This document is an invitation to attend a gala reception for President Barack Obama on March 1, 2012 in New York City with special musical appearances. It lists high-profile supporters who are inviting others to the event, which is a fundraiser for Obama Victory Fund 2012. The reception offers general admission for $1,000 or joining the host committee by contributing or raising larger amounts, up to $71,600. It provides instructions for RSVPing and contributing online or by mail/fax.

1. Obama for America
along with
Deepak Chopra, Paulette Cole, Russell Simmons,
Gary Hirshberg, Phil Suarez, Jean-Georges Vongerichten,
Reshma Saujani, Rebecca Parekh
Sara Arnell, Andi & Tom Bernstein, Amy & Robert Chender, Betty & Stuart Cotton,
Anu Duggal, Ganesh Ekambaram, Limor Elkayan, Eileen Fisher, Adrian Grenier, Jerry Goldfeder,
Henry Kang, Vikas Khanna, Kartik Kilachand, Catherine McLaughlin-Hills & David Hills,
Shauna Mei & Lawrence Lenihan, Dolores Paoli & Adnan Durrani, Catherine Park, Yolanda Parker,
Manesh Patel, Jacques-Philippe Piverger, Wyatt Rockefeller, Steven Salsberg, Jill & Evan Shapiro,
Romita Shetty & Nasser Ahmad, Michael Skolnik, Susan Stern, Diane Von Furstenberg,
Lisa Weinert, Monica Winsor & Josh Mailman, Imaad Zuberi
Invite you to join
President Barack Obama
For a gala reception
with special appearances by:
The Roots, Ben Folds, Ingrid Michaelson & Aziz Ansari
Thursday, March 1st, 2012 • 5:00pm
ABC Carpet & Home
888 Broadway at east 19th street
New York City
PAID FOR BY OBAMA VICTORY FUND 2012, A JOINT FUNDRAISING COMMITTEE
AUTHORIZED BY OBAMA FOR AMERICA AND THE DEMOCRATIC NATIONAL COMMITTEE.

2. Yes, I would like to attend the gala reception:
General Admission: $1,000 per person
Yes, I would like to join the host committee:
Host– write $10,000/raise $25,000 (includes Photo Reception)
Vice Chair– write $35,800/raise $50,000 (includes Greet, Photo Reception, and Gala)
Chair – write $71,600/raise $100,000 (includes Greet, Photo Reception and Gala)*
*Contribution must be from a joint account
** If you are interested in joining the Host Committee, please contact jblue@barackobama.com or (212) 784-6070.
If purchasing multiple tickets, please list the names of your additional guests:
I was invited to attend by: Paulette Cole
Click here to contribute online at https://donate.barackobama.com/page/contribute/o2012-2012aapievent?custom1=531379
Obama Victory Fund 2012 does not accept contributions from currently registered federal lobbyists, registered foreign agents, political action committees, or minors under the age of 16.
Corporate and labor union contributions are prohibited. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and employer of individuals
whose contributions exceed $200 in an election cycle.
First & Last Name:
Address:
City/State/Zip:
Employer: Occupation:
Work Phone: Work Fax:
Home Phone: Email:
Federal law prohibits foreign nationals, except lawfully admitted permanent residents of the U.S., from contributing to the Obama Victory Fund 2012. By signing below, I certify that I am a
U.S. citizen or lawfully admitted permanent resident of the U.S., the funds I am donating are not being provided to me by another person or entity for the purpose of making this contribution,
and that my contribution shall be allocated as stated below.
Provide your passport number if you currently reside outside of the United States
Signature:
2nd signature, if contributing from joint account*:
Contribute by personal check:
Please make checks payable to “Obama Victory Fund 2012” and mail to the address listed below.
Obama Victory Fund 2012
Attn. Julia Blue
230 Fifth Avenue, Suite 1705
New York, NY 10001
Or fax this form to (312) 361-8067
Contribute by Credit Card:
Please bill my personal credit card: Visa MasterCard AMEX Discover
Card Number: Exp:
Name as it appears on the card:
Signature:
Second Name on Account, if Joint Account*:
*Contributions will be evenly attributed between names.
2nd Name Employer: 2nd Name Occupation:
Second Signature for Joint Account:
Contributions or gifts to Obama Victory Fund 2012 are not tax deductible. The first $5,000 of a contribution to OVF 2012 will be allocated to Obama for America
(with the first $2,500 designated for the primary election, and the next $2,500 for the general). The next $30,800 of a contribution will be allocated to the Democratic National Committee.
A contributor may designate a contribution for a particular participant. This allocation formula may change if following it would result in an excessive contribution.
PAID FOR BY OBAMA VICTORY FUND 2012, A JOINT FUNDRAISING COMMITTEE
AUTHORIZED BY OBAMA FOR AMERICA AND THE DEMOCRATIC NATIONAL COMMITTEE.
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