Keith Bernacki Memorial Golf Outing

KEITH EDWARD BERNACKI was born May 11, 1977 an d died on Febru ary 22, 2011 af ter a lon g and cou rageous battle with can cer. He is su rvived by his wife, Katie, their son Will, and a hos t of f amily an d friends who loved an d admired Keith dearly. Keith was truly a great person, f amily man, an d f riend to many of us. He was also an influen tial teacher and coach in his professional career in the Birmingham community. To celebrate an d honor Keiths s pirit an d legacy, a hos t of f rien ds have planned a charity golf outin g. The initial intent of this event is to rais e money for an edu cation fund (high school & college) for Will. Once we reach ou r fundraising goals for edu cation, we see this annu al even t as a great platform to raise money for other important and meanin gful causes like cancer research an d a scholars hip in Keiths name.

Event Details: Date: Monday, September 24, 2012 Location: Blackheath Golf Course in Rochester, MI (www.blackheathgolfclub.com) Registration: 7:30-8:45AM Shotgun Start: 9:00AM Lunch Reception/Auction: 3:00PM Your Day Includes: o 18 Holes of Championship Golf (includes range & cart) o Special Gift Bag o Gourmet Catered Lunch o Fantastic Auction Items

Keith Beracki Memorial Golf Outing Registration Form $125 per Golf er $400 per Foursome Not interes ted in golfing, but would like to participate in the lun ch an d auction? $25

Please make checks payable to Ka tie Bernack i Registration Forms & Checks can be mailed to:
Richard Maas 28588 Northwestern Highway, Suite 425 Southfield, MI 48034

*Tax deductions available throu gh B rother Rice H. S. Please contact Richard @ (248)223-1910 for details. Registration Form: Name _______________________________________________________________________________________
Foursome Request YES________________ NO_________________

Golfer #1_________________________________________Golfer #2_________________________________ Golfer #3_________________________________________Golfer #4_________________________________

Company ____________________________________________________________________________________ Address ______________________________________________________ _______________________________ City _________________________________ State ____ Zip __________________________________________ Phon e ___________________________________Email ______________________________________________

Sponsorship Opportunities: Individu al Hole Sponsors hip Platinum Sponsor Gold Sponsor Donation Total Enclosed $100 (your name, business name, con tact information ) $1,500 (inclu des 8 player slots, hole & program sponsorship) $750 (in cludes 4 player slots an d hole s ponsors hip) (I am un able to atten d this years even t, bu t would like to make a donation of $________________) (I would like to donate a promotion al item for the golfers_______________________________________)

***Please contact Jon Egan for Sponsorship Opportunities at 773-519-1616 or jon.egan@emc.com

PLEASE RSVP by Monday, August 20th by submitting your registration form via mail with a check Thank you very much. We look forward to seeing you at this worthwhile event! Event Co-Chair 773-519-1616 Sincerely, Jon Egan

Jon.egan@emc.com