Darius Anderson & Michael Mondavi Gary & Marcia Nelson Cordially invite you to join us for BREAKFAST in support of HON. JEFF DENHAM Republican, Tenth Congressional District of California With Special Guest House Majority Whip Steve Scalise Monday, September 17th 9:00 AM Location Provided upon RSVP Please RSVP to Marisol Lopez at: (916) 443-8891 or mg1@platinumadvisors.com Requested Contribution: Host: $5,400 Couple / $2,700 Individual Sponsor: $2,000 Couple / $1,000 Individual Attend: $1,000 Couple / $500 Individual " Paid for by Denham for Congress Please return to Matt Van Blargan 5827 Colfax Ave Alexandria, VA 22311 or mvb@814consulting.com ☐I look forward to attending ☐ I cannot attend I would like to contribute: Donor Information: ☐ $5,400 ☐$2,700 ☐$1,000 ☐ $500 ☐$_____ Name: ______________________________________ Payment Method: Employer: ___________________________________ ☐ Enclosed Check made out to “Denham for Congress” Occupation: __________________________________ ☐ Online at www.DenhamforCongress.com Phone: ______________________________________ ☐ Credit Card: ☐ Visa ☐ Mastercard ☐ Amex e-mail: ______________________________________ Card #: __________________________________________ Address: _____________________________________ Expiration: _____________ Security Code: ____________ City: ______________ State: _____ Zip: __________ I authorize this transaction, and declare that it is within federal regulations as outlined below. Signature: ______________________________________________________ Date: ______________ Your contribution is not tax-deductible as a charitable contribution for Federal income tax purposes. An individual may contribute up to $5,400 per election cycle – that is, $2,700 for the primary, and $2,700 for the general election. A multi-candidate PAC may contribute up to $10,000 per election cycle – that is $5,000 for the primary, and $5,000 for the general election. Individual contributions must be made from the donor’s own funds. Contributions from corporations and foreign nationals are prohibited. Not printed at government expense.