ERIC AXEL

IKE BROWN
SHERRY & KENNY GOLDBERG

KEVIN PAILET
ELAINE & TREVOR PEARLMAN
LARRY STEINBERG

U.S. CO NG RESSMA N

JOHN RATCLIFFE
REPRESENTIN G U . S . HOUSE DISTRICT

SUNDAY, JANUARY 10, 2015

2:30PM
At the home of

ELAINE & TREVOR PEARLMAN

5404 PARK LANE
DALLAS, TX 75220
Contributions Levels
Founder $10,800 - Patriot $5,400
Statesman $2,700 - Minuteman $1,000
Guest $500 - Attendee $250
T O RSVP, KI NDLY CONTACT J AME S V AN L AR E AT T HE M C I NTOS H C OMPANY , I NC .
(214)-5 2 0 -2 194 O R JAME S @M C I N T OS H C O M P AN Y. C O M
Paid for and authorized by Ratcliffe for Congress

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

Contribution Form
Suggested Contribution Amounts:
Founder $10,800 Patriot $5,400 Statesman $2,700 Minuteman $1,000
Guest $500 (includes two tickets) Attendee (single ticket) $250
Unfortunately, I cannot attend the reception, but I would like to support Congressman Ratcliffe. Enclosed is my
contribution of $______________.
ALL CONTRIBUTORS PLEASE READ AND COMPLETE:
Contributions are not tax deductible for federal purposes. Federal law requires us to report the name, address, occupation, a nd
name of employer of each contributor whose contributions exceed $200 in an election cycle. Individuals may contribute a maximum
of $5,400--$2,700 for the primary election and $2,700 for the general election. Multi candidate PACs may give a maximum of
$10,000-$5,000 for the primary election and $5,000 for the general election. Contributions from corporations, foreign natio nals,
and federal government contractors are prohibited. Not printed at government expense.
______________________________________________________________________________________________________
Full Name
Spouse Name (if joint contribution)
______________________________________________________________________________________________________
Address
City
State
Zip Code
______________________________________________________________________________________________________
Home Phone
Work Phone
Cell Phone
______________________________________________________________________________________________________
Facsimile
E-Mail
______________________________________________________________________________________________________
Employer, Occupation
Spouses Employer, Occupation (if joint contribution)

Please make checks payable to: Ratcliffe for Congress

5310 Harvest Hill Road, Suite 209, Dallas, Texas 75230

Credit Card Contributions: This contribution to John Ratcliffe for Congress is drawn on my personal credit card, represents my personal
funds, and is not drawn on an account maintained by an incorporated entity.
To make your personal payment by credit card, please complete the following information:

Please charge my: Visa

MasterCard American Express

Discover

$_________________________________________________________________________ ____________________________

Amount of Contribution

Cardholder Name (printed)

______________________________________________________________________________________________________

Card Number

Exp. Date

CVC Code

Billing Zip

______________________________________________________________________________________________________

Signature of Contributor

Signature of Second Contributor (if joint contribution)

Replies and credit card contributions may be faxed to 214-520-1397.
For more information or to RSVP, please contact James Van Lare at The McIntosh Company at 214-520-2194 or
James@McIntoshCompany.com.
Paid for and authorized by Ratcliffe for Congress

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.