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Schedule A Type or print in ink. SCHEDULE A <br />Monetary Contributions Rid Amounts may be rounded <br />ry ons eceve <br />Statement covers period <br />to whole dollars. <br />from 01/01/2019 <br />SEE INSTRUCTIONS ON REVERSE <br />through 06/30/2019 <br />1!1 <br />NAME OF FILER -- <br />Jason Galisatus <br />D ATE <br />FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />CONTRIBUTOR <br />IF AN INDIVIDUAL, ENTER <br />AMOUNT <br />CUMULATIVE TO DATE <br />PER ELECTION <br />RECEIVED <br />(IF COMMITTEE, MLSO ENTEm O. NUMBER) <br />CODE* <br />OCCUPATION AND EMPLOYER <br />RECEIVED THIS <br />CALENDAR YEAR <br />TO DATE <br />(IF SELF-EMPLOYED. ENTERNMME <br />PERIOD <br />(JAN. 1 - DEC. 31) <br />(IF REQUIRED) <br />OFBUSINESS) <br />❑IND <br />❑ COM <br />E] OTH <br />❑ PTY <br />❑ SCC <br />❑IND <br />❑ COM <br />❑ OTH <br />❑ PTY <br />❑ SCC <br />❑ IND <br />❑ COM <br />❑ OTH <br />❑ PTY <br />❑ SCC <br />E] IND <br />El COM <br />❑ OTH <br />❑ PTY <br />❑ SCC <br />❑ IND <br />❑ COM <br />❑ OTH <br />250 <br />❑ PTY <br />❑ SCC <br />SUBTOTAL$ <br />.. .. <br />Schedule A Summary <br />1. Amount received this period — itemized monetary contributions. <br />(Include all Schedule A subtotals.) ......................................................................... ............................... $ <br />2. Amount received this period — unitemized monetary contributions of less than $ 100 ....... ...................... $ <br />3. Total monetary contributions received this period. <br />(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ <br />C <br />C <br />*Contributor Codes <br />IND — Individual <br />COM — Recipient Committee <br />(other than PTY or SCC) <br />OTH — Other (e.g., business entity) <br />PTY — Political Party <br />SCC — Small Contributor Committee <br />0 <br />FPPC Form 460 (January/05) <br />FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275.3772) <br />