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SCHEDULE H <br />Schedule H Type or print in ink. 1 Statement covers period CAUF_ <br />nano Marla to n <br />r%fhnrm* Amounts may be rounded n4 rI inn nn • F <br />- - - - -- - - - - to wnole aouars. <br />trom "" <br />- ' <br />Page 13 of 14 <br />SEE INSTRUCTIONS ON REVERSE <br />through 01/29/2021 <br />NAME OF FILER <br />I.D. NUMBER <br />Jason Galisatus <br />1408859 <br />NAME, STREET ADDRESS AND ZIP CODE <br />IF AN INDIVIDUAL, ENTER <br />(a <br />OUTSTANDING <br />(e) <br />AMOUNT <br />(c) <br />(d) <br />OUTSTANDING <br />(e) <br />INTEREST <br />(T) <br />(4:6FULL <br />OF RECIPIENT <br />OCCUPATION AND EMPLOYER <br />BALANCE <br />REPAYMENT OR <br />BALANCE AT <br />ORIGINAL <br />CUMULATIVE <br />(IF COMMITTEE. ALSO ENTER LD- NUMBER) <br />(IF SELF-EMPLOYED, ENTER <br />BEGINNING THIS <br />LOANED THIS <br />FORGIVENESS <br />CLOSE OF THIS <br />RECEIVED <br />AMOUNT OF <br />LOANS <br />NAME OF BUSINESS) <br />PERIOD <br />PERIOD <br />THIS PERIOD' <br />PERIOD <br />LOAN <br />TO DATE <br />PAID <br />CALENDAR YEAR <br />5 <br />$ <br />% <br />5 <br />$ <br />FORGIVEN <br />PER ELECTION"" <br />RATE <br />$ <br />$ <br />5 <br />$ <br />S <br />DATE DUE <br />DATE INCURRED <br />E] PAID <br />CALENDAR YEAR <br />S: <br />s <br />/ <br />$ <br />$ <br />PER ELECTION" <br />FORGIVEN <br />RATE <br />$ -- <br />$ <br />$ <br />$ <br />$ <br />DATE DUE <br />DATE INCURRED <br />*Loans that are contributions to another candidate or committee <br />must also be summarized on Schedule D. Loans forgiven must <br />also be reported on Schedule E. SUBTOTALS $ 0 <br />$ 0 <br />$ 0 <br />$ 0 <br />Schedule H Summary <br />1. Loans made this period............................................................................................................. <br />(Total Column (b) plus unitemized loans of less than $100.) <br />2. Payments received on loans.................................................................................................... <br />(Total Column (c) plus unitemized payments of less than $100.) <br />(tnter (e) on <br />Schedule I, Line 3) <br />............................ $ -If Required <br />..........I ...................... $ <br />0 <br />3. Net change this period. (Subtract Line 2 from Line 1.)NET $ 0 <br />.............................................,............................................ <br />iMBY 119 a riBgdLVu nHmberJ <br />(Enter the net here and on the Summary Page, Column A, Line 7.) <br />FPPC Form 460 (January/05) <br />FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) <br />