Please join

Eddie Ayoob * John Buscher

Paul DiNino * Jeff Forbes
Tracy Spicer * Mike Smith & Amy Tejral
for a reception honoring
Governor Timothy M. Kaine
To benefit his campaign for U.S Senate
Tuesday, May 10, 2011

5:30 – 7:00 PM

Cornerstone Government Affairs

300 Independence Avenue, SE
Washington, DC 20003

Host: $2,500
Sponsor: 1,000
Guest: $500
For more information or to RSVP, please contact Caitlin Blair at
(571) 228-0712 or Caitlin.Blair@kaineforva.com
Contributions or gifts to Kaine for Virginia are not tax deductible as charitable contributions.

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.
 Paid For By Kaine for Virginia.

Kaine for Virginia

May 10th Reception

_____ Yes, I/we would like to attend the reception, enclosed is my contribution of $________
_____ No, I/we are not able to attend, please accept a contribution of $ _________

Please make your contribution payable to “Kaine for Virginia” and mail to:
Kaine for Virginia
PO Box 12307
Richmond, VA 23241
Contributions to Kaine for Virginia are limited to $5,000 per individual ($2,500 for the primary election and $2,500 for the general
election) and federal multi-candidate PACs may contribute $10,000 ($5,000 for the primary election and $5,000 for the general
election). A husband and wife may contribute $10,000 ($5,000 each) by one check drawn from a joint account and signed by both
individuals.

Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and name of employer
for individuals whose contributions exceed $200 in an election cycle. If this is a contribution from a husband and wife by one
check drawn from a joint account and signed by both individuals, please provide the requested information below for both
individuals.
Name: ______________________________________________________________________

Mailing Address:_______________________________________________________________

City: __________________________________ State: _____________ Zip Code:___________

Occupation: ___________________________ Employer: _______________________________

Home Phone: __________________________ Work Phone: _____________________________

Fax: __________________________________ Cell Phone: ______________________________

Email: ________________________________________________________________________

If you prefer to pay by credit card, please complete the following:

Credit Card Type: _____ Visa _____ MasterCard _____

Name on card: ____________________________________________________ Amount: _________

Billing Address (if different): ____________________________________________________________

Card Number: _______________________________________ Exp. Date: ________ Code: _________

YOU MUST ALSO SIGN BELOW

Federal law prohibits contributions to Kaine for Virginia from corporations, labor organizations and national banks; from any
person contributing another person's funds; from foreign nationals who lack permanent resident status; and from federal
government contractors. By signing below, I affirm that my contribution is from personal funds and not from funds otherwise
prohibited under law.

Contributor Signature (REQUIRED): ____________________________________________________________

Contributions or gifts to Kaine for Virginia are not tax deductible as charitable contributions.

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.
 5.10.11CGA
Paid For By Kaine for Virginia.

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