David Schwarz David Schwarz - Politico

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Jun 5, 2013 - I/We would like to participate at the Reception honoring David Schwarz for ... Federal Law requires politi
Please Join Joe Callahan John Clerici Dan Craig Cybele Daley Sarah Dumont Lee Dunn Michael Galloway John Gastright Cameron Gilreath Mitch Glazer

John Green Mark Leahey Amy and Taylor Gross Casey Long Heather Hennessey Harriet and Brett Melvin Graham Hill Hunter Moorhead Matthew Hunter Will Moschella Steve Hunter Michael O’Leary David Israelite, NMPA PAC Stephen Replogle Phil Kiko Rachel and Clint Robinson Jeff Kimbell Anna Sagely Chris Lamond David Sanders

Matt Schlapp Al Schofe Todd Thorpe Carl Thorsen Ryan Triplette Cindi Merifield Tripodi Frank Vlossak John Walker Brandi and Jeff White Liz Williams

(list as of May 30, 2013)

with Honorary Invited Special Guests from Congress

for a Reception supporting

David Schwarz Republican Candidate for Georgia’s Georgia’s 1st Congressional District

Wednesday, Wednesday, June 12, 2013 5:30 - 7:00 p.m. Bobby Van’s Steakhouse 1201 New York Avenue, NW Washington, DC 20005 (Downstairs)

Contribution Levels (per couple) $1,000 PAC Sponsor $500 Host $250 to attend

RSVP by filling out the the bottom portion of this form and returning returning it to the address below. You You may also contact Brie Goodwin at 404.406.1105 or [email protected] with questions or for more information. o Yes! I/We would like to participate at the Reception honoring David Schwarz for Congress Enclosed is $_____________ for _____________ reservations Name (s) of those attending: ____________________________________________________ o I/We cannot participate but would like to make a contribution to David Schwarz for Congress Enclosed is a contribution of $_____________ Method of Payment: (please check) _____ personal check _____ personal debit/credit card _____ PAC check Please make checks payable and mail to: David Schwarz for Congress, P.O. Box 15487, Savannah, GA 31416 If you wish to make your donation by credit card, please complete the information below. Please charge my: _______VISA _______MasterCard ______American Express for $___________ (amount) Name: __________________________________________________________________ (as it appears on card) Card #:_________________________________ Exp: _____________3 or 4 digit security code: ____________ Signature: _________________________________________________________________________________ *Please provide the following information as required by federal election law: Name: ____________________________________________________________________________________ Billing address: __________________________________City_________________State_______ Zip________ Phone: (o) _________________________ (h) ________________________ (cell)________________________ Email: ____________________________________________ (fax) ___________________________________ Occupation: _______________________________ Employer: _______________________________________ * Contributions to David Schwarz for Congress are not tax deductible for tax purposes. Federal Law requires political committees to use our best efforts to collect and report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $200 per election cycle or calendar year, as applicable. Corporate contributions and contributions by foreign nationals are prohibited. Individuals may contribute a maximum of $5,200 to the campaign - $2,600 for the primary election and $2,600 for the general election. PACs may contribute $10,000 to the campaign - $5,000 for the primary election and $5,000 for the general election.

Paid for by David Schwarz for Congress