CO-HOSTS

IRA AKSELRAD
LARRY BATHGATE
SETH BERNSTEIN
DENIS BOVIN
MORTON BOUCHARD III
HANNAH & DUKE BUCHAN
JEFF BUNZEL
MATT CASNER
DAVID CLARK
BILL COHEN
RICH CUNNINGHAM
TONY DeNICOLA
JIM DONOVAN
PATRICK DURKIN
PETER EZERSKY
BOB FORESMAN
ALAN FOURNIER
LINDA FRASER
BARRY FRIEDBERG
GAIL GORDON
THAD GRAY

EMIL HENRY
JAMES HERRING
WENDY DIETZE & BILL HEYMAN
PETER IZZO
MACKAY JIMESON
HON. BRENDA JOHNSON
WOODY JOHNSON
HON. KEN JUSTER
SCOTT KAPNICK
DANIEL KATZ
JOSH KAZAM
CHRIS KEBER
DAVID KNOWER
HON. JOE KYRILLOS
LAURENCE C. LEEDS
JAY LEFKOWITZ
STEVE LESSING
KEN LIPPER
BILL MANGER
ETHAN MARCOVICI
TOM MARINO
DAVID McCREERY

COLIN McLANE
AUDREY McNIFF
PATRICK MEALY
BRUCE MOSLER
ALEX NAVAB
JACQUES NORDEMAN
JACK OLIVER
KIM & KEITH OVERLANDER
LOUIS POLK
ANDREW SAGOR
FRED SCHNEIDERMAN
JEFFREY SINE
ARTHUR SPECTOR
MARC SPILKER
C. EVAN STEWART
ANDREW R. TAUSSIG
PAUL TVETENSTRAND
CHRIS VALLETTA
MANNY VILLAR
HON. NICOLLE & HON. MARK WALLACE
LARRY WIESENECK

INVITE YOU TO A BREAKFAST RECEPTION WITH

JEB BUSH
FRIDAY, OCTOBER 16, 2015
8:15 AM
THE HILTON HOTEL NEW YORK
1335 AVENUE OF THE AMERICAS
(BETWEEN 53 R D & 54 T H STREETS)

$27,000 CO-HOST CONTRIBUTE & RAISE

$2,700 SUPPORTER

PHOTO OPPORTUNITY & BREAKFAST

RECEPTION

BREAKFAST RECEPTION

RSVP TO FIFI KNOTT

FKNOTT@JEB2016.COM / 212-332-7540
DONATE ONLINE AT http://www.jeb2016.com/event/1016newyork

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


REPLY INFO:
q Yes, I /we will serve as a Co-Host and raise $27,000 for the event
q Yes, I /we will attend the Breakfast Reception. Enclosed is my contribution of $______________ ($2,700 per person / $5,400
per couple)
q 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:

Zip:

Email:

Cell Phone:

Business Phone:

Home Phone:

Occupation:
(Required) 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:

Cell Phone:

Business Phone:

Home 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:
o Check Please make checks payable to: Jeb 2016, Inc.
Or
Credit Card (check one): o Visa
o MasterCard

o American Express

o Discover

Card Number: ______________________________________________ Expiration Date: _________ CVV: __________

Cardholder Name: _______________________________________________________ Billing Zip Code: _____________
Contribution Amount: $________________________________
By law, the maximum amount an individual may contribute is $2,700 ($5,400 per couple) per election. Federal multicandidate PACs may contribute $5,000 per election.
Step 4: Return this form:

Please donate: online at http://www.jeb2016.com/event/1016newyork?bundlerId=MARCOVICI mail your

contribution to: Jeb 2016, Inc., c/o Fifi Knott, PO Box 3957, New York, NY 10185-3957 OR Fax to: 646-395-1545
OR Scan/Email form to: fknott@jeb2016.com
Fundraiser ID: ____________________MARCOVICI_______________
Source Code: _________2015ENY015_________________
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.