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Recipient Committee <br />Campaign Statement <br />Cover Page <br />(Government Code Sections 84200-84216.5) <br />SEE INSTRUCTIONS ON REVERSE <br />COVERPAGE <br />Type or print in ink. Dale Stamp <br />REC,E1VED • <br />n Page of 15 <br />Statement covers period Date of election if applicabl JAN 11 ZDiJ <br />(Month, Day. Year) For fficial Use Only <br />from 10/91/7018 <br />through <br />12131/2018 <br />1. Type of Recipient Committee: All Committees — Complete Paris 1, 2, 3, and 4. <br />Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure <br />Slate Candidate Election Committee Committee <br />Recall 0 Controlled <br />(Also C"PIWePan5) 0 Sponsored <br />(Also eornl,lele Part 6) <br />❑ General Purpose Committee <br />0 Sponsored <br />0 Small Contributor Committee <br />0 Political Party/Central Committee <br />❑ Primarily Formed Candidate/ <br />Officeholder Committee <br />(Aim Damyafe PadT) <br />3. Committee InformationI I.D. NUMBER <br />1408859 <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />Jason Galisatus for Redwood City Council 2018 <br />STREET ADDRESS (NO P0. BOX) <br />2007 Woodside Roadl <br />CITY STATE ZIP CODE AREA CODEIPHONE <br />Redwood City CA 94061 650-521-1772 <br />MAILING ADDRESS (IF DIFFERENT) N0. AND STREET OR P.O. BOX <br />CITY STATE 21P CODE AREA CODEIPHONE <br />OPTIONAL FAX I E-MAIL ADDRESS <br />11/06/18 <br />I I City of Redwood City I <br />City Clerk <br />2. Type of Statement: <br />❑ Preelection Statement ❑ Quarterly Statement <br />Semi-annual Statement ❑ Special Odd -Year Report <br />❑ Termination Statement. ❑ Supplemental Preelection <br />(Also rile a Form 410 Termination) Statement -Attach Form 495 <br />❑ Amendment (Explain below) <br />Treasurer(s) <br />NAME OF TREASURER <br />Cindy Galisatus <br />MAILING ADDRESS <br />518 Hillside Road <br />CITY STATE ZIP CODE AREA CODErPHONE <br />Redwood City CA 94062 650-780-0255 <br />NAME OF ASSISTANT TREASURER. IF ANY <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODEPHONE <br />OPTIONAL. FAX / E-MAIL ADDRESS <br />4. Verification <br />I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledte a information contained herein and in the attached schedules is true and complete. I certify <br />under penalty of perjury under the laws of the State of California that the foregoing is true and correct 1 <br />Executed on 01/10/2019 BY <br />Date SignatureafTreasureror Assistant Treasurer <br />Executed on 01/10/2019 e <br />Y <br />Executed on BY / <br />D.I. grgnaWreot Contmllmg Olfceholtle[CentliOale Stale Meawra P,pponanl <br />Executed an gy <br />Date Signature d Conlndl,ng Off,ehalde, CandYe Sale Measure Prop+nent <br />FPPC Form 466 (January/05) <br />FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) <br />State of California <br />