RON GIDWITZ

SYLVIE LEGERE & TODD RICKETTS

RICHARD PORTER
CECELIA & TOM RICKETTS

(HOST COMMITTEE IN FORMATION)

CORDIALLY INVITE YOU TO AN EVENING

IN HONOR OF

LIZ CHENEY

CANDIDATE FOR CONGRESS (WY)

WITH SPECIAL GUEST

VICE PRESIDENT RICHARD B. CHENEY

MONDAY, FEBRUARY 22, 2016
5:30 P.M. - 6:30 P.M. GENERAL RECEPTION
6:30 P.M. PRIVATE DINNER

THE RACQUET CLUB

1365 NORTH DEARBORN PARKWAY
CHICAGO, ILLINOIS
HOST ~ $5,400 PER PERSON
DINNER ~ $2,700 PER PERSON
GENERAL RECEPTION ~ $1,000 PER PERSON
RSVP TO VICTORIA WILLER (630) 234-6706
OR E-MAIL TO Victoria@revirescoconsulting.com
Paid for by Liz Cheney for Wyoming.

Contributions to Liz Cheney for Wyoming are not deductible as charitable contributions for federal income tax
purposes CheneyforWyoming.com
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

Yes, I would like to be a Host: $5,400 Give/Raise: General Reception and Dinner
Yes, I would like to attend Dinner: $2,700 per person: General Reception and Dinner
Yes, I would like to attend the General Reception: $1,000 per person
I am unable to attend the event on February 22nd but would like to support Liz. Please accept my contribution
in the amount of $__________.

Please make checks payable to Liz Cheney for Wyoming.

The maximum allowable contribution per individual is $5,400 ($2,700 to the primary election and $2,700 to the general
election). An individual may write one check for $5,400 and indicate primary/general in the memo of the check. A
couple may write a check for up to $10,800 from a joint account (where both names are listed on the account) if
primary/general is indicated in the memo of the check and this form is completed and signed by both contributors.

-----------------------------------------Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of
employer of each individual whose contributions exceed $200 in an election cycle.
Name _____________________________________________________________________
Mailing Address ____________________________________________________________
City, State Zip ______________________________________________________________
Occupation____________________________Employer_____________________________
Phone (w)________________________________ (h)_______________________________
Fax ________________________________Email__________________________________
Spouse Name_____________________________ Preferred Name_____________________
Occupation____________________________Employer_____________________________
(if joint contribution)
(if joint contribution)
Contributions to Liz Cheney for Wyoming are not deductible as charitable contributions for federal income tax purposes.
Funds received in response to this solicitation are subject to federal contribution limits. Contributions from corporations,
foreign nationals who are not lawfully admitted for permanent residence, labor organizations, and federal government
contractors are not permitted.
By signing below I/we represent that this contribution is drawn from my/our personal account and not drawn from an
account or credit card maintained by any other person or entity:
Signature____________________________

Signature_____________________________
(if joint contribution)

Paid for by Liz Cheney for Wyoming.

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