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~;chedule B -- Part I Typeor print in ink. SCHEDULE B -Partl <br /> Amounts may be rounded Statement covers period <br />Loans Received towho~e do,ars. <br /> i <br />SEE INSTRUCTIONS ON REVERSI: through ¢:~/1~ / ~ ~;' la.ge <br /> <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBI::R <br /> <br /> DATE LENDER OR GUARANTOR'S FULL NAME AND ADDRESS LENDER /GUARANTOR'S LENDER INFORMATION GUARANTOR INFORMATION <br />~ RECEIVED 0F COMMITTEE, ENTER FULL NAME. ADDRESS AND I.D. NUMBER. IF NO I.D.OCCUPATION AND EMPLOYER (IF SELF- <br /> NUMBER HAS REEN ASSIGNED, ENTER THE TREASURER'S NAME AND ADDRESS) EMPLOYED, ENTER BUSINESS NAME ) DUE DATE/ AMOUNT CUMULATIVE AMOUNT CUMULATIVE <br /> INTEREST RATE O~ LOAN TO DATE GUARANTEED TO DATE <br /> I: tFzi§ .uEo,T. CaLENOA. YEAR LE.OA.,EA. <br /> <br /> E~ Lender ITl Guarantor ~ s $ <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> <br /> INTEREST RATE <br /> OTHER OTHER <br /> <br /> i [ri Lender [] Guarantore ~ $ $ <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> <br /> INTEREST RATE <br /> OTHER OTH~R~ <br /> <br /> [] Lender [] Guarantor~ ~ $ $ <br /> <br /> *See important instructions on reverse. SUBTOTAL $ $ <br /> Summer~ Page, <br /> <br />Loans Received - Part I Summar~ <br />1. Loans of $100 or more receiYed this period. (Include all Loans Received -Part I (a} subtotals.} .......... $ ~00, ~ 0 <br />~. Loans under $100 received this peri,od. {Do not itemi~eJ ........................................... $ <br />~. lotal loans received this p~riod. (Add Lines 1 and :~.) ....................................... IOIAL $ c9 ~00, ~© <br />Loan~ Received - Part II Summa~ <br />4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. {Include all Part II (¢} <br />subtotals. If forgiven or paid by a third party, al~o itemi~,e the transaction on Schedule A.} .............. <br />S. Loans under $100 repaid, forgiven, or paid by a third party. (Do no itemize.} If forgiven or <br />paid by a third party, in¢lude this amount on Schedule A Summary, Line 7 ............................ <br />Ii. lotal loans repaid, forgiven, or paid by a third party this period. <br />(Add Lines 4 + 5.) ....................................................................... TOTAL $ ( '~ ) <br />7. N&I change this period. (Subtract Line 6 from Line 3.) NET $ <br />Enter the net here and on the Summary Page, Column A, Line 2 ................................ , <br /> <br /> <br />