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Recipient Committee <br />Campaign Statement <br />Cover Page <br />(Government Code Sections 84200- 84216.5) <br />Type or print in ink. <br />Statement covers period <br />from 01/01/2019 <br />SEE INSTRUCTIONS ON REVERSE Ithrough 06/30/2019 <br />1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. <br />IX Officeholder, Candidate Controlled Committee <br />❑ Primarily Formed Ballot Measure <br />(, Slate Candidate Election Committee <br />Committee <br />Q Recall <br />Q Controlled <br />(Also Complete Part5) <br />0 Sponsored <br />❑ General Purpose Committee <br />(A /u>COmplele Part SJ <br />Q Sponsored <br />❑ Primarly Formed Candidate/ <br />Q Small Contributor Committee <br />Officeholder Committee <br />0 Political Party/Central Committee <br />(Also Complain Part 7J <br />3. Committee Information <br />I.D. NUMBER <br />COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) <br />Jason Galisatus for Redwood City Council 2022 <br />Redwood <br />CA 94061 <br />rREET OR P.O. BOX <br />CITY STATE ZIP CODE AREA CODE/PHONE- <br />OPTIONAL: FAX I E -MAIL ADDRESS <br />COVERPAGE <br />Redwood City CA 94062 - <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODEIPHONE <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 knowledge the ijKmation contained herein and in the attached schedules is true and complete. I certify <br />under penalty of perjury under the laws of the Slate of California that the foregoing is true and correct. I /' n x <br />Executed on <br />Execuled on <br />Executed on <br />Executed on <br />07/19/2019 <br />07/19/2019 <br />By <br />f <br />By <br />By <br />Sgnal,reofCantrdhnq Officeholder. Caodidele Slate Measure Rcpoaanl <br />By <br />50naWie of eonVdlmO Cdficeholder, Candidate. Slate Measve Pmponent FPPC Form 460(January 105) <br />FPPC Toll -Free Helplme: 866 /ASK -FPPC (8661275 -3772) <br />Stale of California <br />99 r� 1� Page 1 of 13 <br />JUL 2019 or Official Use Only <br />cT `r <br />Date of election if appll <br />(Month, Day, Year) <br />ble: <br />11/01/2022 <br />City of Redwood City <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 file 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 />Redwood City CA 94062 - <br />NAME OF ASSISTANT TREASURER, IF ANY <br />MAILING ADDRESS <br />CITY STATE ZIP CODE AREA CODEIPHONE <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 knowledge the ijKmation contained herein and in the attached schedules is true and complete. I certify <br />under penalty of perjury under the laws of the Slate of California that the foregoing is true and correct. I /' n x <br />Executed on <br />Execuled on <br />Executed on <br />Executed on <br />07/19/2019 <br />07/19/2019 <br />By <br />f <br />By <br />By <br />Sgnal,reofCantrdhnq Officeholder. Caodidele Slate Measure Rcpoaanl <br />By <br />50naWie of eonVdlmO Cdficeholder, Candidate. Slate Measve Pmponent FPPC Form 460(January 105) <br />FPPC Toll -Free Helplme: 866 /ASK -FPPC (8661275 -3772) <br />Stale of California <br />