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· SCHEDULE B- PART 1 <br />Schedule B - Part I Type or print in Ink. <br /> Amounts may be rounded Statement covers period <br />Loans Received to whole dollars, from ~3L {"[ [L~q <br /> <br />SEE INSTRUCTIONS ON REVERSE through ~.-~¢ ~[ J~d Page "7 of l~ <br />NAME OF FILER I.D, NUMBER <br /> <br /> IF AN INDIVIDUAL, ENTER LENDER INFORMATION GUARANTOR INFORMATION <br /> DATE FULL NAME, MAILING ADDRESS AND ZIP CODE CONTRIBUTOR OCCUPATION AND EMPLOYER (a) (b) <br /> RECEIVED OF LENDER OR GUARANTOR CODE * (IF SELF-EMPLOYED, ENTER DUE DATE/ CUMULATIVE CUMULATIVE <br /> (IF COMMI'rrEE, ALSO ENTER I.O, NUMBER) AMOUNT AMOUNT <br /> NAME OF BUSINESS) INTEREST RATE OF LOAN TO DATE GUARANTEED TO DATE <br /> ? ftc zaio q - DUEDATE CALENDARVE*" CALENDA. VEAR <br /> <br /> [] OTH ' OTHER OTHER <br /> [~"t.ender [] Guarantor -- % <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> [] IND <br /> [] COM ~NTEREST RATE $ $ <br /> [] OTH OTHER OTHER <br /> [] Lender [] Guarantor -- % <br /> : DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> [] IND <br /> $ <br /> [] COM INTEREST RATE <br /> , [] oTH OTHER OTHER <br /> [] Lender [] Guarantor -- % $ <br /> <br /> , Summary Page. <br /> SUBTOTAL $ $ Line 17 <br /> <br />Schedule B - Part I Summary . ~_~.~ <br />1. Loans of $100 or more received this period. (Include all Loans Received - Part I (a) subtotals.) ................... $ ' <br /> <br />2. Amount received this period - unitemized loans of less than $100 ................................................................... $ <br />3. Total loans received this period. (Add Lines I and 2.) ....................................................................... TOTAL $ ~'-(--)~, <br />Schedule B - Part 2 Summary <br />4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part 2 (c) <br />subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) ............................. $ 0.~'~ 0 0 ~ [. 'Contributor Codes <br />5. Loans under $100 repaid, forgiven, or paid by a third party. (Do not itemize.) If forgiven or q~ L IND-IndividuaJ <br />paid by a third party, include this amount on Schedule A Summary, Line 2 ...................................................... $ t'~ COU-RecipientCommittee <br /> <br />6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5.) ........................... TOTAL $ <br /> OTH <br /> Other <br /> <br />7. Net change this period. (Subtract Line 6 from Line 3.) <br /> Enter the net here and on the Summary Page, Column A, Line 2 .......................................................... NET $ <br /> May be a negative number. FPPC Form 460 (8/99) <br /> For Technical Assistance: 916/'322-5660 <br /> <br /> <br />