H O ST CO MM ITTE E

Selectman Marie Angelides Selectman Robert Boilard Representative Nicholas Boldyga Councilor Cecilia Calabrese Dr. Michael Calabrese Representative Don Humason School Committeeman William E. Johnson

Senator Michael Knapik Councilor James Leahy Senator Br ian Lees Mayor Greg Neffinger Sheila Pecor Selectman Bob Russell Selectman Vincent Villamaino

CORDIALLY INVITE YOU TO AN EVENING RECEPTION WITH

_________________________________________________________

G ABRIEL G OMEZ
_________________________________________________________

Candidate for U.S. Senate

Tuesday, June 11, 2013

AT

1000 W EST C OLUMBUS A VENUE S PRINGFIELD , M ASSACHUSETTS

Samuels Sports Bar & Tavern

D EBATE W ATCH P ARTY

7:00 p.m.
8:00 P . M .
$25 P ER P ERSON

9:00 P . M .

Private Reception

Main Reception

_________________________________________________________

R.S.V.P. T O Marissa Akers

(774) 276-1129 | MA KE RS @G OME Z F OR MA. C OM
*Contributions or gifts to Gabriel Gomez for Senate are not deductible as charitable contributions for Federal income tax pur poses. Under Federal law, the maximum amount an individual may contribute is $2,600 ($5,200 per couple) per election. The primary and general election are considered separate elections for a combined total limit of $5,200 per person and $10,400 per couple each election cycle. Federal multicandidate PACs may contribute $10,000 per election cycle, and non multi-candidate PACs may give $5,200 per election cycle. Contributions from corporations, labor unions, federal-government contractors, national banks, foreign nationals without permanent residency status (non-green card holders), and minors under the age of 18 are prohibited. Federal law requires us to obtain and report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $200 per election cyc le.

Gabriel Gomez for Senate

51 Water Street, Suite 201 Watertown, MA 02472

Paid for by Gabriel Gomez for Senate www.GomezforMA.com

GABRI EL GO MEZ

FO R

SENAT E R EPLY

AND

DON OR FORM

Y E S , I w ill at t e nd t he Ju ne 1 1 t h Re c e pt ion and c ont ribu t e t he m axim u m indiv idu al am ou nt of $ 5 ,2 0 0 pe r pe r s o n /$ 1 0 ,4 0 0 per c o uple f or t he 2 0 1 3 e le c t ion c y c le ( prim ary and g e ne ral e le c t ion) by f ill ing ou t t he inf o rm a t ion be low . Y E S , I w ill at t e nd t he Ju ne 1 1 t h Re c e pt ion and c ont ribu t e $ _____ ____ f or t he 2 0 1 3 e le c t ions by f illin g ou t t he inf orm at io n be low . N O , I w ill not at t e nd t he Ju ne 1 1 t h Re ce pt ion, bu t I w ill c ont ri bu t e $ _________ f or t he 2 0 13 e le ct ions by f illing ou t t he inf orm at ion be low . ** N on m u lt i - c andidat e P olit ic al Ac t ion Com m it t e e s ( P ACs ) c an g iv e $ 5 ,2 0 0 pe r e lec t ion c y c le . Mu lt i - c andidat e P ACs c an g iv e $ 1 0 ,00 0 pe r e le ct ion c y c le . **

NOTE: If you have already contributed $5,200 to Gomez for Senate (or if contributing further will put you in excess of the $5,200 per election cycle maximum), please contact the campaign staff for additional information on how you can further support Gabriel Gomez. Ste p 1 E nte r Contributor I nf ormation Name: _______________________________________________ Signature: ____________________________________________ Occupation: (required)_____________________________________ Employer: (required)____________________________________ Address: __________________________________________________________________________________________________ City: _______________________________________ State: ___________________Zip:__________________________________ Phone: Office Cell Home______________________________ E-mail: ____________________________________________
(if applicable) Joint Donations up to $ 1 0 ,4 0 0 per couple can be accepted on this form

Ste p 2 E nte r Joint Contributor I nf ormation

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Office Cell Home___________________________E-mail:______________________________________________

For a contribution from a joint account to be attributed equally to two individuals, both must sign this form, indicating agreement with the above statement.

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Mail to: G ab r i e l Go m e z fo r Se n at e , c /o A nn i e M o lo n ey : 5 1 W at e r St r ee t , Su it e 2 0 1 W ate r t o w n, M A 02 4 7 2 Or scan and email this form to: A Mo l o n ey @Go m e z fo r MA . c om Fu n d r ai s e r ID : 4 2 8 E ve n t C o d e : EM A 0 46

*Contributions or gifts to Gabriel Gomez for Senate are not deductible as charitable contributions for Federal income tax purposes. Under Federal law, the maximum amount an individual may contribute is $2,600 ($5,200 per couple) per election. The primary and general election are considered separate elections for a combined total limit of $5,200 per person and $10,400 per couple each election cycle. Federal multicandidate PACs may contribute $10,000 per election cycle, and non multi-candidate PACs may give $5,200 per election cycle. Contributions from corporations, labor unions, federal-government contractors, national banks, foreign nationals without permanent residency status (non-green card holders), and minors under the age of 18 are prohibited. Federal law requires us to obtain and report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $200 per election cycle. If you authorize a recurring contribution by credit card, your initial contribution will be charged immediately, and then your credit card will be charged on the 15th day of each succeeding month. You may cancel your recurring contribution at any time by emailing info@GomezforMA.com. If you prefer to mail your contribution, please send to: Gabriel Gomez for Senate, c/o Annie Moloney: 51 Water Street, Watertown, MA 02472 PLEASE NOTE: By contributing you authorize the receipt of electronic communications fro m Gabriel Gomez for Senate. You can opt out at anytime by replying remove to an email you receive.

Paid for by Gabriel Gomez for Senate www.GomezforMA.com