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Schedule B - Part I Typo or print in ink. SCHEDULE B- PART 1 <br /> Amounts may be rounded Statement covers period <br />Loans Received to whole dollars. <br /> <br />SEE INSTRUCTIONS ON REVERSE thr°ug <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 SE~-EMPLOYEO, ENTER DUE DA~ AMOU~ CUMU~VE AMOU~ CUMU~VE <br /> (IF COMMI~EE. A~O ENTER I.D. NUMBER) N~E OF BUSINESS) IN.REST ~TE OF LOAN TO DATE GUA~TEED ~ DA~ <br /> <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> <br /> ~ Lender ~ Guarantor g~ ~(~ ~ -- % <br /> DUE DATE ;ALENDAR YEAR CALENDAR YEAR <br /> <br /> D OTB <br /> 0 Lender ~ Guarantor ~ ~ OCq -- % <br /> <br /> DUE DATE C~ENDAR YEAR CALENDAR YEAR <br /> ~ IND <br /> ~ COM IN.REST RATE <br /> ~ OTH OmER OmER <br /> ~ Lender ~ Guarantor -- <br /> <br /> Summa~ <br /> SUBTOTAL $ $ L~ 17 <br /> <br />Schedule B - Pa~ I Summa~ <br />1. Loans of $100 or more received this period. (Include all Loans Received - Pad 1 (a) subtotals.) ................... $ <br />2. Amount received this period - unitemized loans of less than $100 ................................................................... $ <br />3. Total loans received this period. (Add Lines 1 and 2.) ....................................................................... TOTAL $ <br />Schedule B - Pa~ 2 Summa~ <br />4. Loans of $100 or more repaid, forgiven, or paid by a third pa~ this period. (Include all Pad 2 (c) <br />subtotals. If forgiven or paid by a third pady, also itemize the transaction on Schedule A.) ............................. $ ~ ~ ~ ' ~ © *~ntfib~or~es <br />5. Loans under $100 repaid, forgiven, or paid by a third pa~. (Do not itemize.) If forgiven or '~ IND-IndMduN <br />paid by a third pa~, include this amount on Schedule A Summa~, Line 2 ...................................................... $ COM-Reciplent~mmaee <br />6. Total loans repaid, forgiven, or paid by a third pa~ this period. (Add Lines 4 + 5.) ........................... TOTAL $ ) ~ ~ ~, 0 ~ O~-~her <br />7. Net change this pedod. (Subtract Line 6 from Line 3.) <br />Enter the net here and on the Summa~ Page, Column A, Line 2 .......................................................... NET $ <br /> May ~ a ~tNe num~. FP~C FO~ 460 (~9) <br /> For Technical Assistance: 916~22-5660 <br /> <br /> <br />