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• ScheduleA . <br />Monetary Contributions Received <br />Type or print in ink. SCHEDULE A <br />Amounts may be rounded Statement covers period <br />to whole dollars. - <br />from 01/01/2021 FORM <br />460' <br />SEE INSTRUCTIONS ON REVERSE <br />01/29/2021 <br />through Page 4 of 14 <br />NAME OF FILER <br />I.D. NUMBER <br />Jason Galisatus 1408859 <br />DATE <br />A <br />FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />RESALSOAND ZIPDEO <br />CONTRIBUTOR <br />IF AN INDIVIDUAL, ENTER <br />AMOUNT <br />CUMULATIVE TO DATE <br />PER ELECTION <br />RECEIVED <br />(IF COMMITTEE, <br />IT D.N <br />CODE * <br />OCCUPATION AND EMPLOYER <br />RECEIVED THIS <br />CALENDAR YEAR <br />TO DATE <br />{IF SELF-EMPLOYED, ENTER NAME <br />PERIOD <br />(JAN. 1 - DEC. 31) <br />(IF REQUIRED) <br />OF BUSINESS) <br />❑ IND <br />❑ COM <br />❑ OTH <br />❑ PTY <br />❑ SCC <br />❑ IND <br />❑ COM <br />❑ OTH <br />❑ PTY <br />❑ SCC <br />❑ IND <br />❑ COM <br />❑ OTH <br />❑ PTY <br />❑ SCC <br />❑ IND <br />❑ COM <br />❑ OTH <br />❑ PTY <br />❑ SCC <br />❑ IND <br />❑ COM <br />❑ OTH <br />❑ PTY <br />❑ SCC <br />SUBTOTAL $ 0 <br />Schedule A Summary <br />1. Amount received this period — itemized monetary contributions. <br />(Include all Schedule A subtotals.)........................................................................................................ $ <br />2. ,Amount received this period — unitemized monetary contributions of less than $100 ..... <br />3. Total monetary contributions received this period. <br />U <br />..................... $ 0 <br />(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ <br />[7 <br />`Contributor Codes <br />IND -Individual <br />COM - Recipient Committee <br />(other than PTY or SCC) <br />OTH - Other (e.g., business entity) <br />PTY -Political Party <br />SCC - Small Contributor Committee <br />FPPC Form 460 (January/05) <br />FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) <br />