Hon.

Edward Cox
Jim and Elaine Ellis
Patti and Kevin Littlefield
Paul Maroun
Jan and Barbara Plumadore
Ray and Mary Scollin
Tracy and Ned Sparks
Joe and Sally Spadaro
CORDIALLY INVITE YOU TO JOIN THEM FOR A RECEPTION
IN SUPPORT OF
ELISE STEFANIK
REPUBLICAN AND CONSERVATIVE CANDIDATE FOR CONGRESS (NY-21)

WITH SPECIAL GUEST

CONGRESSMAN GREG WALDEN
CHAIRMAN, NATIONAL REPUBLICAN CONGRESSIONAL COMMITTEE



TUESDAY, AUGUST 19
TH
, 2014

VFW HALL
PARK STREET
TUPPER LAKE, NEW YORK

5:30 P.M. 7:00 P.M.
$25 PER PERSON
HOR DOUVRES PROVIDED, CASH BAR AVAILABLE
TO RESPOND, PLEASE CONTACT JIM ELLIS
(518) 359-2580 OR JEEP74@ROADRUNNER.COM

Contributions to Elise for Congress are not tax deductible for federal income tax purposes




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



Name: _____________________________________________________ Guest:____________________________________________________
Yes! I/we are interested in attending. Enclosed please find my/our gift of $_______________
Unfortunately, I/we are unable to attend, enclosed please find my/our gift of $_____________
PAYMENT INFORMATION
Please make checks payable to Elise for Congress
Please send checks to:
C/O Jim Ellis
58 Broad Street
Tupper Lake, New York 12986


Contributions by Personal Credit Card:
Name on Card:
Card #: Exp. Date: CVC:
Signature: Spouse Signature:
(required for all joint contributions)

CONTRIBUTOR INFORMATION
Each contributor must provide a name, address, employer and occupation.
Contributor: Referred By:_ _
Address:

City: State: Zip:

Telephone Number: Fax Number:

E-Mail Address:

Employer: Occupation: _

Spouses Employer: Spouses Occupation:
(if joint contribution) (if joint contribution)
Contributions to Elise for Congress are not tax deductible for federal income tax purposes. Contributions to Elise
for Congress will be used in connection with federal elections and are subject to the limitations and prohibitions of
federal law. The maximum an individual may contribute is $2,600 for the general election. Couples may contribute
up to $5,200 for each election; joint contributions require the signature of both spouses. Federal multicandidate
PACs may contribute up to $5,000 for each election. Contributions from corporations, foreign nationals, and
federal government contractors are prohibited. Contributions must be made from personal funds and may not be
reimbursed by any other person. Federal law requires us to use our best efforts to obtain and report the name,
mailing address, occupation, and name of employer for each individual whose contributions aggregate in excess of
$200 in an election cycle.

Paid for by Elise for Congress
Franklin Co. 8.19.14

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