Lincoln Day Dinner Saturday, April 18, 2015, 6 – 9:00 p.m. Linn Benton Community College Keynote Speaker: House Minority Leader Mike McLane Dinner Reservations If purchasing a table please provide first and last names of all guests: rd If paid by April 3 : $45 each x __________ = $__________ 1. _________________________ $35 each for PCP’s x __________ = $__________ 2. _________________________ $210 per table of 6 x __________ = $____________ 3. _________________________ rd If paid after April 3 : 4. _________________________ $60 each x __________ = $__________ 5. _________________________ $50 each for PCP’s x __________ = $__________ 6. _________________________ $300 per table of 6 x __________ = $____________ If you need a vegetarian meal please check here _____ Total Enclosed $ __________ Contribute Auction Items Items requested by April 3, 2015 Contact: Renee’ Smith (541) 619-3041 [email protected] Cash Contributions I cannot attend the dinner but would like to donate to Linn County’s Central Committee. ___ $500 ___ $250 ___$150 ___ $100 ___ $50 Other $ ________ The Oregon PAC Tax Credit applies to qualified taxpayers up to $50 for individual filers and $100 for joint filers yearly Make all checks payable to LCRCC Mail this form with check to: PO Box 1684, Albany, OR 97321 Cancelled check is proof of transaction. Oregon law requires political committees to report the occupation, address and employer of contributors. Contributions to candidate and political committees may not be deducted as charitable contributions or as a business expense for income tax purposes. Your contribution may be eligible for the Oregon Political Tax Credit of up to $50 for an individual tax return and $100 for a joint tax return. Please consult your tax advisor if you have questions. The cost of dinner tickets does not qualify for the Oregon PAC Tax Credit. The following info is required for monies or auction items contributed to LCRCC: Your Full Name: ______________________________________________________________________ Email:___________________________________________________________________________ Address: ______________________________________________________________________________City_____________________________________State___________________Zip_____________ Occupation: ______________________________________________________________________________________________________________________________________________________________ Employer Name: ________________________________________________________________________________________________________________________________________________________