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Statement of Organization <br />Recipient Committee <br />Statement Type ❑ initial <br />❑ Amendment <br />O Not yet qualified <br />or <br />0 Date qualification threshold met I Date qualification threshold met <br />Termination — See Part <br />Date of termination <br />Date Stamp <br />EGEIvt Lo <br />` JAN 2 9 2021 <br />CIN OF RR;N 00 CITY <br />1" J_J 01 t 29 / 2021 <br />1. Committee Information I.D. Number 1408859 2. Treasurer and Other Principal Officers <br />(if applicable) <br />NAME OF COMMITTEE <br />Jason Galisatus for Redwood City Council 2022 <br />SIREET ADDRESS (NO P -O BOX) <br />518 Hillside Road <br />Ci -r STATE ZIP CODE AREA CODE/PHONE <br />Redwood City <br />FULL MAILING ADDRESS (IF DIFFERENT) <br />E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) <br />jgalisatus@gmail.com <br />CA 94062 (650) 521-1772 <br />COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE <br />San Mateo Redwood City <br />Attach additional information on appropriately labeled continuation sheets. <br />NAME OF TREASURER <br />Cindy Galisatus <br />For Official Use Only <br />STREETADORESS (NO PO. BOX) <br />518 Hillside Road <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />Redwood City CA 94062 (650) 780-0255 <br />NAME OF ASSISTANT TREASURER, IF ANY <br />STREET ADDRESS (NO P.O. BOX) <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />NAME OF PRINCIPAL OFHCFRISi <br />STREET ADDRESS (NO P O- BOX) <br />CITY STATE ZIP CODE AREA CODE/PHONE <br />3. Verification <br />I have used all reasonable diligence in preparing this statement anf tethe best of my knowledge the information contained herein is true and complete. I certify under <br />penalty of perjury under the laws of the 5tate of California t t the for ggtin s true and correct. <br />Executed on 01/29/2021 By <br />DATE ; SIGNATURE OF TREASURER OR ASSIS-�A±-TREASUR--R <br />Executed an 01/29/2021 By G.�- <br />DATE SIGNATURE OF CONTROL: IIGCFFICEHOLDiR CAN DIOATE, OR STATE MEASURE PROPONENT <br />Executed on By <br />DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT <br />Executed on <br />DATE <br />By <br />SIG NAI URF OF CONTRO_I IRG OFFICFHOI DER, CANDIDATE, On STATE MEASURE PROPONENT <br />FPPC Form 410 (August/2016) <br />FPPC Advice: advice@fppc.ca.gov (866/275-3772) <br />www.fppc.ca.gov <br />