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[�L _JA n__iA <br />SCHEDULEB-PART2 <br />v11,11 1CUUrG o — r -dl L G iyNe VF PIIIII III IIIR. <br />Amounts may be rounded <br />Loan Guarantors to whole dollars. <br />Statement covers eriod <br />p <br />from 01/01/2021 <br />FORM J 60 <br />Page 6 of 14 <br />I.D. NUMBER <br />SEE INSTRUCTIONS ON REVERSE <br />through 01/29/2021 <br />NAME OF FILER <br />Jason Galisatus <br />1408859 <br />FULL NAME, STREET ADDRESS AND <br />ZIP CODE OF GUARANTOR <br />(IF COMM ITEE, ALSO ENTER I.D. NUMBER) <br />CONTRIBUTOR <br />CODE <br />IF AN INDIVIDUAL, ENTER <br />OCCUPATION AND EMPLOYER <br />(IF SELF-EMPLOYED, ENTER <br />NAME OF BUSINESS] <br />LOAN <br />AMOUNT <br />GUARANTEED <br />THIS PERIOD <br />CUMULATIVE <br />TO DATE <br />BALANCE <br />OUTSTANDING <br />TO DATE <br />E01 IND <br />LENDER <br />CALENDARYEAR <br />❑ COM <br />5 <br />DATE <br />❑ OTH <br />❑ PTY <br />PER ELECTION <br />(IF REQUIRED) <br />❑ SCC <br />$ <br />❑IND <br />LENDER <br />CALENDARYEAR <br />❑ COM <br />$ <br />❑ OTH <br />PER ELECTION <br />❑ PTY <br />DATE <br />(IF REQUIRED) <br />❑ SCC <br />$ <br />CALENDARYEAR <br />❑ IND <br />LENDER <br />❑ COM <br />$ <br />❑ OTH <br />F-1PTY <br />PER ELECTION <br />(IF REQUIRED) <br />DATE <br />❑ SCC <br />$ <br />❑IND <br />LENDER <br />CALENDARYEAR <br />❑ COM <br />$ <br />❑ OTH <br />PER ELECTION <br />(IF REQUIRED) <br />DATE <br />❑ PTY <br />❑ SCC <br />s <br />!erort <br />SUBTOTAL$ Summary Page, <br />0 Line 17:*, <br />FPPC Form 460 (January/05) <br />FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) <br />