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SAVE THE DATE

You are cordially invited to a luncheon with

VICE PRESIDENTIAL CANDIDATE PAUL RYAN

THURSDAY, OCTOBER 25, 2012


ROUNDTABLE DISCUSSION
RAISE OR CONTRIBUTE $25,000 PER COUPLE

PRIVATE PHOTO OPPORTUNITY


RAISE OR CONTRIBUTE $10,000 PER COUPLE

LUNCHEON
CONTRIBUTE $1,000 PER INDIVIDUAL

AT THE HOME OF FREDERICKA AND DAVID MIDDLETON


2509 TARRYHILL PLACE AUSTIN, TX 78703
Kindly RSVP to Leslie Sullivan Leslie@SullivanAlvarado.com 512-415-2804
Contributions to Romney Victory, Inc. (RV) are not tax deductible for federal income tax purposes. RV is a joint fundraising committee composed of Romney for President, Inc. (RFP), the Republican National Committee (RNC), the official Republican Parties in four states (the Idaho Republican Party, the Massachusetts Republican Party, the Oklahoma Leadership Council, and the Vermont Republican Federal Election Committee), the National Republican Senatorial Committee (NRSC), and the National Republican Congressional Committee (NRCC).
Romney Victory, Inc. Post Office Box 149757 Boston, MA 02114-9757

Paid for by Romney Victory, Inc., a joint fundraising committee authorized by and composed of Romney for President, Inc., the Republican National Committee, the Idaho Republican Party, the Massachusetts Republican Party, the Oklahoma Leadership Council, the Vermont Republican Federal Election Committee, the National Republican Senatorial Committee, and the National Republican Congressional Committee.
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

Luncheon October 25, 2012


REPLY INFO Yes, I will attend the Roundtable and commit to raise $25,000 or contribute $25,000 per couple (Circle one). Yes, I will attend the Photo Opportunity and commit to raise $10,000 or contribute $10,000 per couple (Circle one). Yes, I will attend the Luncheon. Enclosed is my contribution of $____________ ($1,000 Per Person). No, I am unable attend, but enclosed is a contribution of $_______________. Please make your check payable to: Romney Victory, Inc.
Name_________________________________________________________________________________________ Address_______________________________________________________________________________________ City____________________________________State______________________Zip__________________________ Work Phone_____________________________________ Cell Phone______________________________________ E-mail_________________________________________________________________________________________

Info for Secret Service: SSN______________________________ Date of Birth_______________________ If you prefer to give this information verbally, please call Leslie Sullivan at 512-415-2804 CONTRIBUTOR INFO 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_______________________________________________________________________ For a contribution from a joint account to be attributed to two individuals, both must sign this form, indicating agreement with the above statement. Joint Contributor Signature_________________________________________________________ Federal law requires us to collect and report the name, mailing address, occupation, and name of employer of each contributor whose contributions aggregate in excess of $200 in a calendar year (RNC and state parties) or election cycle (RFP). Please complete the following Occupation__________________________________________ Joint Contributor Occupation____________________________ Employer______________________________________ Joint Contributor Employer_________________________

CREDIT CARD REPLY Please charge my contribution of $___________ to my credit card. Circle one: Visa MasterCard AMEX Discover Account Number________________________________________ Expiration Date____________________________ Name on Card_____________________________________________________________________________________ Signature_________________________________________________________________________________________

Mail to: Romney Victory, c/o Leslie Sullivan, P.O. Box 340069, Austin, TX 78734-0069 Or fax to (512) 428-8111
Fundraiser ID: ______________
Proceeds to RV shall be allocated by the following formula: 1) Individuals and non-multicandidate PACs - The first $2,500 will go to RFPs general account. Prior to August 31, 2012, the next $2,500 will go to RFPs primary account. Beginning on August 31, 2012, should Romney for President have primary debt, that next $2,500 will go to RFPs primary debt retirement account. The next $30,800 will go to the RNC. The remaining amount will be split evenly among the federal accounts of the Republican Parties of Idaho, Massachusetts, Oklahoma, and Vermont, up to a maximum of $10,000 per committee. 2) Multicandidate PACs - The first $5,000 will go to RFPs general account. Prior to August 31, 2012, the next $5,000 will go to RFPs primary account. Beginning on August 31, 2012, should Romney for President have primary debt, that next $5,000 will go to RFPs primary debt retirement account. The next $15,000 will go to the RNC. The remaining amount will be split evenly among the federal accounts of the Republican Parties of Idaho, Massachusetts, Oklahoma, and Vermont, up to a maximum of $5,000 per committee. Notwithstanding this allocation formula, a contributor may designate a contribution for a specific participant or participants. In addition, the allocation formula may change if RFPs primary account receives sufficient funds to retire its outstanding primary debt or if any contribution would exceed applicable contribution limits. Contributions from corporations, labor unions, federal contractors, and foreign nationals are prohibited. Federal law requires us to collect and report the name, mailing address, occupation, and name of employer of each contributor whose contributions aggregate in excess of $200 in a calendar year (RNC and state parties) or election cycle (RFP).

Source Code:

ETX029 _

Paid for by Romney Victory, Inc., a joint fundraising committee authorized by and composed of Romney for President, Inc., the Republican National Committee, the Idaho Republican Party, the Massachusetts Republican Party, the Oklahoma Leadership Council, the Vermont Republican Federal Election Committee, the National Republican Senatorial Committee, and the National Republican Congressional Committee.
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

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