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Type or print in ink. SCHEDULEB - PART1 <br /> Schedule B — Part 1 Amounts may be rounded Statement covers period <br /> Loans Received to Whole dollars. from 07/01/2019 . • ' , <br /> SEE INSTRUCTIONS ON REVERSE through 12/31/2019 page $ of 13 <br /> NAME OF FILER <br /> I.D. NUMBER <br /> Jason Galisatus 1408859 <br /> FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING (b) (c) (d) (e) In (g) <br /> OCCUPATION AND EMPLOYER AMOUNT AMOUNTPAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE <br /> OF LENDER BALANCE BALANCEAT <br /> (IFOOMMIITEE.ALSOENTERID. NUMBER (IF M=Lr-EMPLOYED. ENTER BEGINNINGTHIS RECEIVED THIS OR FORGIVEN PAID THIS AMOUNTOF CONTRIBUTIONS <br /> NAMEOFOUSINESSI p RI p PERIOD THIS PERIOD ' CLOPERIODTHIS PERIOD LOAN TO DATE <br /> PAID CALENDARYEAR <br /> 8 $ <br /> ❑ FORGIVEN RATE PERELECTION" <br /> $ s a $ $ <br /> TEI IND ❑ DOM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED <br /> LJ Pao CALENDARYEAR <br /> 4 a $ 5 <br /> EJ FORGIVEN RATE PERELECTION " <br /> $ $ $ 8 $ <br /> tQ IND El COM ❑ OTH ❑ PTV [_1 SCC DATE DUE DATE INCURRED <br /> E] PAID CALENDARYEAR <br /> $ $ $ $ <br /> FORGIVEN E <br /> D RAT PER ELECTION" <br /> 5 $ E $ $ <br /> t❑ IND ❑ COM ❑ OTH ❑ PTV E SCC DATE DUE DATEINCURRED <br /> SUBTOTALS $ 0 $ 0 $ 0 $ 0 <br /> (Enler(e)on <br /> Schedule B Summary smeduIaE. Lnes) <br /> 1 . Loans received this period ..... . ... ...... ... . ... . ..... .... ... .. .. .. . . ... .............. ... .. .. .. .............. ... . . ....... .. .. ... ........ . .... . $ 0 <br /> (Total Column (b) plus unitemized loans of less than $100.) 1 tContributor Codes <br /> 2. Loans paid or forgiven this period ...... . ... .. ... .. .. .. ......... .... . .... . .... ..... .. .. .. . .. . .... . .. ...... . 0 IND - Individual... . ... .. ... .. .... .... . .... ..... . $ --_ - COM — Recipient Committee <br /> (Total Column (c) plus loans under $100 paid or forgiven. ) (other than PTY or SCC) <br /> (Include loans paid by a third party that are also itemized on Schedule A.) OTH — Other (e.g., business entity) <br /> PTY — Political Party <br /> 3. Net change this period. (Subtract Line 2 from Line 1 .) ...... .... . ... . ..... ......... ...... .... ..... ..... .... . ... . ... .. NET $ _._ ____ <br /> 0 SCC — Small Contributor Committee <br /> Enter the net here and on the Summary Page, Column A, Line 2. (Marbeaneaatry muTbao <br /> 'Amounts Forgiven or paid by another party also must be reported on Schedule A. <br /> "• If required. FPPC Form 460 (January/OS) <br /> FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) <br />