NRSCChairmanJohnCornyn

and
MaineSenatorsSusanCollinsandOlympiaSnowe
alongwith

SenateRepublicanLeadership

RepublicanLeaderSenatorMitchMcConnell
SenatorJonKyl(RepublicanWhip)
SenatorJohnThune(RepublicanConferenceChair)
SenatorJohnBarrasso(RepublicanPolicyCommitteeChair)
SenatorRoyBlunt(RepublicanConferenceViceChair)

cordiallyinviteyoutoareceptionbenefiting

U.S.SENATENOMINEECHARLIESUMMERS
(Republican,Maine)

Wednesday,October3rd,2012
5:307:00pm

220EStreetNE
Washington,D.C.20002

Sponsor$5,000PAC/$2,500Individual
CoHost$2,500PAC/$1,000Individual
Attend$1,000PAC/$500Individual
YoungProfessional$250perperson

RSVPtoCarolineWrenatcwren@hollowayconsulting.netor(202)5586677

PaidforbytheCommitteetoElectCharlieSummers

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

CHARLIE SUMMERS FOR SENATE CONTRIBUTION FORM

Please return form via fax to:
Or via mail to:

(202) 3180262 FAX

Summers For Senate
Attn: Claire Holloway
1101 16th St NW
Suite 401
Washington, DC 20036

For inquiries, please contact:

Claire Holloway Phone: (202) 558-6677

Email: claire@hollowayconsulting.net

Contribution Guidelines
Federal law allows individuals to donate a maximum of $2,500 ($5,000 per couple) to the general election. Contributions are not
deductible for income tax purposes. Contributions from corporations, foreign nationals (non green-card holders), labor unions and
federal government contractors are prohibited. Partnerships and Limited Liability Companies (LLCs) may contribute the same
amount as individuals ($2,500) so long as they have elected to be treated as a partnership for federal income tax purposes and no
portion of the contribution is attributed to a corporation or foreign national. Please include a letter attributing the contributions
among the individual partners.

Enclosed please find the following contribution:

$5,000 per couple ($2,500 per person maximum contribution per individual to the General election)
$5,000 per PAC (maximum individual contribution to the General elections)
$2,500
$1,000
$ _____ Other

DONOR INFORMATION

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
exceed $200 in a calendar year. Note: If you plan to make your contribution with a credit card, the address you provide should be the same as the billing address
of your card.

Full Name: _____________________________________________________________________________________

Street Address: __________________________________________________________________________________
City:______________________________________ State: ______________________ Zip: _____________________
Home Phone: ___________________ Work Phone: ___________________ Mobile Phone: ____________________
Email Address: __________________________________________________________________________________
Employer: _____________________________________ Occupation: ______________________________________
If this is a joint donation:
Spouses Full Name: _____________________________________________________________________________
Spouses Employer: _____________________________ Spouses Occupation: ______________________________
Spouses Signature: ______________________________________________________________________________

PAYMENT INFORMATION

Contribute by Check (Check Enclosed)

Checks should be made payable to Summers for Senate.

Contribute by Credit Card

Please provide the following information:

Credit Card Type:

Amount: ______________________

Name on card: __________________________________________________________________________________

Card #: ____________________________________________ Security Code: _________ Exp. Date: __________

My signature verifies that this contribution represents my personal funds and is not drawn on an account maintained by an incorporated entity or
other prohibited source.

Signature of Contributor: _______________________________________________________________________

PaidforbytheCommitteetoElectCharlieSummers

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