HONORARY CO-CHAIRS

CHIEF FINANCIAL OFFICER JEFF ATWATER

ATTORNEY GENERAL PAM BONDI
COMMISSIONER ADAM PUTNAM
SENATE PRESIDENT ANDY GARDINER
REPRESENTATIVE FRANK ARTILES
REPRESENTATIVE JASON BRODEUR
REPRESENTATIVE JOSE FELIX DIAZ

REPRESENTATIVE ERIC EISNAUGLE

SENATOR ANITERE FLORES
REPRESENTATIVE MATT GAETZ
REPRESENTATIVE CHRISTOPHER LATVALA

SPEAKER STEVE CRISAFULLI

REPRESENTATIVE JOSE R. OLIVA
REPRESENTATIVE HOLLY RASCHEIN
REPRESENTATIVE CHRIS SPROWLS

CO-CHAIRS
BRIAN BAUTISTA
SARA & SLATER BAYLISS
DAVID BELLAMY
PAUL BRADSHAW
DAVID BROWNING
DEAN CANNON
CHANTA COMBS
HAYDEN DEMPSEY
MERCER FEARINGTON
TOM FEENEY

CHRIS FLACK
ERIK KIRK
NICOLE & MICHAEL KOSKI
PETER MAROCCO
JAMES MCFADDIN
LOGAN MCFADDIN
PAUL MITCHELL
ED MOORE

AUDREY BROWN
GUS CORBELLA
JOANNE LEZNOFF

PATRICK MCKEE
TOBY PHILPOT
CRAIG SMITH

STEVE AUGER
MONESIA BROWN
CHRIS CHANEY
CHRISTOPHER CLARK

CHELSI HENRY
JOHN HOLLEY
MATT LEOPOLD
CYNTHIA & TOM LEWIS

MARC REICHELDERFER
PAM & PAT ROBERTS
ALEX SANCHEZ
PAIGE & STEPHEN SHIVER
CLARK SMITH
MONTE STEVENS
DENVER STUTLER
JASON UNGER
CAMERON YARBROUGH

CO-HOSTS
CORY TILLEY
KYLE ULRICH
CHUCK URBAN

SPONSORS
JENN & NATHAN MARKS
KAREN & DAVID MICA
MARY CAROLINE & DAVID MICA
GREG MUNSON

*COMMITTEE IN FORMATION

INVITE YOU TO A MISSION: NEXT RECEPTION WITH

JEB BUSH, JR.

THE SOUTHERN PUBLIC HOUSE
224 EAST COLLEGE AVENUE
TALLAHASSEE, FLORIDA

FRIDAY, OCTOBER 9, 2015

5:00 PM
$2,700 CO-CHAIR CONTRIBUTE/RAISE
EVENING RECEPTION FOR TWO
$1,000 CO-HOST CONTRIBUTE/RAISE
EVENING RECEPTION FOR TWO
$250 SPONSOR, $100 FOR INDIVIDUALS UNDER 30 CONTRIBUTE
EVENING RECEPTION
P L E AS E R S V P TO H T T P S : / / J E B 2 0 1 6 . C O M / E VE N T / 1 0 9 T AL L AH AS S E E
F O R Q U E S TI O N S C O N T AC T D AN E B AH N S E N , D B A H 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 VE N T / 1 0 9 T AL L AH AS S E E

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

OCTOBER 9 TALLAHASSEE RECEPTION REPLY INFO:

Yes, I /we will serve as a co-chair for the Tallahassee Event and contribute* ___ or raise ___ $2,700 (*please indicate contribute or raise).
Yes, I /we will serve as a co-host for the Tallahassee Event and contribute* ___ or raise ___ $1,000 (*please indicate contribute or raise).
Yes, I /we will attend the Tallahassee Event and contribute $250 ___ or $100 for those under 30 ___.
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:
Check 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/109tallahassee 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: ________763____________________

Source Code: __________2015EFL022______________________________

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.