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American Health Care Association PAC

cordially invites you to a breakfast with

House Democratic Leader

Nancy Pelosi
To benefit

Nancy Pelosi for Congress


Tuesday, June 4th, 2013 8:00 a.m. Hyatt Regency Capitol Hill 400 New Jersey Ave, NW Washington, DC Co-Chair: $5,000 PAC/$2,600 Individual Supporter: $2,500 PAC/ $1,000 Individual Friend: $1,000 PAC/ $500 Individual
To RSVP or for additional information, please contact Mike Smith at (202) 485-3504 or Smith@Pelosiforcongress.com Contributions or gifts to Nancy Pelosi for Congress are not tax deductible. Paid for by Nancy Pelosi for Congress. Steven Swig, Treasurer, Nancy Pelosi for Congress
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

Nancy Pelosi for Congress Breakfast June 4, 2013


Yes! I would like to support Nancy Pelosi for Congress and attend the breakfast as a:

I cannot attend the event but enclosed is my contribution of $__________.


Please make checks payable to the Pelosi for Congress and mail to: Pelosi for Congress c/o Mike Smith 430 South Capitol Street SE Washington, DC 20003 FAX Credit Card information to (202) 741-7386 I wish to charge $ Type of Card: American Express to my Credit Card. Visa MasterCard

Co-Chair: $5,000 PAC/$2,600 Individual Supporter: $2,500 PAC/ $1,000 Individual Friend: $1,000 PAC/ $500 Individual

Name on Card Card Number Authorized Signature


Contributions to Nancy Pelosi for Congress will be used in connection with federal elections and are subject to the limitations and prohibitions of federal law. 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 an election cycle. According to FEC guidelines, individuals are permitted to donate $2,600 for the primary election and $2,600 for the general election to Nancy Pelosi for Congress.

Expiration Date

Name Employer Billing Address City/State/Zip Business Phone Email Home Phone Fax Questions? Please call Mike Smith at (202) 485-3504 or Smith@Pelosiforcongress.com. Contributions or gifts to Nancy Pelosi for Congress are not tax deductible. Paid for by Nancy Pelosi for Congress. Steven Swig, Treasurer, Nancy Pelosi for Congress
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

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