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Josh Perilo was born and raised in Omaha, Nebraska. He's the son of Efraim (Frank) Perilo and Sharon Perilo, and the oldest of five children: actress Anna Perilo, actor Aaron Perilo, Nathan Perilo, and David Perilo. Josh joined Omaha's prominent theater community at a young age, participating in productions such as "Peter Pan" and "South Pacific". He went on to perform in plays at several different high schools, and attended college at the prestigious North Carolina School of the Arts to study drama. After four years, he moved to New York City and was cast almost immediately in Terrance McNally's controversial Off-Broadway play "Corpus Christi". In addition to numerous television appearances and frequent performances at the Upright Citizens Brigade Theater in New York, Josh hosted MTV's 2002 Homecoming Tailgate Tour.