Thursday, October 22, :00-9:30 pm The Wilshire Grand Hotel, West Orange, NJ

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1 Thursday, October 22, :00-9:30 pm The Wilshire Grand Hotel, West Orange, NJ 28 th Annual

2 28 TH ANNUAL Reception and Awards Presentation Honoring Please join us as we honor those who have made extraordinary contributions to improving the lives of people with disabilities: Kathy Collins, LCSW Executive Director, MonmouthCares, Inc. John V. Jacobi Dorothea Dix Professor of Health Law & Policy Seton Hall Law School Denise J. Pipersburgh, Esq. Chiesa Shahinian & Giantomasi PC Wardell Sanders, Esq. President, New Jersey Association of Health Plans Janet Sharma Chair, Hurricane Sandy Long-Term Recovery Committee; CEO (Retired), Volunteer Center of Bergen County Sponsors The Board of Trustees thanks the following for support of the Ann Klein Advocate Awards and the important work of the Community Health Law Project. Awards Sponsor New Jersey Association of Health Plans Gold Sponsor Verizon Silver Sponsors Chiesa Shahinian & Giantomasi PC Columbia Bank Gibbons P.C. Johnson & Johnson Law Department New Jersey Housing and Mortgage Finance Agency Bronze Sponsors Employers Association of New Jersey Mutual of America Nukk-Freeman & Cerra, P.C. Starr, Gern, Davison & Rubin, P.C. Trenk, DiPasquale, Della Fera & Sodono, P.C.

3 Sponsorship & Advertisements in Journal We hope that you are able to join the other distinguished sponsors of the 28 th Annual Ann Klein Advocate Awards. Thursday, October 22, 2015 Advertisements in Journal (Black & White) Gold Full Page $800 Silver Full Page $700 Bronze Full Page $600 Full Page $500 1/2 Page $250 1/4 Page $125 Sponsorship and Underwriting Awards Event Sponsor $8,500 Recognition on Press Release & Ad Journal, Back Outside Cover Ad, Event Signage & Table of 8 Journal Underwriter $7,000 Recognition on Press Release & Ad Journal, Gold Full Page Ad, Event Signage & Table of 8 Invitation Underwriter $7,000 Recognition on Press Release, Back Inside Cover Ad, Event Signage & Table of 8 Gold Sponsor $5,500 Gold Full Page Ad, Recognition on Press Release, Event Signage & 6 Tickets Advertisement Dimensions Full Page 5.5 in.w x 8.5 in.h 1/2 Page 5.5 in.w x 4.25 in.h 1/4 Page 2.5 in.w x 4.25 in.h Remember to Enclose: Press-ready.pdf,.jpg or.tif file of ad via to mprezuhy@chlp.org or Camera-ready ad or wording of your message with this form. If you have any questions, please feel free to contact Martha Prezuhy at or mprezuhy@chlp.org Due By: September 18, 2015 Silver Sponsor $3,000 Silver Full Page Ad, Recognition on Press Release, Event Signage & 4 Tickets Bronze Sponsor $2,000 Bronze Full Page Ad, Recognition on Press Release, Event Signage & 2 Tickets Table of 8 $1,200 Tickets, per

4 Name Affiliation Address City/State/Zip Telephone Please reserve $150 per person = $ ($83 tax deductible contribution per ticket) Please reserve tables of = $ ($664 tax deductible contribution per table) I am enclosing raffle $25 each = $ I am unable to attend, but please accept my enclosed donation. Payment Options: Enclosed is my check payable to Community Health Law Project Please charge my VISA, MasterCard, or Discover Card: Card # Exp. Date Signature Special Ac c o m m o d at i o n s Assistive Listening Device ASL Interpretation Open Captioning Please indicate other special requirements: Please list the first and last names of persons for whom you are purchasing tickets or with whom you wish to be seated.

5 Chairperson Diane E. Sugrue, Esq. Vice-Chairperson Lorraine D Sylva-Lee, M.P.A. Treasurer Sean M. Bradley, B.A. President/Executive Director Harold B. Garwin, Esq. The Mike Lione Accessibility Award Presented to: Jim Thebery, M.A., CSW Director, Bergen County Division on Disability Services Paula A. Franzese, Esq. Alvin Friedland, M.D. Sharon A. Grossman, M.B.A. Thomas C. Jardim, Esq. Barbara Johnston, M.A. Andrew B. Joseph, Esq. Rich Levesque, B.S. Ava-Marie P. Madeam, Esq. Lawrence N. Meyerson, Esq. Lawrence P. Platkin, Esq. Kenneth A. Rosen, Esq. Steven C. Rother, Esq. Charles F. Rysavy, Esq. John J. Sarno, Esq. Terri R. Soaries, Esq. Nicholas Stevens, Esq. Jennifer Marino Thibodaux, Esq. Richard D. Trenk, Esq. Wayne D. Vivian, B.A. Franklin K. Wyman, Esq., Ph. D.