Mr. Bill Abbott & Mr. Sam Roberts, DEAC Chairmen & Jamie Auffenberg, NADA Director

Illinois DEAC TEAM

P.O. Box 3045

Springfield, IL 62708

Yes, make me a member of the Illinois DEAC, 2013 "Eagles Club". Enclosed is my personal check (or credit card authorization number).

YES WE NEED A STRONG VOICE IN GOVERNMENT!

Enclosed is my personal check made payable to DEAC.

$5000President’s Club / My Personal Check for $______is enclosed.
($2500 after initial contribution)
$1000Gold Eagle Club / I prefer to use my personal credit card: (check one)
Visa / MasterCard / American Express
$500Silver Eagles Club
$250Bronze Eagle Club / (All credit card pledges will be automatically charged when due; no reminder will be given.)
$120Contributing Member / Account Number:______
$ ______Other / Expiration Date:______

PLEASE APPLY MY CONTRIBUTION TO THE YEAR 2011.

Signature:______Date:______

(The Federal Election Action Commission requires DEAC to provide the following information.)

Full Name:______Dealership:______

Title:______Address:______

Telephone:______City:______State:______Zip:______

Contributions are used by the Dealers Election Action Committee to provide financial assistance to the election campaigns of pro-automotive candidates to the U.S. House and Senate. Under Federal law all contributions must be personal, and all contributions to the Dealers Election Action Committee must be members of NADA. Contributions must be voluntary and may be of any amount elected by the contributor. The amount of the contribution, or the refusal to contribute, will not benefit or disadvantage the solicitee. Business or corporate checks can not be accepted, and will be returned by DEAC. Copy of our report is filed with the Federal Election Commission in Washington, D.C. and is available for purchase.

CONTRIBUTIONS TO DEAC ARE NOT DEDUCTIBLE AS CHARITABLE

CONTRIBUTIONS FOR FEDERAL INCOME TAX PURPOSES.


FIVE-YEAR FEDERAL COMPLIANCE FORM

Please complete, sign, and return this form to NADA as soon as possible to ensure compliance with federal election law. (Dealer signature required for each year listed.) The DEAC fax number is (703) 442-3168. Please call DEAC at (877) 501-3322 if you have any questions about this form.

This is not a request for funds.

I hereby grant permission to the Dealers Election Action Committee (DEAC) of the National Automobile Dealers Association (NADA) to include the dealership listed below in all mailings or other communications which may solicit funds for DEAC during the calendar year. If the dealership is incorporated, I understand that granting permission to solicit to DEAC means that I may not also grant permission to solicit to any other connected PAC for the same calendar year without violating federal law. This authorization does not, however, prohibit either me or the dealership’s personnel from receiving mail from or contributing to a non-connected PAC like the Automotive Fee International Trade (AFIT-PAC).

Name of Dealer:______

Dealership(s):______

Address:______City/State/Zip:______

Partnership (PRT) / Private Corporation Subchapter S (PCS)
Private Corporation (PCC) / Sole proprietorship (PRO)
Private Corporation Limited Liability (PCL) / Other
Public Corporation (PUB)

X______

(Dealers Signature) This dealership may be included in DEAC Mailings for 2013.

X______

(Dealers Signature) This dealership may be included in DEAC Mailings for 2014.

X______

(Dealers Signature) This dealership may be included in DEAC Mailings for 2015.

X______

(Dealers Signature) This dealership may be included in DEAC Mailings for 2016.

X______

(Dealers Signature) This dealership may be included in DEAC Mailings for 2017.

DEALERS ELECTION ACTION COMMITTEE

8400 WESTPARK DRIVE, MCLEAN, VA 22102

Phone: (703) 821-7110

Fax: (703) 442-3168