Lazio Li Suffolk Invite 12-3.09 Final

HONORARY CO-CHAIRS Harvey Auerbach Daphne & Peter Hoffman

Clara & Tom Datre

Ambassador Charles A. Gargano

The Honorable John Jay LaValle

Anthony Scaramucci

CO-CHAIRS Frank A. Aprea

Leonard A. Bellavia, Esq.

Fred Romito

Andrew B. Siben, Esq.

Denis J. Connors

Michael Moriarty, Esq.

Claudia & Carl Troiano

John C. Tsunis, Esq.

HOST COMMITTEE Jo Ann Boettcher

Doug Chapey

Thomas D. Croci

Philip Goglas, Esq.

Eric A. Kopp

Diane Nicolia

Lou Modica

Michael J. Sacca

John Schettino, Esq.

Lee M. Zeldin, Esq.

Terry Gardner, Jr. Bill Manger John C. Zaher, Esq. ***committee still in formation

CORDIALLY INVITE YOU TO A RECEPTION FOR

The Honorable Rick Lazio CANDIDATE FOR GOVERNOR – NEW YORK Thursday, December 3, 2009 Islandia Marriott 3635 Express Drive North Islandia, New York 11749 6:30 P.M. Private Co-Chair’s Reception with Rick (Contribute or raise $2,500 per person) 7:00 P.M. General Reception (Contribute $250 per person) Kindly RSVP to Amanda Ober at 860.930.8396 or via email at [email protected]

Rick Lazio RSVP – December 3, 2009 The following information is required: Name __________________________________________________________________________ Street Address ___________________________________________________________________ City/State/Zip_____________________________________________________________________ Phone: ___________________________________Fax ___________________________________ E-mail __________________________________________________________________________ Occupation: _____________________________________________________________ ‰ Retired Employer:_______________________________________________________________________ ‰ Yes, I/we would like to serve as a Co-Chair (Contribute or Raise $2,500) and attend the private Co-Chair’s reception with Rick. Please list my/our name(s) as______________________Enclosed is my contribution of $________ ‰ Yes, I/we would like to serve on the Host Committee (Contribute or Raise $1,000). Please list my/our name(s) as______________________Enclosed is my contribution of $________ ‰ Yes, I/we would like ____ticket(s) for the General Reception ($250 p/p). Enclosed is my contribution of $_____________ ‰ No, I am unable to attend, but I want to help. Enclosed is my contribution of $_______________ Kindly send completed form and donation to: LAZIO 2010, Inc. C/O: Amanda Ober 40 Central Park South, 6G New York, NY 10019 You may also scan and email this form to: [email protected] Credit Card Contributions: ‰ Mastercard ‰ Visa ‰ American Express Credit Card # ____________________________________________________________________ Expiration Date _______________________ Security Code________________________________ Is this a corporate card? Yes No Corporation Name _______________________________ If this is a corporate card, by law it will be considered a corporate donation. Name as it appears on the card______________________________________________________ Billing Address (if different) ________________________________________________________________________________ Authorized Signature ________________________________________________________________________________ (must be same as name on the card) Please make checks payable to: Contributions to Lazio 2010 are limited to $52,250 per donor for the 2010 election cycle ($14,450 for the primary and $37,800 for the general). These limits relate to contributions by individuals, LLCs, unions, PACs, and partnerships. Any partnership contribution in excess of $2,500 must be allocated amongst the individual partners. Corporations may donate up to $5,000 per year (in the aggregate to all committees). Contributions to Lazio 2010 are not tax deductible, and all contributions must be from U.S. citizens or permanent resident aliens. Source Code: (ENY006-LI/SUFFOLK)

Paid for and authorized by LAZIO 2010, Inc.