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You

Are Cordially Invited


To Attend A

Fundraising Reception
HONORING

PHIL OLIVA

CANDIDATE, NEW YORKS 18TH CONGRESSIONAL DISTRICT


WITH SPECIAL GUESTS

SENATOR KATHY MARCHIONE


SENATOR GEORGE AMEDORE
ASSEMBLYMAN JIM TEDISCO

TUESDAY, MARCH 29,


29, 2016
6:00 7:30 PM

The Fort Orange Club


Library
110 Washington Avenue
Albany, NY 12210
Please RSVP to Amanda Cernik at acernik@epiphanyproductions.com

Paid for and authorized by Oliva for Congress


Individuals may contribute a maximum of $5,400 per election cycle ($2,700 for the primary election and $2,700
for the general election). Couples may contribute up to $5,400 for each election; joint contributions require the
signature of both spouses. Multicandidate federal PACs may contribute a maximum of $10,000 per election
cycle ($5,000 for the primary election and $5,000 for the general election). Contributions from corporations,
labor unions, federal contractors, foreign nationals (without green cards) and other federally prohibited sources
are not permitted. Contributions must be made from personal or PAC funds and may not be reimbursed by any
person or entity. Contributions to Oliva for Congress are not deductible for federal income tax purposes.
Not printed at government expense.

I/We would like to attend the event on March 29, 2016 in support of Phil Olivas campaign.
Host -- $2,700
Friend -- $1,000
Supporter -- $500
Attendee -- $250
I/We are unable to attend, but would like to make a contribution in the amount of $ _______.
Please make checks payable and send to: Oliva for Congress

104 Hume Avenue


Alexandria, VA 22314
You may also contribute online by visiting: http://www.philoliva.com/
Please complete the following information if using a credit card:
r Visa
r Master Card
r American Express
r Discover
Name on Card________________________________________ Amount __________________
Card Number ____________________________Security Code ______Exp. Date ____________

Signature: _________________________________________________________
My signature verifies that this contribution represents my personal funds and is not drawn on an account maintained
by an incorporated entity or other prohibited sources.
All contributors must complete the following information. Federal Election Law requires us to report the name,
address, occupation, and employer for contributions that aggregate in excess of $200 in an election cycle.
Full Name: ______________________________________________________________________
Spouses Name (if joint contribution): _________________________________________________
Spouses Sig. (if joint contribution): ___________________________________________________
Employer: _________________________________Occupation: ___________________________
Spouses Employer: (if joint contribution): ______________________________________________
Spouses Occupation: (if joint contribution): ____________________________________________
Address: ________________________________________________________________________
City: ____________________________________________ State: _____ Zip: ________________
Home Phone: ________________ Work Phone: ________________Fax:_____________________
E-Mail:________________________________ Mobile Phone: _____________________________
Paid for and authorized by Oliva for Congress
Individuals may contribute a maximum of $5,400 per election cycle ($2,700 for the primary election and $2,700
for the general election). Couples may contribute up to $5,400 for each election; joint contributions require the
signature of both spouses. Multicandidate federal PACs may contribute a maximum of $10,000 per election
cycle ($5,000 for the primary election and $5,000 for the general election). Contributions from corporations,
labor unions, federal contractors, foreign nationals (without green cards) and other federally prohibited sources
are not permitted. Contributions must be made from personal or PAC funds and may not be reimbursed by any
person or entity. Contributions to Oliva for Congress are not deductible for federal income tax purposes.
Not printed at government expense.