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~chedule B -- Part I Type or print in ink. SCHEDULE B- Part I <br /> Amounts may be rounded Statement covers period <br />Loa ns Received to whole dollars. <br /> from <br /> <br /> through~/ <br />SEE INSTRUCTIONS ON REVERSE <br /> <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br /> <br />~ DATE I LENDER OR GUARANTOR'S FULL NAME AND ADDRESS LENDER /GUARANTOR'S LENDER INFORMATION GUARANTOR INFORMATION <br /> <br /> RECEIVED (w COMMITTEE, ENTER FULL NAME, ADDRESS AND I.D. NUMBER. IF MO LD. OCCUPATION AND EMPLOYER (Ilt <br /> NUMRER HAS BEEN ASSIGNED, ENIER THE TREASURER'S NAME AND ADDRESS) EMPLOYED, ENTER BUSINESS NAME ) DUE DATE/ AMOUNT CUMULATIVE AMOUNT CUMULATIVE <br /> INTEREST RATE Of LOAN TO DATE GUARANTEED TO DATE <br /> <br /> ~ £~ w~ P~ ~ ' ~ Y E Pl I ~-, '~' ~ '~ / ,NTERE ST RAT, OTHER oTHE. <br /> I-I Lender , 0 Guarant°r~ / '~ S $ <br /> <br /> y OTHER OTHER <br /> i 'I Lender [] Guarantor ~ ~ <br /> <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> <br /> INTEREST RATE <br /> OTHER OT~.' <br /> <br /> [] Lender [] Guarantorm ~ <br /> <br />'See importan! instructions on reverse. SUBTOTAL $ (') $ ~b) <br />Loans Received - Part I Summary <br />1. Loans of $100 or more received ~his period. (include all Loans Received -- Part I (a) subtotals.) .......... $ <br />~1. Loans under $100 received ~hiS period. (Do no~ i~emize.) ........................................... <br />3. To~al loans received ~hi$ period. (Add Lines 1 and 2.) ....................................... TOTAL $ // <br />Loans Received - Part II Summary <br />4. Loans of $100 or more repaid, forgiven, or paid by a third party ~his period. (include all Par~ II (c) <br />subtotals. If forgiven or paid by a ~hird party, also itemize ~he transaction on Schedule A.) .............. $ <br />S. Loans under S100 repaid, forgiven, or paid by a ~hird party. (Do no itemize.) if forgiven or <br />paid by a third party, include ~his amount on Schedule A Summary, Line 2 ............................ <br />6. Total loans repaid, forgiven, or paid by a third party this period. <br />(Add Lines4 + S.) ....................................................................... TOTAL $ ( ) <br />7. Ne~ change this period. (Subtract Line $ from Line :3.) NET $ /, <br /> Enter ihe net here and on ~he Summary Page, Column A, Line :2 ................................ <br /> /Kaly ~ · neqlTIve number <br /> <br /> <br />