We need a leader in the Oval Office who

understands how to unlock and unleash

the potential of this nation once again.

ECKI LEISCHER HE
ONORABLE AN AYWORTH M D

HE ONORABLE IERAN ALOR

CO-CHAIRS


BARBARA
& MARTIN BIENENSTOCK ANDREW ENTWISTLE JILL JORDON

JULIE & GARY KILLIAN RALPH KORPMAN, M.D. CLAUDETTE LAJAM, M.D.

JOHN
J. MANDLER TERRI & JOHN MURNANE TRICIA OCALLAGHAN

T
H

N H
L

, . .

BETH & STEVEN SOLFERINO ALFRED TINGER, M.D.

COMMITTEE IN FORMATION

Cordially invite you to a reception supporting

TUESDAY, OCTOBER 20, 2015

6:00 P.M. 7:30 P.M.
THE FLEISCHER RESIDENCE
23 MILLER ROAD
POUND RIDGE, NY 10576
HOST COMMITTEE !$2,700 PER PERSON WITH PHOTO OPPORTUNITY
GENERAL RECEPTION $1,000 SPONSOR $500 PER PERSON

TO JOIN COMMITTEE OR RSVP CONTACT

ERIN CROTTY !ERINACROTTY@GMAIL.COM 917-838-1645 OR
CHRISTINA SOFIA-COMER CSOFIACOMER@GMAIL.COM 518-369-3962
www.CarlyForPresident.com
Source: Sunlight Foundation's Party Time www.politicalpartytime.org.
TheCarly
Sunlight
Paid for by
forFoundation
Presidentcollects these invitations from anonymous lobbyist sources.

POUND RIDGE, NY OCTOBER 20, 2015

YES, I/We will would like to attend the Reception. Enclosed is my/our contribution of:
$5,400 Co-hosts

$2,700 Co-host

$1,000 Sponsor

$500 Per Person #___total $______

NO, I/We cannot attend but support Carly and have enclosed a contribution of:
Individual:
$2,700 $1,000 $500
$100
Other ____________
____________
Couple:
$5,400 $2,700 $1,000 $200 Other
NAME(S):___________________________________________________________________________
ADDRESS:__________________________________________________________________________
CITY:_______________________________________________ STATE:__________ ZIP:__________
EMPLOYER:_____________________________ OCCUPATION:_____________________________
EMAIL:____________________________________ PHONE:_________________________________
JOINT CONTRIBUTION

SPOUSES NAME (for joint contribution only): ____________________________________________________

SPOUSES EMPLOYER (for joint contribution only): _______________________________________________
SPOUSES OCCUPATION (for joint contribution only): _____________________________________________

YOUR CONTRIBUTION
CONTRIBUTE BY CHECK Amount: $___________.

Please make checks payable to Carly for President and mail along with this form to:
Carly for President | PO Box 7808 | Merrifield, VA 22116
CONTRIBUTE BY CREDIT CARD Amount: $___________.

NAME (as it appears on card):_____________________________________________________________________

CARD #: __________________________________________ EXP. DATE: __________ CVC: __________
SIGNATURE: ____________________________ SPOUSES SIGNATURE: _____________________________
Required for all joint contributions

This contribution is made on a personal credit card for which I have the legal obligation to pay, and is not made either on a
corporate or business entity card or on the card of another person. This contribution is made from my own funds, and funds
are not being provided to me by another person or entity for the purpose of making this contribution.

REFERRED BY:_________________________________________________ EVENT CODE: ENY151020

Contributions to Carly for President (the Campaign) are not deductible as charitable contributions for federal
income tax purposes. Contributions to the Campaign will be used in connection with a federal election and are subject
to the prohibitions and limitations of federal law. An individual may contribute up to $2,700, and a couple by signing
jointly may contribute up to $5,400, for each of the primary and general elections. A federal multi-candidate PAC may
contribute $5,000 for each election cycle. Contributions from corporations, labor unions, federal government
contractors, and foreign nationals without green cards are prohibited. Federal law requires the Campaigns best efforts
to collect and report the name, mailing address, occupation, and name of the employer of individual contributors
whose contributions exceed $200 in an election cycle.
www.CarlyForPresident.com
Paid for by Carly for President
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.