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Schedule B — Part 1 <br />Type or print in ink._ <br />I <br />SCHEDULEB-PART1 <br />Amounts may be rounded Statement covers period <br />Loans Received <br />to whole dollars. <br />CALIFORNIA <br />1 <br />60— <br />from 01/01/2021 <br />+` <br />5 <br />14 <br />01/29/2021 <br />SEE INSTRUCTIONS ON REVERSE <br />through <br />Page <br />of <br />NAME OF FILER <br />I.D. NUMBER <br />Jason Galisatus <br />1408859 <br />FULL NAME, STREET ADDRESS AND ZIP CODE <br />IF AN INDIVIDUAL, ENTER <br />(a) <br />OUTSTANDING <br />(nj <br />AMOUNT <br />(d) <br />AMOUNT PAID <br />(d) <br />OUTSTANDING <br />e) <br />INTEREST <br />(t) <br />ORIGINAL <br />(W <br />CUMULATIVE <br />OF LENDER <br />(IF COMMITTEE, ALSO ENTER I.D. NUMBER) <br />OCCUPATION AND EMPLOYER <br />(IF SELF-EMPLOYED, ENTER <br />BALANCE <br />BEGINNING THIS <br />RECEIVED THISBALANCE <br />OR FORGIVEN <br />AT <br />CLOSE OF THIS <br />PAID THIS <br />AMOUNT OF <br />CONTRIBUTIONS <br />NAME OF BUSINESS) <br />PE Ri <br />PERIOD <br />THIS PERIOD* <br />PERIOQ <br />PERIOD <br />LOAN <br />TO DATE <br />❑ PAID <br />CALENDAR YEAR <br />❑ FORGIVEN <br />PERELECTION— <br />RATE <br />t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC <br />$ <br />$ <br />$ <br />S <br />5 <br />DATE DUE <br />DATE INCURRED <br />❑ PAID <br />CALENDAR YEAR <br />$ <br />$ <br />0 <br />5 <br />$ <br />FORGIVEN <br />PER ELECTION ** <br />RATE <br />$ <br />$ <br />$ <br />$ <br />$ <br />t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC <br />DATE DUE <br />DATE INCURRED <br />❑ PAID <br />CALENDAR YEAR <br />$ <br />$ % <br />$ <br />$ <br />PER ELECTION*"' <br />❑ FORGIVEN RATE <br />t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC <br />$ <br />$ <br />$ <br />DATE DUE <br />$ <br />DATE INCURRED <br />SUBTOTALS $ 0$ 0 $ 0 $ 0 <br />Schedule B Summary <br />1. Loans received this period............................................................................... $ 0 <br />..................................... <br />(Total Column (b) plus unitemized loans of less than $100.) <br />2. Loans paid or forgiven this period$ 0 <br />......................................................................................................... <br />(Total Column (c) plus loans under $100 paid or forgiven.) <br />(Include loans paid by a third party that are also itemized on Schedule A.) <br />3. Net change this period. (Subtract Line 2 from Line 1.)$ 0 <br />..............................................; .........._.... NET <br />Enter the net here and on the Summary Page, Column A, Line 2. (May be anegaGvenumber) <br />`Amounts forgiven or paid by another party also must be reported on Schedule A. <br />** If required. <br />(Enter (e) on <br />Schedule E, Line 3) <br />tContributor 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 />