EVENT CO-CHAIRS

MACKAY JIMESON
MORGAN ORTAGUS

STEVE LESSING JR.

JAMES T. TANG

ZACK PACK
TIM REYNOLDS

BARBARA MEROLA
MICHAEL F. LONGO

CO-HOSTS
STUART ORENSTEIN
RYAN J. PEENE
MAE ROGERS

ANDREW SAGOR
BLAKE SAUNDERS

ASHLEY BECKER
STEVE CHIAVARONE
CHRISTOPHER HOFMANN

SPONSORS
MICHAEL F. LONGO
JON NAUERT

JASON NELSON
MATIAS SUELDO
MIKE TRACY

INVITE YOU TO A MISSION: NEXT RECEPTION WITH

JEB BUSH, JR.

AND JEB 2016 NEW YORK LEADERSHIP

JIM DONOVAN
PATRICK DURKIN

EMIL W. HENRY JR.

WOODY JOHNSON

STEPHEN M. LESSING
ALEX NAVAB

WEDNESDAY, OCTOBER 14, 2015

6:30 PM
230 FIFTH ROOFTOP BAR
230 FIFTH AVENUE
NEW YORK, NEW YORK
$5,000 CO-CHAIR RAI SE
HOST RECEPTION & EVENING RECEPTION
INVITATION TO OCTOBER 16 BREAKFAST & PHOTO OPPORTUNITY WITH
GOVERNOR BUSH FOR ONE
$1,000 CO-HOST CONTRIBUTE/R AI SE
HOST RECEPTION & EVENING RECEPTION
INVITATION TO OCTOBER 16 BREAKFAST WITH GOVERNOR BUSH FOR ONE
$500 SPONSOR CONTRIBUTE/R AI SE
HOST RECEPTION & EVENING RECEPTION
$100 SUPPORTER, CONTRIBUTE
EVENING RECEPTION
MI SSION: NEXT IS THE JEB 2016 PROGRAM AI MED AT ENG AGI NG UPCOMI NG AND FUTURE LEADERS BY T AKI NG
LE ADERSHI P ROLES ON POLI TICAL AND FUNDR AI SING EFFORTS
P L E AS E R S V P T O H T T P S : / / J E B 2 0 1 6 . C O M / E V E N T / 1 0 1 4 N E WY O R K
C O N T AC T D AN E B AH N S E N , D B AH N S E N @ J E B 2 0 1 6 . C O M / 7 0 3 - 4 0 5 - 5 4 1 0
D O N AT E O N L I N E AT H T T P S : / / J E B 2 0 1 6 . C O M / E V E N T / 1 0 1 4 N E WY O R K

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

OCTOBER 14 NEW YORK RECEPTION REPLY INFO:

Yes, I /we will serve as a co-chair for the New York Event and raise $5,000 ____.
Yes, I /we will serve as a co-host for the New York Event and contribute* ___ or raise ___ $1,000 (*please indicate contribute or raise).
Yes, I /we will serve as a sponsor for the New York Event and contribute* ___ or raise ___ $500 (*please indicate contribute or raise).
Yes, I /we will attend the New York Event and contribute $100 ____.
No, I am unable to attend, but enclosed is my contribution of $___________________.

Step 1: Enter contributor information:

Prefix:

First Name:

Last Name:

Informal Salutation:

Address:
City:

State:

Email:

Home Phone:

Business Phone:

Cell Phone:

Occupation:

(Required)

Zip:

Employer:

(Required)

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:_______________________________________________________
Step 2: Enter joint contributor information (if applicable):
If your contribution is drawn on a joint account, please consider making a joint contribution.
Prefix:

First Name:

Last Name:

Informal Salutation:

Email:

Home Phone:

Business Phone:

Cell Phone:

Occupation:

(Required)

Employer:

(Required)

Joint contributions require the signatures of both contributors. Please sign below indicating agreement with the above statement.
Signature:_______________________________________________________
Step 3: Contribution:
Please make checks payable to: Jeb 2016, Inc.
Or
Credit Card (check one
Card Number: ______________________________________________ Expiration Date: _________ CVV: _________
Cardholder Name: ___________________________________________________________

Billing Zip: ____________

Contribution Amount: $________________________________

By law, the maximum amount an individual may contribute is $2,700 ($5,400 per couple) per election. Federal multi-candidate PACs
may contribute $5,000 per election.
Step 4: Return this form:

Please donate: online at https://Jeb2016.com/event/1014newyork or mail to: Jeb 2016, Inc., c/o Dane Bahnsen PO Box
440644, Miami, FL 33144 fax to: 646-395-1545 scan/email form to: dbahnsen@jeb2016.com
Fundraiser ID: ____________________________

Source Code: ____________2015ENY019____________________________

If this contribution should be attributed to a volunteer fundraiser please note their name or tracking number above.
Contributions to Jeb 2016, Inc. are not tax deductible as charitable contributions for federal income tax purposes. Federal
law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer of
individuals whose contributions aggregate in excess of $200 per election cycle. Contributions from corporations, foreign
nationals (non-green card holders), federal government contractors and minors under the age of 16 are prohibited.

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