Please join

Hon. Marisol Alcntara Leonisa Ardizzone Hon. Ernestine Bell Temple Obie Bing Elena Deutsch George Fernandez Victoria Frye Nicole Monegro Gabriela Rosa
(Committee in Formation)

For a reception in support of

Mark D. Levine
Democratic District leader Founder, Barack Obama Democratic Club
Sunday, March 18th 4:00 6:00pm At the home of Jessica Poggi and Dan Krekelar 100 Cabrini Blvd., Apt. 57 (NW corner of 181st St.)

Suggested contribution levels: 50 / 100 / 250

To RSVP or for more information: amy.slattery1@gmail.com or (917) 569-9834

Paid for by Levine for New York Printed in house

Levine for New York

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Name: Your Home Address: Account Holder: Account Number: City: Card Type: Expiration Date:_ AVS Code:_ _ State: Zip Code:

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To comply with Campaign Finance Board reporting requirements, please give the following information: Your Employers Name: Your Work Address: Please make checks payable to: Levine for New York c/o Janet McDowell 900 W. 190th St., #4K New York, NY 10040 Your Occupation: City: State: Zip Code:

I understand that State law requires that a contribution be in my name and be from my own funds. I hereby affirm that this contribution is being made from my personal funds, is not being reimbursed in any manner, and is not being made as a loan ; in addition, in the case of a credit card contribution, I also hereby affirm that this contribution is being made from my personal credit card account, billed to and paid by me for my personal use, and has no corporate or business affiliation. Contributors signature: Date of Contribution:

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Contribution Requirements: We cannot accept: contributions from corporations, partnerships or limited liability companies (LLCs); cash contributions that are more than $100; any contributions over $2,750. If a contributor has business dealings with City as defined by the Campaign Finance Act, the contribution limit is $250. Federal law prohibits contributions from foreign nationals. We cannot accept contributions from political committees, unless the committee registers with the Campaign Finance Board. If you wish to make a contribution from an unregistered political committee, visit www.nyccfb.org for a registration form. Contributions are not tax deductible. Please note we will not accept contributions from anyone currently having business before Manhattan Community Board 1.
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Doing Business Contribution Information

A doing business contributor is an owner, principal officer, or senior manager of an entity or firm that presently does business with the City, or within the past 12 months, has done business with the City or has bid or applied for business with the City. Doing business contributors generally: Are registered NYC lobbyists. Have one or more contracts, concessions, franchises, or grants that total over $100,000 ($500,000 for construction contracts). This excludes emergency contracts and those awarded by competitive sealed bidding. Answer a bid or proposal request for a contract, concession, franchise, or grant as described above. Enter into or hold an agreement for economic development, including payments in lieu of taxes, City tax incentives, or City financing. Hold contracts or proposals for investment of pension funds or related services. Are a party to sale, purchase, or lease of real property with or by the City, except public auction. Make any application subject to Uniform Land Use Review Procedure (ULURP) or an application for zoning change or special permit. A contributor is not considered to be doing business with the City simply because they pay or receive a rebate on City taxes, work for the City, are in a City pension plan, hire a lobbyist, apply for permits for a 1, 2, or 3 family home, drive a City taxi, or apply for street activity permits or other kinds of individual activities with the City. Contributions from persons doing business with the City will not be matched with public funds. For more details or to verify whether you are listed on the Doing Business database, see www.nyccfb.info/doingbusiness.