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Schedule B- Part I Type or print In Ink. SCHEDULE B* PART I <br /> Amounts may be rounded Statement covers period <br />Loans Received to whole dollars, from '~ / ~''~ <br />SEE INSTRUCTIONS ON REVERSE through ~'/~ ~ ~ ~ <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE <br /> <br /> DATE LENDER OR GUARANTOR'S FULL NAME AND ADDRESS LENDERIGUARANTOR'S LENDER INFORMATION GUARANTOR INFORMATION <br /> <br /> RECEIVED (IF COMMI~EE, ENTER FULL NAME, ADDRESS AND IO NUMEER IF NO I.D OCCUPATION AND EMPLOYER (IF SELF- DUE OA~ AMOUNT CUMULATIVE AMOUNT CUMU~VE <br /> <br /> ~ Lender ~ Guaranlor * ~ % <br /> ~ ~ DUE OAT CALENDAR YEAR CALENDAR YE~ <br /> <br /> ~ Lender ~ Guarantor * % <br /> <br /> ~ Lender ~ Guarantor * ~ % S $ <br /> <br /> [a) (b) Enler (b) ~ <br /> · See impoflant instructions on reverse. SUBTOTAL $ $ c~ ~e m~. <br /> <br />Loans Received - Part I Summary <br />1. Loans of $100 or more received this period. (Include all Loans Received - Pad I (a) subtotals.) ...................... $ <br />2. Loans under $100 received this period. (Do not itemize.) .................................................................................. $ <br /> <br />3. Total loans received this 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 this period. (Include all Part II (c) <br />subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) ....................... $ <br />5. Loans under $100 repaid, forgiven, or paid by a third party. (Do not itemize.) If forgiven or <br />paid by a third parly, include lhis amount on Schedule A Summary, Line 2 .................................................. $ <br />6. Total loans repaid, forgiven, or paid by a third parly this period. <br />(Add Lines 4 + 5.) .............................................................................................................................. TOTAL $ ( } <br />7. Net change this period. (Subtract Line 6 from Line 3.) <br />Enter the nel here and on the Summary Page, Column A, Line 2 ...................................................... NET $ <br /> <br /> <br />