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497 Contribution Report <br />NAME OF FILER <br />Jason Galisatus for Redwood City Council 2018 <br />AREA CODE/PHONE NUMBER <br />1 D. NUMBER (xapprcawe) <br />650 521 1172 <br />FPPC 1408859 <br />STREET ADDRESS <br />2007 Woodside Road #2 <br />CITY <br />STATE <br />Redwood City <br />CA <br />1. Contribution(s) Received <br />Amounts may be rounded to whole dollars. <br />i Date of 09l19/2G18 <br />This Filing <br />Report No. 5.. _ <br />[]Amendment <br />to Report No. <br />ZIP CODE (explain below) <br />94061 No. of Pages z.. <br />DATE FULL NAME, STREET ADDRESS ANDZIP CODE OF CONTRIBUTOR <br />RECEIVED (IF COMMITTEE, ASO ENTER I D NUMBER) <br />Lacewell Insurance Agency <br />9548 Estates Drive <br />09/19/2018 Gilroy, CA 95020 <br />Ground Floor Public Affairs Corp. <br />58 2nd Street, 4th Floor <br />9/19/2018 San Francisco, CA 94105 <br />Reason for -Amendment: <br />CONTRIBUTOR I <br />CODE ` <br />❑ IND <br />❑ COM <br />❑X OTH <br />❑ PTY <br />❑ SCC <br />❑ IND <br />❑ coM <br />9 OTH <br />❑ PTY <br />❑ SCC <br />❑ IND <br />❑ COM <br />❑ OTH <br />❑ PTY <br />❑ SCC <br />Date Stamp <br />RECEIVE® <br />SEP 2 0 2018 <br />City of Redwood City <br />City Clerk <br />CAL <br />FORM <br />IF AN INDIVIDUAL, <br />ENTER OCCUPATION AND EMPLOYER <br />(IF SELREMPLOVEO ENTER NPMEOF BUSINESS) <br />AMOUNT <br />RECEIVED <br />1000.00 <br />❑ Check if Loan <br />_ ate <br />Promde interest <br />rate <br />1000.00 <br />❑ Check if Loan <br />Yo <br />Provide Intemst rate <br />❑ Check if Loan <br />Promde interest rate <br />"Contributor Codes <br />IND — Individual <br />COM— Recipient Committee (other than PTY or SCC) <br />OTH — Other (e g., business entity) <br />PTY — Political Party <br />SCC — Small Contributor Committee <br />FPPC Form 497 (Jul/2016) <br />FPPC Advice: adviceLmfpPc.ca.gov (666/275-3772) <br />www.fppc.ca.gov, <br />