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i~chedule B - Part I &mmmtsmayblroun~d Stat~n~nt~mm~spl~k~d <br />, ~ans Received <br /> <br />; ~E iNSTRUCT.~OH$ ON REVERSE <br />dAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE/% <br />DATE LENDER OR GUARANTOR'S FULL NAME AND ADDRESS LENDER I GUARANTOKS LENDER liql~TlON I GuA.qA~T-~ iN~TION <br />.~CE~ED ".~,~,."~.'~,~.~,.~,.'~""~"~.~'~--""'~'".~i. o~..~...,.~,..-----,.~.........,,..,, <br /> <br /> i C] L:r"'~' rl Gulr.nmr" <br /> 'See imporga.l inslruc~ions on reverse. SUITOTAL . $ <br /> <br /> Loins Received - PBrt I Summary <br /> i. Loans of $100 o~ more rec~ived thii period. (Indude lll Loans Received -P&r~l(~)$ubto~ls.) .......... $ <br /> ;il.:'lgmm unde~ SIO0 received ~hi$ period, ldo not itemize.) ........................................... S <br /> 3. :1'o~1 loans receiv~cl this period. (Add Lines ~ and 2.) ....................................... TOTAL $ <br /> LOans Received - Pirt II Summary <br /> 4, ~ of $~00 or moFI repaid, forgiven, or paid by · third party this period. (Include ill Pitt II Cc) <br /> ,,~btota~s. If fo,given or paid by e third party, a/so itemiRe the transaction off Schedule A.) .............. $ <br /> 5. Loire under $100 repaid, forgiven, or paid by I ~hircl party. (Do no itemize.) If forgiven or <br /> paid by a third party, include thisamount off Schedule A Summary, Line 2 ............................ $ <br /> 6. Total loens repaid, forgiven, orpaid by a third party this pariod* TOTAL S ( ~c~7"/' ) <br /> (~dd Lines 4 + 5.) ....................................................................... <br /> <br /> <br />