Please]oin

Congressman Jared PolisFor a Transportation and Infrastructure Breakfast

With Members of the T&I Committee

• Congressmanjason Altmire. Congressman Mike Arcuri•• Congressmanjohn Boccieri • Congressman Chris Camey•

• Congresswoman BetsyMarkey. Congressman Mike McMahon •• Congressman Mark Schauer. Congressman Hany Teague •

• Congresswoman Dina TItus.

Wednesday, September 30, 2009

8:00 - 9:00 AM230 Second Street, SE

Washington, DC 20003

Contributions may be sent to:Jared Polis Victory Fund

729 15th Street, Third FloorWashington, DC 20005

Please R.S.V.P. to Bhavna Pandit at (202) 737-5877 or bpandit@bonnergrp.comor Jen Ustynoski at (202) 683-2561 or justynoski@bonnergrp.com

Yes! I would like to contribute to the

Jared Polis Victory FundWith a pledge of

o Chair $20,000 0 Vice-Chair $10,000 0 Host $5,000 0 Sponsor$2,500

Individual contributions 10 the Jared Polis Victory Fund are subjeC'lto the donor's $115,500 overall biennial limit.' $45,60010 all candidatescombined. and $69,900 to all PACs and parties, with no more than $45,600 ofthis amount being contributed to state and local JXlrties and PACs.

Contributions or gifts to the Jared Polis Victory Fund are not tax deductible. Federal law requires us to useour best efforts to collect and report the name, mailing address, occupation, and name of employer of

Individuals whose contributions exceed $200 per election cycle. Corporate checks are not acceptable for federalcampaigns.

Fax Paid for by the DCCC and Authorized by Paid for by Jared Polis Victory Fund, a jointfundraising committee Authorized by Jared Polis for Congress

------------------------------------- Please £ax this £o%m to (202) 737-6061 -----------------------------------

NAME:

OCCUPATION:ADDRESS:

CITY:PHONE:

CARDHOLDER'S FULL NAME:

FAX:

EMPLOYER:

STATE:EMAIL:

ZIP:

By signing below I confirm the following statements are true and accurate. 1. I am aUnited States citizen or permanent resident alien. 2. This contribution is made from myown funds, and funds are not being provided to me by another person or entity for thepurpose of making this contribution. 3. I am making this contribution with my ownperso~al credit card and not with a corporate or business credit card or a card issues toanother person. 4. I am not a federal contractor. 5. I am at least eighteen years old.Signature:

Please return this form with your check to:Jared Polis Victory Fund 729 15 th Street, Third Floor Washington, DC 20005

Contributions or gifts to the Jared Polis Victory Fund are not tax deductible. Federal law requiresus to use our best efforts to collect and report the name, mailing address, occupation, and name ofemployer of Individuals whose contributions exceed $200 per election cycle. Corporate checks are

not acceptable for federal campaigns.

COntributions to the Jared Polis Victory FUnd will be allocated as follows: The first $40,000 of eachcontribution from a person will be allocated as follows: Polis for Congress 12.0%, Kirkpatrick for Arizona2.93%, ~rkey for COngress 2.93%, Jim Rimes for COngress 2.93%, Committee to Elect Alan Grayson 2.93%, Kosmasfor Congress 2.93%, ~nnick for COngress 2.93%, Halvorson for Congress 2.93%, Frank Kratovil for Congress 2.93%,Schauer for COngress 2.93%, Peters for COngress 2.93%, Larry Kissell for Congress 2.93', Adler for COngress2.93', Martin Heinrich for Congress 2.93', Harry Teague for COngress 2.93%, Dina Titus for Congress 2.93%, ~keMcMahon for COngress 2.93%, Arcuri for COngress 2.93%, Friends of Dan Maffei 2.93%, Massa for Congress 2.93%,Driehaus for Congress 2.93%, Kilroy for Congress 2.93%, Boccieri for COngress 2.93%, Carney for COngress 2.93%,Friends of Glenn Nye 2.93%, Perriello for COngress 2.93%, Citizens for Altmire 2.93%, Gerry COnnolly forCOngress 2.93%, People for Ben 2.93%, Patrick Murphy for COngress 2.93%, Michael Bennet for Senate 2.93%. Thenext $31,250 of each contribution from a person will be allocated as follows: PAC to the FUture 18%, DemocratsWin Seats PAC 18%, Building Relationships in Diverse Geographic Environments (Bridge PAC) 18%, Synergy PAC 18%,Democratic COngressional Campaign Committee 28% Any additional amount from a person will be allocated to the

·Democratic COngressional Campaign Committee. All contributions from a PAC will be allocated as follows:Kirkpatrick for Arizona 3.45', Markey for COngress 3.45%, Jim Himes for COngress 3.45%, Committee to Elect AlanGrayson 3.45%, Kosmas for COngress 3.45%, ~~~ck for COngress 3.45%, Halvorson for COngress, 3.45%, FrankKratovil for Congress 3.45%, Schauer for COngress 3.45%, Peters for COngress, 3.45%, Larry Kissell for Congress3.45%, Adler for COngress 3.45%, Martin HeinriCh for Congress 3.45%, Harry Teague for Congress 3.45%, Dina Titusfor Congress 3.45%, ~ke McMahon for Congress 3.45%, Arcuri for Congress 3.45%, Friends of Dan Maffei 3.45%,Massa for Congress 3.45%, Driehaus for COngress 3.45%, Kilroy for COngress 3.45%, Boccieri for COngress 3.45%,Garney for COngress 3.45%, Friends of Glenn Nye 3.45%, Citizens for Altmire 3.45%, Gerry COnnolly for COngress3.45%, People for Ben 3.45%, Patrick Murphy for COngress 3.45%, Michael Bennet for Senate 3.45%. Any contributor

Imay designate his or her contribution for a particular participant. The allocation formula above may change if!any contributor makes a contribution that, when allocated, would exceed the amount that the contributor mayIlawfully give to any participant.