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Campaign Disclosure Statement <br />Summary Page <br />Type or print in ink. <br />Amounts may be rounded <br />to whole dollars. <br />Statement covers period <br />from 01/01/2021 <br />SUMMARYPAGE <br />SEE INSTRUCTIONS ON REVERSE <br />6. Payments Made ....................................................... <br />through <br />01/29/2021 <br />Page 3 of 14 <br />NAME OF FILER <br />0 <br />S. SUBTOTAL CASH PAYMENTS .................................... <br />Add Lines 6 + 7 $ <br />2,163 <br />I.D. NUMBER <br />Jason Galisatus <br />0 <br />10. Nonmonetary Adjustment .......................................... <br />Schedule C, Line 3 <br />0 <br />1408859 <br />Contributions Received( <br />2,163 <br />Column A <br />Column B <br />Calendar Year Summary for Candidates <br />TOTAL THIS PERIOD <br />FROM ATTACHED SCHEDULES) <br />CALENDARYFAR <br />TOTALTODATE <br />Running in Both the State Primary and <br />General Elections <br />1. Monetary Contributions ................................._.......... <br />Schedule A. Line 3 <br />$ 0. $ <br />0 <br />Z. Loans Received ...................................................... <br />Schedule B. Line 3 <br />0 <br />0 <br />1/1 through 6/30 7/1 to Date <br />3. SUBTOTAL CASH CONTRIBUTIONS ..................,,�,,.. <br />Add Lines 1 +2 <br />$ - 0 $ <br />0 <br />20. Contributions <br />Received S $ <br />4. Nonmonetary Contributions .................................... <br />Schedule C. Line 3 <br />0 <br />0 <br />21. Expenditures <br />5. TOTAL CONTRIBUTIONS RECEIVED ..... .•.................... <br />Add Lines 3+4 <br />$ 0 $ <br />0 <br />Made S $ <br />Expenditures Made <br />6. Payments Made ....................................................... <br />Schedule E, Line 4 $ <br />2,163 <br />7. Loans Made............................................................. <br />Schedule H, Line 3 <br />0 <br />S. SUBTOTAL CASH PAYMENTS .................................... <br />Add Lines 6 + 7 $ <br />2,163 <br />9. Accrued Expenses (Unpaid Bills) ............................... <br />Schedule F, Line 3 <br />0 <br />10. Nonmonetary Adjustment .......................................... <br />Schedule C, Line 3 <br />0 <br />11. TOTAL EXPENDITURES MADE ................................Add <br />Lines 8 + 9 + 10 $ <br />2,163 <br />Current Cash Statement <br />12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ <br />13. Cash Receipts ................................................... Column A, Line 3 above <br />14. Miscellaneous Increases to Cash ........................... Schedule 1. Line 4 <br />15. Cash Payments .................................................. Column A. Line 8 above <br />16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ <br />If this is a termination statement, Line 16 must be zero. <br />2,163 <br />0 <br />0 <br />2,163 <br />0 <br />17. LOAN GUARANTEES RECEIVED ................ . Schedule B, Part 2 $ 0 <br />Cash Equivalents and Outstanding Debts <br />18. Cash Equivalents ........................................ See instructions on reverse $ 0 <br />19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 0 <br />$ 2,163 <br />0 <br />$ 2,163 <br />0 <br />0 <br />$ 2.163 <br />To calculate Column B, add <br />amounts in Column A to the <br />corresponding amounts <br />from Column B of your last <br />report. Some amounts in <br />Column A may be negative <br />figures that should be <br />subtracted from previous <br />period amounts. If this is <br />the first report being filed <br />for this calendar year, only <br />carry over the amounts <br />from Lines 2, 7, and 9 (if <br />any). <br />Expenditure Limit Summary for State <br />Candidates <br />22. Cumulative Expenditures Made* <br />(If Subject to Voluntary Expenditure Limit) <br />Date of Election Total to Date <br />(mm/dd/yy) <br />1J $ <br />'Amounts in this section may be different from amounts <br />reported in Column B. <br />FPPC Form 460 (January/05) <br />FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) <br />