NYS Senator Malcolm A. Smith
NYS Senator John L. Sampson
NYS Senator Jeff Klein
Invite you to a reception with
BILL THOMPSON
In support of his candidacy for Mayor of New York
Wednesday, October 7th, 2009
5:30 - 7:00 pm
Pranna Restaurant
RSVP by October 6th to
Cindy Darrison at 212-228-5222 or
__ YES! I/We would like to attend:
Enclosed is my contribution of ____$4950 ____$2500 ___$1750 ___$1000 ___$500 ___$175 ___other: $_____________ for _______ person/people
__ No, I/we cannot attend but have enclosed a contribution of $_____________.
Name(s) of attendees:_______________________________________________________
This contribution is being made by ____check ____credit card ____money order ____cash.
CREDIT CARD CONTRIBUTION
Please charge $_________ on my __Visa ___MC ___AmEx credit card.
Card #: ________________________________________________________
Exp. Date: ___________
This card is: ____ Personal ____ Other
Name of Entity/Individual billed ____________________________________________________
Credit card contributions can be faxed to: (212) 228-5477
Please fax your response to (212) 228-5477 or call Cindy Darrison at 212-228-5222
To make a contribution on-line, please visit: www.thompson2009.com
Please make checks payable to New Yorkers for Thompson and mail to
New Yorkers for Thompson, 120 Broadway, #3300,
For compliance with NYC Campaign Finance Board Rules, please provide the following information:
Name:_____________________________________________________________
Home Address:___________________________________________________________
Employer______________________________________Occupation:____________
Work Address:____________________________________________________________
Please provide the following information so we can contact you, if necessary. This information is for internal purposes only and will not appear in required public disclosure filings:
Res.Phone________________________________Email:_______________________
Bus.Phone________________________________Fax_________________________
The following statement is required by NYC Campaign Finance Board Rules:
I understand that State law requires that a contribution be in my name and be from my own funds. I hereby affirm that this contribution is being made from my personal funds, is not being reimbursed in any manner, and is not being made as a loan; in addition, in the case of a credit card contribution, I also hereby affirm that this contribution is being made from my personal credit card account, billed to and paid by me for my personal use, and has no corporate and business affiliation.
Your Signature Required:______________________________________________________
Date Signed__________________
.
Contribution Requirements:
We cannot accept: contributions from corporations, partnerships or limited liability companies (LLCs); cash contributions that are more than $100; any contributions over $4,950. *If a contributor has business dealings with the City as defined in the Campaign Finance Act, the contribution limit is $400.
Federal law prohibits contributions from foreign nationals.
We cannot accept contributions from political committees, unless the committee registers with the Campaign Finance Board. If you wish to make a contribution from an unregistered political committee, call 212-608-6555 for a registration form.
Contributions are not tax deductible.
State law prohibits making a contribution in someone else's name, reimbursing someone for a contribution made in your name, being reimbursed for a contribution made in your name, or claiming to have made a contribution when a loan is made.