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· Schedule B -- Part I Type or Point in Ink. Statement covor8 period <br /> Amounts my be rounded <br /> Loans Received lo whole donate. <br /> from <br /> <br /> SEE fl~STRUCTIOH$ ON REVERSE tlwough Page.__ o! __ <br /> NAME O~ Ot:FICEHOLDER OR C~TE AND CONTROLLED COMMITTEE: I.D. Nq. JMi~R <br /> <br /> LENDER OR GUARANTOR*S FULL NAME AND ADORESS LENOEA I GUARANTOITS LENI:~H INFORMATION GUARANTOR INFORIvlATIOH <br /> <br /> D,k~ (iE ('_.OMqlTiEE. ENTER FULL NA&Ii:. AD(~RE~',-qANDI O NUMBER ~: I~K)I D OCCUPAIIONAM~EkIPLOYER(If SELF- [)UE DATE~ ,lddOUl%[T CUIdLJLATIVE AMOUNT CLJMULATNE <br /> <br /> RECEIVED i,a~ R HAS EEN AS,~d~IED. ENIER IREASURER'S NAM~ & A[~RE6S) -E MPLO~'E D ENTER BUSlNE SS NAM~ ) INTEREST RATE OF LOAN TO OATE GUARANTEED TO DATE <br /> <br /> DUE DATE CALENOAR YEAR CA[ENOAR YEAR <br /> <br /> INTEREST RATE OTHER OTHER <br /> [] L~d~ [-I Ou~Mmr* ~ <br /> ~ DATE CN. EN[~R YEAR CALEI%q:)AR YEAR <br /> <br /> INTEREST RATE OTHER OTHER <br /> [] t~l~ 13 Ouafafl~* <br /> ~ DATE CALENOAR YEAR CALENOAR YEAR <br /> <br /> INTEREST RATE OTHER OTHER <br /> <br /> [] L~Adm' [] <br /> <br /> * See qorl~ ~l.flri~fJoAf o~1 rAcrs~. SUBTOTAL I ~:~:~"'~!~!~{~ii~ ~ t ~k. ~8 ~P~* <br /> Loins Receiv~ -- P~ I S~ <br /> I. ~ of$1~ ~ m~ ~iv~ ~is ~. (i~l~ All ~s R~iv~ ~ ~ ! (8) s~l~b.) ....................... $ <br /> <br /> 2. ~ u~ $1~ ~iv~ ~b ~. (~ m i~e.) ...................................................................................... $ <br /> ~. T~ ~ r~eiv~ ~b ~ (A~ C~s I ~ 2.) .......................................................................... TOTAL <br /> Loins ~cdv~ -- Piti II ~~ <br /> 4. ~ns o($ ]~ ~ m~ rc~,/~8ivcn, ~ pM by ~ ~iM ~y ~is ~. (!~1~ MI <br /> P~ I! (c) su~. if (~Sivcn ~ pM by a ~d ~y, ~lso Jl~i~ ~ ~n~ ~ Sc~u~ ~.) ................ $ <br /> 5. ~ns u~r $1~ Kpid, f~Sivcn, ~ pM by a ~d pny. (~ ~ iKmi~.) I( (~Kivcn or p~d <br /> by a ~ird ~y, i~i~ ~is ~nl ~ Sc~uie ~ Sum~, Ci~ 2 ................................................................. $ <br /> 6. T~ i~s r~d, f~Kiv~, ~ ~d by a Ihird ~y Ibis <br /> (Add ~i~ 4 + 5.) .................................................................................................................................. TOTAL <br /> ?. HeL chan~c Ibis ~r~. (Sub~acl cmc ~ from Ci~ ~.) <br /> ~fllcr ~c flcI hcrc and off Ibc SUfllfllar~ P~, ~olumn ~, ~iflc 2 .............................................................. NET $ <br /> <br /> <br />