EVENT HOSTS NANCY AND CONGRESSMAN DAVE CAMP KELLY AND JIM FABIANO , JR. AMY AND STATE SENATOR CYNTHIA AND ATTORNEY GENERAL MICHELLE AND JOE FABIANO JOHN MOOLENAAR BILL SCHUETTE JIM FITTERLING DOLORES AND BILL MYLER , SR. KATHLEEN AND MIKE BIERLEIN PAULA AND STATE SENATOR PAM AND BILL MYLER , JR. GAIL AND DAN BOGE MIKE GREEN PAULA TOLLIVER JENNIFER AND STATE REPRESENTATIVE MARTINE AND SCOTT HOLMAN RANNY RIECKER KEVIN COTTER VERONICA AND STATE REPRESENTATIVE JULIE AND JOE SERRA KATHLEEN AND MATT DAVIS KEN HORN ANGELA AND DON SHEETS STATE SENATOR JUDY EMMONS NYLA AND STATE SENATOR JUDY AND SID SMITH LEE AND JIM FABIANO , SR ROGER KAHN LISA AND HOWARD UNGERLEIDER PATTI AND DAVE KEPLER CORDIALLY INVITES YOU TO A LUNCHEON ON BEHALF OF GOVERNOR MITT ROMNEY AND THE REPUBLICAN TEAM WITH SPECIAL GUEST GOVERNOR CHRIS CHRISTIE SATURDAY , OCTOBER 6, 2012 AT THE H HOTEL 111 WEST MAIN STREET MIDLAND , MICHIGAN 12:45 PM PRIVATE LUNCH $10,000 (PER COUPLE ) 1:15 PM VIP PHOTO RECEPTION $2,500 (P ER PERSON ) 1:45 PM GENERAL RECEPTION $1,000 (P ER PERSON ) KINDLY RSVP TO LAUREN RAKOLTA AT 313.910.7757 OR ROMNEY VICTORY MI.RSVP@ GMAIL .COM Romney Victory, Inc. c/o Lauren Rakolta 777 Woodward Avenue, Suite 200 Detroit, MI 48226 Contributions to Romney Victory, Inc. (“RV”) are not tax deductible for federal income tax purposes. RV is a joint fundraising committee composed of Romney for President, Inc. (“RFP”), the Republican National Committee (“RNC”), the official Republican Parties in four states (the Idaho Republican Party, the Massachusetts Republican Party, the Oklahoma Leadership Council, and the Vermont Republican Federal Election Committee), the National Republican Senatorial Committee (“NRSC”), and the National Republican Congressional Committee (“NRCC”). However, contributions solicited by this invitation will be deposited into the accounts of Romney for President, Inc., the Republican National Committee, the National Republican Senatorial Committee, and the National Republican Congressional Committee only . This invitation does not solicit funds for the four state Republican parties. Paid for by Romney Victory, Inc., a joint fundraising committee authorized by and composed of Romney for President, Inc., the Republican National Committee, the Idaho Republican Party, the Massachusetts Republican Party, the Oklahoma Leadership Council, the Vermont Republican Federal Election Committee, the National Republican Senatorial Committee, and the National Republican Congressional Committee Luncheon Saturday, October 6, 2012 REPLY INFO Yes, I would like to attend the Private Lunch, VIP Photo Reception and General Reception on October 6th . Enclosed is my contribution of $ ______. ($10,000 per couple) Yes, I would like to attend the VIP Photo Reception and General Reception on October 6th . Enclosed is my contribution of $ ______. ($2,500 per person) Yes, I would like to attend the General Reception on October 6 th . Enclosed is my contribution of $ ______. ($1,000 per person) No, I am unable to attend, but enclosed is a contribution of $______. Please make your check payable to: Romney Victory, Inc. Name_________________________________________________________________________________________ Address_______________________________________________________________________________________ City____________________________________State______________________Zip__________________________ Home Phone_____________________ Work Phone_______________________ E-mail________________________ CONTRIBUTOR INFO This contribution is made by check or credit card from my personal funds and is not drawn on an account maintained by an incorporated entity. I am a U.S. citizen or permanent resident and this contribution will not be reimbursed by another person. Signature_______________________________________________________________________ For a contribution from a joint account to be attributed to two individuals, both must sign this form, indicating agreement with the above statement. Joint Contributor Signature_________________________________________________________ Federal law requires us to obtain and report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $200 in a calendar year (RNC, NRSC, and NRCC) or election cycle (RFP). Please complete the following: Occupation__________________________________________ Employer________________________________________________ Joint Contributor Occupation___________________________ Joint Contributor Employer____________________________________ CREDIT CARD REPLY Please charge my contribution of $___________ to my credit card. Visa MasterCard AMEX Discover Account Number___________________________________________ Expiration Date____________________________________ Name on Card____________________________Signature_____________________________________________________________ Mail to: Romney Victory, Inc. c/o Lauren Rakolta, 777 Woodward Avenue, Detroit MI 48226 Or Fax: (313) 234-0524 ; or Scan/Email to: [email protected] Fundraiser ID: EMI023 Source (or Event) Code: ___________ Proceeds shall be allocated by the following formula: 1. Individuals and non-multicandidate PACs - The first $2,500 will go to RFP’s primary account. The next $2,500 will go to RFP’s general account. The next $30,800 will go to the RNC. The remaining amount will be split evenly between the NRSC and NRCC, up to a maximum of $20,000 per committee. 2. Multicandidate PACs - The first $5,000 will go to RFP’s primary account. The next $5,000 will go to RFP’s general account. The next $15,000 will go to the RNC. The remaining amount will be split evenly between the NRSC and NRCC, up to a maximum of $15,000 per committee. 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 limits. However, no part of any contribution made pursuant to this Notice will be allocated to any Committee not identified in the above formula. Contributions from corporations, labor unions, federal contractors, and foreign nationals are prohibited. Federal law requires us to collect and report the name, mailing address, occupation, and employer of each contributor whose contributions aggregate in excess of $200 in a calendar year (RNC, NRSC and NRCC) or election cycle (RFP). Contributions solicited by this invitation will be deposited into the accounts of RFP, the RNC, the NRSC, and the NRCC only. This invitation does not solicit funds for the four state Republican parties. Paid for by Romney Victory, Inc., a joint fundraising committee authorized by and composed of Romney for President, Inc., the Republican National Committee, the Idaho Republican Party, the Massachusetts Republican Party, the Oklahoma Leadership Council, the Vermont Republican Federal Election Committee, the National Republican Senatorial Committee, and the National Republican Congressional Committee .