals whose contributions exceed $200 in a calendar year.

Joint Contribution (spouse) Information: (Joint Donations up to $10,400 can be accepted on this form)

Name:______________________________________ Signature:_____________________________________

Address:_________________________________________________________________________________________

City:________________________________ State:_____________ Zip:________________

Email:____________________ Phone: Office Cell Home ________________________________________

Occupation (required)_________________________ Employer (required)______________________________

For a contribution from a joint account to be attributed equally to two individuals, both must sign this form, indicating agreement with the above statement.

Credit Card Contribution:

Please Charge my Contribution of $_______________ to my credit card.

MasterCard Visa American Express

Credit Card #:____________________________________ Expiration Date:______________________

CSV #:__________________________

Billing Address (if different than above)___________________________________________________

Authorized Signature (Same as name on card):______________________________________________

Event Code: CE1012 Make Checks Payable to: Tisei Congressional Committee, 182 Newbury St, Peabody, MA 01960

Any Questions please contact: akorb@TiseiforCongress.com

[ ] Please check to confirm the following statements are true: (1) I am a United States citizen or an individual lawfully admitted with permanent residence status (e.g., a ‘green card holder’); (2) This contribution is made from my own personal funds and is not made from the general treasury funds of a corporation, labor organization, or national bank; (3) If I have paid by credit card, I also certify that this contribution is made on a personal

credit or debit card for which I have the legal obligation to pay, and is not made on a corporate or business entity card; (4) I am not a federal government contractor; (5) I am at least 18 years old.

Contributions to the Tisei for Congress Committee are not tax deductible as charitable contributions for federal income tax purposes. By federal law, the maximum amount an individual may contribute is $2,600 per election (the primary and general elections are separate elections) or a total amount of $5,200 per election cycle ($10,400 per couple). Political Action Committee (PACs) may contribute up to $5,000 per election ($10,000 max).

Contributions from corporations, labor unions, foreign nationals and federal government contractors are prohibited.

Paid for by Tisei Congressional Committee

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