CpnStmt Jordan 981379 - Laserfiche WebLink

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Schedule B - Part I Type or print in Ink. SCHEDULE B- PART 1 Amounts may be rounded Stalement covers period Lbans Received towholodollars. Item /O -~.'"~ -~:~ g:~ SEE INSTRUCTIONS ON REVERSE through NAME OF FILER IF AN INDIVIDUAL. ENTER LENDER INFORMATION GUARANTOR INFORMATION DATE FULL NAME, MAILING ADDRESS AND ZIP CODE CONTRIBUTOR OCCUPATION AND EMPLOYER ' (e) RECEIVED OF LENDER OR GUARANTOR CODE a (IF SELF*EMPLOYED, ~:N3'ER DUE DA~ AMOU~ CUMU~IVE AMOU~ CUMU~TIVE ~ IND ~ COM INTEREST ~TE S S ~ OTH Om~R OmEn ~ IND ~ COM ~mE.~S~ ~E ~ OTH OmEn ~ LeVee ~ Guamnlor -- % S SUBTOTAL $ /~O ~ $ Schedule B - Pa~ 1 Summa~ 1. Loans of $100 or more received this period. (Include all Loans Received - Pad 1 (a) subtotals.) ................... $ /~/~ D 2. Amount received this period - unitemized loans of less than $100 ................................................................... $ 3. Total loans received this period. (Add Lines I and 2.) ....................................................................... TOTAL $ Schedule B - Pa~ 2 Summa~ 4. Loans of $100 or more repaid, lorgiven, or paid by a third pady this period. (Include all Pad 2 (c) ~O ~ subtotals. If forgiven or paid by a third pa~, also itemize the transaction on Schedule A.) ............................. $ 5. Loans under $100 repaid, forgiven, or paid by a third pady. (Do not itemize.) If forgiven or[ IND-Indi~du~ paid by a third pa~, include this amount on Schedule A Summit, Line 2 ...................................................... $ ~ COM-Recipienl Commi~ee 6. Total loans repaid, ~orgiven, or paid by a third pady this period. (Add Lines 4 + 5.) ........................... TOTAL $ 0 OTH Other 7. Net change this pedod. (Subtract Line 6 from Line 3.) ~ Enter the net here and on lhe Summa~ Page, Column A, Line 2 .......................................................... NET $ U~ ~ ~ n~t~e ~r. FPPC Form 460 (~9) For Technical Assistance: 916~22-5660