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Brian Campbell * Guy Cecil * Steven Elmendorf * Robert Raben Jerry Golden * Aubrey Sarvis * Joe Solmonese Michael Sosso * Jeff Trammell * Chuck Wolfe

(Host committee in formation)

Cordially invite you to a Reception Honoring

CONGRESSMAN JARED POLIS (CO-02)

TUESDAY, JUNE 8TH 7:30 – 9:00 PM

Home of Steve Elmendorf 2301 Ave, NW WASHINGTON, DC

HOST: $4,800 (WRITE / RAISE) CO-HOST: $2,400 (WRITE/RAISE) FRIEND: $1,000 GUEST: $250

Please RSVP to Brooks Banton or Randy Broz at (202) 479-2527 or [email protected]

Please make checks payable to: Jared Polis Majority Fund 499 S. Capitol St., SW, Suite 422 Washington, DC 20003

All funds raised under this agreement from a person shall be divided equally between Friends of Jared Polis, Friends of Steve Pougnet, Scott Murphy for Congress, DelBene for Congress, Bera for Congress, for Congress, Frank Kratovil for Congress, Dina Titus for Congress, Markey for Congress, Harry Teague for Congress, Perriello for Congress, Bill Owens for Congress, and Cicilline Committee; No contribution from a political committee will be allocated to Friends of Jared Polis or Perriello for Congress, and any such contribution will be divided equally between the other principal campaign committees. Any amount that cannot be allocated to a principal campaign committee will be allocated to the Democratic Congressional Campaign Committee. The first $2400 from a person to any one committee is designated to the and the second $2400 is designated to the general election. The first $5000 from a multicandidate political committee is designated to the primary election and the second $5000 is designated to the general election. Any contributor may designate his or her contribution for a particular participant. The allocation formula above may change if any contributor makes a contribution that, when allocated, would exceed the amount that the contributor may lawfully give to any participant. Paid for by Jared Polis Majority Fund, a joint fundraising committee. Contributions or gifts to Jared Polis Majority Fund are not tax deductible.

Please make checks payable to: Jared Polis Majority Fund 499 S. Capitol St., SW, Suite 422 Phone: 202-479-2527 Washington, DC 20003 Fax: 202-479-1110

Card Type (please check): ______VISA ______MC _____DISC _____AMEX Amount Contributed: $ Expiration Date ______

Credit Card Number

Name as appears on card:

Cardholder’s Signature: Name: Address: City / State/ Zip: Employer: Occupation: Office Home Phone: Phone: Email:

Federal law prohibits contributions to the committee from corporations, labor organizations and national banks; from any person contributing another person’s funds; from foreign nationals who lack permanent resident status; from federal government contractors. 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 exceed $200 in an election cycle.

*Please mark the one that applies below and sign:

____ I would like my contribution to Jared Polis Majority Fund to be allocated 50% to Friends of Jared Polis and 50% divided evenly among, Friends of Steve Pougnet, Scott Murphy for Congress, DelBene for Congress, Bera for Congress, John Carney for Congress, Frank Kratovil for Congress, Dina Titus for Congress, Markey for Congress, Harry Teague for Congress, Perriello for Congress, Bill Owens for Congress, and Cicilline Committee

____ I would like 100% of my contribution to Jared Polis Majority Fund be allocated to Friends of Jared Polis!

Signature: ______

All funds raised under this agreement from a person shall be divided equally between Friends of Jared Polis, Friends of Steve Pougnet, Scott Murphy for Congress, DelBene for Congress, Bera for Congress, John Carney for Congress, Frank Kratovil for Congress, Dina Titus for Congress, Markey for Congress, Harry Teague for Congress, Perriello for Congress, Bill Owens for Congress, and Cicilline Committee; No contribution from a political committee will be allocated to Friends of Jared Polis or Perriello for Congress, and any such contribution will be divided equally between the other principal campaign committees. Any amount that cannot be allocated to a principal campaign committee will be allocated to the Democratic Congressional Campaign Committee. The first $2400 from a person to any one committee is designated to the primary election and the second $2400 is designated to the general election. The first $5000 from a multicandidate political committee is designated to the primary election and the second $5000 is designated to the general election. Any contributor may designate his or her contribution for a particular participant. The allocation formula above may change if any contributor makes a contribution that, when allocated, would exceed the amount that the contributor may lawfully give to any participant. Paid for by Jared Polis Majority Fund, a joint fundraising committee. Contributions or gifts to Jared Polis Majority Fund are not tax deductible.