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' SCHEDULE B-PART 1 ' Type or print in ink. Schedule B—Part 1 Amounts may be rounded Statement covers period � �. � Loans Received to whole dollars. � • � from �� TRU TIONS ON REVERSE through _.,C_iLLy� Fa9e � of � . SEEINS C NAME OF FILER I.D. NUMBER � S o F G /02 ��S IF AN INDIVIDUAL, ENTER a (b) (c) e) (e FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTS�ANDING INTEREST ORIGINAL CUMULATIVE OCCUPATIONANDEMPLOYER BALANCE BALANCEAT OF LENDER (IF SELFEMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IFCOMMITfEE,AL50ENTERi.D.NUMBER) NAMEOFBUSINESS) p PERIOD THIS PERIOD" PERIOD LOAN TODATE j /.—��.-U� ►�..,) ��S �1—{`�G. ❑PA�� / CALENDARYEAR p'Q� '°�D/� ll/��v 'T` ` �$/ 5 `—� �% S �'r"'r S� ��,(-ORGIVEN RATE pER ELECTION"` �t�:�Si�� CG� ��.� /� ` �� ! Q�b fo�i s s__{� s.�L s� s�� —J'�--�-� t❑ IND ❑COM OTH ❑ PTY ❑ SCC DATEDUE DATEINCURRED �PAID CALENDAR YEAR S S % S S �FORGIVEN �TE PER ELECTION** : S S S g s t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE�NCURRED �PA�p CALENDAR YEAR b S % S S �FORGIVEN RATE PERELECTION`* S S S $ S t❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATEINCURRED SUBTOTALS $ S �Q S O$ O (Enter(e)on Schedule B Summary ScheduleE,line3) 1. Loans received this period....................................................................................................................$ (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes IND-individual 2. Loans paid or forgiven this period .........................................................................................................$ �O COM-Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH-Other(e.g., business entiry) 5 o PTY-Potitical Party .�- SCC-Small Contributor Committee 3. Net change this period. (Subtract Line 2 from Line 1.)............................................................... � $ Enter the net here and on the Summary Page,Column A� LII�@ Z. (Maybeanagalivenumber) `Amounts forgiven or paid by another party also must be reported on Schedule A. `"If required. FPPC Form 460(January/05) FPPC Toll-Free Helpline:8661ASK-FPPC(866/2T5-3772)