!
!
"#$%&$!'()*
$
!"#$%&'(!)*$+$#,'--$&),.&$
+(,!-(-./%)#&!%*0!0)**$,!1(*(,)*2!
!
!
Governor Chris Christie
$
$
!"#$"%#&'()%"*+",-".)/0()/122)
3451)*,)
$
%/012345&367/$,870984:8$
)1/861;4$
$
CO-HOST: $25,000 PER COUPLE
DINNER: $15,000 PER COUPLE
**Seating is limited to 15 couples**
The NJGOP can accept contributions with a limit of $25,000 annually
from individuals, corporations, and PACs.
For additional information or to RSVP, please contact Sara Myers at
(310) 866-8527 or sara@saramyers.com
Proceeds will benefit the New Jersey Republican State Committee (NJGOP)
Paid for by the New Jersey Republican State Committee, John Bennett, Treasurer
<;:=130>7$+$?04486$&;4;604@$#;A864;6$</607$</607108$B$.8C182D86$EFG$EHII$
RSVP
!
Yes, I/we will Co-Host the Wednesday, September 28th dinner. Please reserve ________ seats at $25,000
per couple.
!
Yes, I/we will join you for dinner on Wednesday, September 28th. Please reserve _______ seats at
$15,000 per couple.
!
No, I/we are unable to join you, but am enclosing my/our contribution of $__________.$$
MAILING INFORMATION
Please make checks payable to NJGOP and mail to:
c/o Sara Myers Group
650 Castro Street, Suite 120-482 · Mountain View, CA 94041
For questions or to RSVP, please call 310.866.8527 or email sara@saramyers.com. Fax forms to 310.861.0387.
CONTRIBUTION AGREEMENT (required)
NJ/Federal Election Law requires political committees to report the name, mailing address, occupation and name of employer for
each individual whose contributions aggregate in excess of $200 in a calendar year.
I hereby certify that:
!
I am a United States citizen or a permanent resident alien.
!
The funds being contributed are my own and were not provided to me by another person or entity for the purpose of
making this contribution.
!
I am not a “business entity” nor am I the spouse or child of an individual meeting the definition of a “business entity”
as defined by N.J.S.A. 19:44A-20.3 et seq. and by Executive Order 117, that holds or is seeking a contract with the State
of New Jersey in an amount in excess of $17,500 or I am contributing an amount less than $300.
________________________________________________________________________________
Signature
CONTRIBUTOR INFORMATION
Name: _________________________________________________ Company: _________________________________________
Address: ___________________________________________________________________________________________________
City: _______________________________________________________ State: _______________ Zip: _____________________
Telephone: _____________________________________________ E-Mail: ___________________________________________
Occupation (Required): _________________________________Employer (Required): _________________________________
Employer’s Address (Required): ______________________________________________________________________________
CONTRIBUTION INFORMATION:
Proceeds will benefit the New Jersey Republican State Committee. New Jersey law prohibits entities operating in certain regulated
industries (casinos, financial institutions, insurance companies, utilities) from contributing. Business entities doing or seeking to
do business with the State of New Jersey and certain individuals associated with those vendors may also be prohibited from
contributing in excess of $300 per election per candidate, and $300 per calendar year per political party. Election Law allows
contributions with a limit of $25,000 annually from individuals, PAC’s and corporations. Contributions are not deductible for
income tax purposes.
A partnership or limited liability company may not contribute as an entity. However a check from a partnership or limited
liability company may be accepted so long as it is accompanied by a letter allocating the contribution to the individual partner(s) or
member(s) and is signed by each contributing partner or member. The letter must include each contributing partner’s home
address. A partner’s total contribution, through the partnership and personally, cannot exceed the $25,000 annual limit.
Contributions of up to $10,000 from individuals may be deposited in the federal account for use in federal elections, unless
specifically requested otherwise. Contributions exceeding federal limits will be deposited into the state account and are subject to
the limits of state election laws.
Paid for by the New Jersey Republican State Committee, John Bennett, Treasurer