Galisatus 07-1-2018 thru 09-22-2018 Preelection 460

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Schedule A (Continuation Sheet) Type or print in ink. Monetary Contributions Received Amounts may be rounded to whole dollars. NAME OF FILER Jason Galisatus DATE FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER RECEIVED Or cOMMITEE. ALSO ENTER LO NUMBER) CODE* (IF SELF EMPLOYED, ENTER NMAE OFEVUSINESS) ZIND Transportation/ 08/09/2018 Douglas Kim E] CDM Environmental Planner 808 Holly Road ❑OTH E] PTY Impact Sciences Belmont, CA 94002 ❑scc Juan Raigoza ®IND Controller 08/10/2018 264 Elwood Street❑COM OTH San Mateo Count y Redwood City, CA 94062 EI PTY ❑ scC JX] IND 08/10/2018 Sumi Nagasawa El COM Music instructor 511 Compass Circle ❑OTH Sumi's Music Studio Redwood City, CA 94065 FIFTY ❑ scc MIN 08/10/2018 Michael & Georgia Jack 9 o c ❑M E] University Y Staff 800 Alameda de las Pulgas ❑OTH Stanford University Redwood City, CA 94061 E] PTY ❑ scc IND 08/11/2018 Richard Welker ❑ COM Retailer 1420 Cabrillo Ave ❑orH Bronstein Music Buringame, CA 94010 El PTY ❑ scc SUBTOTALS *Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Parry SCC — Small Contributor Comm ttee SCHEDULE (CONT) Statement covers period . from 01/01/2018 through 09/22/2018 Page 6 of 35 1 D NUMBER 1408859 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 100 100 150 150 100 100 250 250 itrIl�GAI 700 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)