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Tvnn n InE in in4 <br />SCHEDULEB -PART1 <br />z3eneauie is — vart i Amounts may be rounded <br />Statement covers period <br />Loans Received to whole dollars. <br />• ' ' <br />from 01/01/2019 <br />. <br />SEE INSTRUCTIONS ON REVERSE <br />through 06/30/2019 <br />Page 5 13 <br />or <br />NAME OF FILER <br />I. D. NUMBER <br />Jason Galisatus <br />1408859 <br />FULL NAME, STREET ADDRESS AND ZIP CODE <br />IF AN INDIVIDUAL, ENTER <br />OCCUPATION AND EMPLOYER <br />OUTSTANDING <br />(b) <br />AMOUNT <br />(c) <br />AMOUNTPAID <br />(d) <br />OUTSTANDING <br />(el <br />INTEREST <br />(1) <br />ORIGINAL <br />(gI <br />CUMULATIVE <br />OF LENDER <br />pECOMnenTEE. ALSOENTERIO NUMBER) <br />IF SeLr- EMRLOYED.ENTER <br />BALANCE <br />BEGINNING THIS <br />RECEIVED THIS <br />OR FORGIVEN <br />BALANCEAT <br />CLOSE OF THIS <br />PAID THIS <br />AMOUNT OF <br />CONTRIBUTIONS <br />NAMEOFBUSINESS) <br />PE too <br />PERIOD <br />THIS PERIOD e <br />PER D <br />PERIOD <br />LOAN <br />TO DATE <br />E] PAID <br />CALENDAR YEAR <br />E <br />E <br />b <br />$ <br />$ <br />FORGIVEN <br />PER ELECTION' <br />RATE <br />t❑ IND E] COM E] OTH E] PTY ❑ SCC <br />E <br />$ <br />E <br />$ <br />5 <br />DATEDUE <br />DATE INCURRED <br />Ej PAID <br />CALENDARYEAR <br />$ <br />E <br />_% <br />$ <br />5 <br />FORGIVEN <br />PERELECTION- <br />RATE <br />t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC <br />E <br />5 <br />$ <br />$ <br />5 <br />DATEDUE <br />DATE INCURRED <br />❑ PAID <br />CALENDARYEAR <br />E <br />$ <br />% <br />$ <br />$ <br />El FORGIVEN <br />PER ELECTION" <br />RATE <br />tEl IND ❑ COM EE OTH E] PTY ❑ SCC <br />E <br />$ <br />s---- <br />$ <br />$ <br />DATEDUE <br />DATE INCURRED <br />SUBTOTALS $ 0$ 0 $ 0 $ p <br />Schedule B Summary <br />1. Loans received this period ..................................................................................... ............................... $ <br />(Total Column (b) plus unitemized loans of less than $100.) <br />2. Loans paid or forgiven this period .......................................................................... ............................... $ <br />(Total Column (c) plus loans under $100 paid or forgiven.) <br />(Include loans paid by a third party that are also itemized on Schedule A.) <br />0 <br />n <br />3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ 0 <br />Enter the net here and on the Summary Page, Column A, Line 2. (MAY be anegolrvenumber) <br />`Amounts forgiven or paid by another parry also must be reported on Schedule A. <br />If required. <br />(emer(e)on <br />Sib .dTi E. Lein 1) <br />tContributor 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 />FPPC Form 460 (January/05) <br />FPPC TDII -Free Helpline: 666 /ASK -FPPC (8661275 -3772) <br />