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497 Contribution Report <br />NAME OF FILER <br />Jason Galisatus for Redwood City Council 2018 <br />AREA CODE/PHONE NUMBER I D NUMBER tnapplwable) <br /> N/a <br />STREET ADDRESS <br />Amounts may be rounded to whole dollars. <br />2007 Woodside Road #2 <br />CITY STATE ZIP CODE <br />Redwood City CA 94061 <br />1. Contribution(s) Received <br />Date of Date Stamp'CALIFORNIA <br />This Filing 08/09/2010 FORM 497 <br />Report No. <br />1 RECEIVED For Official se Only <br />❑Amendment AUG 9 2018 <br />to Report No. <br />(explain below) f No. of Pages City of Redwood Ci y <br />rifir ('lprk <br />DATE PULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR <br />RECEIVED IIF COMMITTEE ALSO ENTER IO NUMBER) <br />Dr John Adam <br />727 Lakeview Way <br />08/08/2018 Redwood City, CA 94062 <br />Reason forAmendment <br />CONTRIBUTOR <br />IF AN INDIVIDUAL <br />AMOUNT <br />CODE" <br />ENTER OCCUPATION AND EMPLOYER <br />RECEIVED <br />Other (e g , business entity) <br />OF SELF EMPLOYED ENTER NAME OF BUSINESS) <br />Political Party <br />SCC — <br />Retired, N/A <br />❑x IND <br />1000.00 <br />❑ COM <br />❑ OTH <br />❑ Check if Loan <br />❑ PTY <br />❑ SCC <br />s" <br />Provide Interest rale <br />❑ IND <br />❑ COM <br />❑ OTH <br />❑ Check If Loan <br />❑ PTY <br />❑ SCC <br />Provide Interest rate <br />❑ IND <br />❑ COM <br />❑ OTH ❑ Check If Loan <br />❑ PTY <br />❑ SCC i <br />Pravlde Interest rate <br />*'Contributor Codes <br />IND — <br />Individual <br />COM— <br />Recipient Committee (other than PTY or SCC) <br />OTH — <br />Other (e g , business entity) <br />PTY — <br />Political Party <br />SCC — <br />Small Contributor Committee <br />FPPC Form 497 (Jul/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />