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Statement of Organization CALIFORNIA <br /> Recipient Committee FORM 1 <br /> INSTRUCTIONS ON REVERSE <br /> Page 2 <br /> COMMITTEE NAME 10 NUMBER <br /> Jason Galisatus for Redwood City Council 2022 FPPC#1408859 <br /> • All committees must list the financial institution where the campaign bank account is located. <br /> NAME OF FINANCIALINSTITUT10N AREA CODE/PIIONf BgNN gCCOUII T NUMBER <br /> San Mateo Credit Union 650-363-1725 557377 <br /> ADDRESS CITY SLATE 21P CODE <br /> 575 Middlefield Road Redwood City CA 94063 <br /> 4. Type of Committee Complete the applicable sections. <br /> • List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and <br /> district number, if any, and the year of the election. <br /> • List the political party with which each officeholder or candidate is affiliated or check "nonpartisan." Stating "No party preference' is acceptable. <br /> • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. <br /> ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY <br /> NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE <br /> Nonpartisan Partisan (list political party below) <br /> Jason W. Galisatus City Council Member 2022 <br /> Nonpartisan Partisan (list political party below) <br /> Primarily formed to support or oppose specific candidates or measures in a single election. List below: <br /> CANDIDATE(S) NAME OR MEASURE(SI FULL TITLE (INCLUDE BALLOT NO OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR h ELD OR MEASURE(S) JURISDICTION <br /> IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO CITY OR COUNTY, AS APPLICABLE) CHECK ONE <br /> SUPPORT OPPOSE <br /> El El <br /> SUPPORT OP__POSE <br /> FPPC Form 410 (August/2018) <br /> FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br /> www.fppc.ca.gov <br />