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PATRIOTS for TRUMP DINNER October 9Th, 2020 Tommy Gun Warehouse at the Rod of Iron Freedom Festival Grounds 105 Kahr Ave PATRIOTS FOR TRUMP DINNER October 9th, 2020 Tommy Gun Warehouse at the Rod of Iron Freedom Festival Grounds 105 Kahr Ave. Greeley, PA 18425 $5,000 - Diamond Sponsor: Table for 10, VIP access for 4. $150 – Patriot: Per Person ☐ ☐ $3,000 - Gold: Table for 10, VIP access for 2. $75 – Supporter: Per Person ☐ ☐ $2,000 - Silver: Table for 10, VIP access for 1. No, I cannot attend, but would like to contribute $_____________. ☐ ☐ $1,000 - Bronze: Table for 10. ☐ For information on joining the Trump Victory Finance Committee contact [email protected] CONTRIBUTOR INFORMATION Please fill out every field. This information is required to contribute. Prefix First Name Last Name Preferred Name Employer (Required) Occupation (Required) Address City State Zip Cell Phone Work Phone Home Phone Email Signature (Required) JOINT CONTRIBUTOR INFORMATION (If applicable) Please fill out every field if you are giving from a joint account. Prefix First Name Last Name Preferred Name Employer (Required) Occupation (Required) Cell Phone Work Phone Home Phone Email Joint Contributor Signature (Required if Joint) PAYMENT INFORMATION ☐ Pay by personal check. Please make personal checks payable to Trump Victory, ☐ Pay by personal credit card *All credit cards processed by WinRed. ☐ Visa ☐ MasterCard ☐ American Express ☐ Discover Name on personal credit card Card Number Contribution Amount: $ Expiration Date Security Code TRACKING & RETURN INFORMATION Fundraiser ID (if applicable) 4683 Event Code (if applicable) E20PA006 Please send completed contribution forms and checks to Trump Victory: 310 First Street, SE; Washington, DC 20003. Paid for by Trump Victory, a joint fundraising committee authorized by and composed of Donald J. Trump for President, Inc., the Republican National Committee, and the official Republican state parties in Arizona, Colorado, Florida, Georgia, Iowa, Illinois, Kentucky, Louisiana, Maine, Michigan, Minnesota, Montana, Nevada, Nebraska, New Hampshire, New Mexico, New York, North Carolina, Ohio, Pennsylvania, Virginia, and Wisconsin. Federal elections law requires us to use best efforts to collect and report contributors’ names, mailing addresses, occupations, and employers. TV is a joint fundraising committee composed of Donald J. Trump for President, Inc. (“DJTP”), the Republican National Committee (“RNC”), and the official Republican state parties in Arizona, Colorado, Florida, Georgia, Iowa, Illinois, Kentucky, Louisiana, Maine, Michigan, Minnesota, Montana, Nevada, Nebraska, New Hampshire, New Mexico, New York, North Carolina, Ohio, Pennsylvania, Virginia, and Wisconsin. Contributions from individuals (multicandidate PACs in parentheses) will be allocated sequentially according to the following formula: (1) The first $2,800 to DJTP’s general election account; (2) the next $35,500 to the RNC’s Operating account; (3) the next $10,000 to Alabama Republican Party; (4) the next $10,000 to Alaska Republican Party; (5) the next $10,000 to Arizona Republican Party; (6) the next $10,000 to Republican Party of Arkansas; (7) the next $10,000 to California Republican Party Federal Account; (8) the next $10,000 to Colorado Republican Committee; (9) DC Republican Party Federal Account; (10) the next $10,000 to Republican Party of Florida; (11) the next $10,000 to Georgia Republican Party, Inc.; (12) the next $10,000 to Hawaii Republican Party; (13) the next $10,000 to the Republican Party of Idaho; (14) the next $10,000 to Illinois Republican Party – Federal; (15) the next $10,000 to Indiana Republican State Committee, Inc.; (16) the next $10,000 to Republican Party of Iowa; (17) the next $10,000 to Kansas Republican Party; (18) the next $10,000 to Republican Party of Kentucky; (19) the next $10,000 to Republican Party of Louisiana; (20) the next $10,000 to Maine Republican Party; (21) the next $10,000 to Maryland Republican State Central Committee; (22) the next $10,000 to Michigan Republican Party; (23) the next $10,000 to Republican Party of Minnesota – Federal; (24) the next $10,000 to Mississippi Republican Party; (25) the next $10,000 to Missouri Republican State Central Committee; (26) the next $10,000 to Montana Republican State Central Committee; (27) the next $10,000 to Nebraska Republican Party; (28) the next $10,000 to Nevada Republican Central Committee; (29) the next $10,000 to New Hampshire Republican State Committee; (30) the next $10,000 to New Jersey Republican State Committee; (31) the next $10,000 to Republican Campaign Committee of New Mexico; (32) the next $10,000 to NY Republican Federal Campaign Committee; (33) the next $10,000 to North Carolina Republican Party; (34) the next $10,000 to North Dakota Republican Part; (35) the next $10,000 to Ohio Republican Party State Central & Executive Committee; (36) the next $10,000 to Oklahoma Leadership Council; (37) the next $10,000 to Oregon Republican Party; (38) the next $10,000 to Republican Federal Committee of Pennsylvania; (39) the next $10,000 to Rhode Island Republican State Central Committee; (40) the next $10,000 to South Dakota Republican Party; (41) the next $10,000 to Tennessee Republican Party Federal Election Account; (42) the next $10,000 to Republican Party of Texas; (43) the next $10,000 to Vermont Republican Federal Elections Committee; (44) the next $10,000 to Republican Party of Virginia Inc.; (45) the next $10,000 to Washington State Republican Party; (46) the next $10,000 to West Virginia Republican Party, Inc.; (47) the next $10,000 to Republican Party of Wisconsin; (48) the next $10,000 to Wyoming Republican Party, Inc.; (49) the next $106,500 to the RNC’s Legal Proceedings account; (50) the next $106,500 to the RNC’s Headquarters account; and (51) the remainder (up to $106,500) to the RNC’s Convention account. Notwithstanding this allocation formula, a contributor may designate a contribution for a specific participant or participants. In addition, the allocation formula may change if any contribution would exceed applicable contribution limit. Contributions must: (i) be made only by U.S. citizens or permanent residents; (ii) not be made from the funds of a corporation, labor organization or national bank; and (iii) be the donor’s personal funds, not those of another person or entity. Any tampering or editing of this document is prohibited. Paid for by Trump Victory, a joint fundraising committee authorized by and composed of Donald J. Trump for President, Inc., the Republican National Committee, and the official Republican state parties in Arizona, Colorado, Florida, Georgia, Iowa, Illinois, Kentucky, Louisiana, Maine, Michigan, Minnesota, Montana, Nevada, Nebraska, New Hampshire, New Mexico, New York, North Carolina, Ohio, Pennsylvania, Virginia, and Wisconsin. .
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