Please Join

Locke Lord Bissell & Liddell PAC and Healthways, Inc. Federal PAC
For a Breakfast Honoring

Senator Amy Klobuchar

Wednesday, March 28th 8:00 9:00 a.m. 701 8th Street, NW Suite 700 Washington, DC

Requested Contribution:
$2,500 - Host $1,000 Friend $500 - Attendee

Please RSVP to Jennings Heussner at (202) 682-2202 or jheussner@cfc-dc.com

Please make checks payable to: Klobuchar for Minnesota 10 G Street, NE Suite 570 Washington, DC 20002
Contributions to Klobuchar for Minnesota are not tax deductible for federal income tax purposes. Federal law requires us to collect and report the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in an election cycle. Contributions by corporations and foreign nationals are prohibited. Not printed at government expense. Paid for and authorized by Klobuchar for Minnesota. Printed In-House

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

Breakfast with Senator Amy Klobuchar

Wednesday, March 28, 2012
___ Yes, I will attend the reception. Enclosed is my contribution of: $5,000 Host Please make checks payable to: $2,500 Sponsor $1000 Guest ___ No, I am unable to attend, but enclosed is my contribution of $__________ for the 2012 campaign.

Klobuchar for Minnesota

10 G Street, NE, Suite 570 Washington, DC 20002 (202) 682-1918 FAX
or
Please charge my contribution to my personal credit card: __Visa __Discover __AMEX __Mastercard Credit Card Number__________________________________________________________________ Exp____________________ Name as it appears card_______________________________________________________________________ Cardholders Signature______________________________________________________________________________
Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of the employer of individuals whose contributions exceed $200 in an election cycle.

Name___________________________________________________________________________________________ Address__________________________________________________________________________________________ City/State/Zip_____________________________________________________________________________________ Employer_______________________________________________ Occupation___________________________________________ Home Phone____________________________________ Office Phone_______________________________________ Email_____________________________________________________ Fax __________________________________________________ Please RSVP to Jennings Heussner at (202) 682-2202 /jheussner@cfc-dc.com or fax or mail this form to the phone/address above.
An individual may contribute a maximum amount of $2,500 per election (the primary and general are separate elections) to a federal candidate. Federal Multi-candidate political action committees (PACs) may contribute $5,000 per each election, primary and general. Contributions from corporations, labor organization treasury funds, foreign nationals, and Federal government contractors are prohibited. Corporations and other persons are strictly prohibited from reimbursing another person for making a contribution to Klobuchar for Minnesota. Contributions are not tax deductible for federal income tax purposes. Not printed at government expense. Paid for and authorized by Klobuchar for Minnesota.

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