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Schedule B - Part I >/p. or print in ink. SCHEDULE B- PART 1 <br /> Amounts may be rounded St=t=,,.~r.t covers period <br />Loans Received to whole dollars. <br /> from <br /> <br />SEE INSTRUCTIONSON REVERSE through Page __ of <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 SELF-EMPLOYED, ENTER DUE DATE/ AMOUNT CUMULATIVE AMOUNT CUMULATIVE <br /> (IF COMMI"-I'EE, ALSO ENTER I D NUMBER) NAME OF BUSINESS) INTEREST RATE OF LOAN TO DATE GUARANTEED TO DATE <br /> <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br />qq o <br /> [] coM 'NTE"EI;RATE Z o <br /> ~_g~.~t.,x.) ood.. C...l' ~ [] OTH OTHER OTHER <br /> <br /> [~nder [] Guarantor % <br /> DUE DATE ALENDAR YEAR CALENDAR YEAR <br /> [] ~ND <br /> [] COM INTI:REST RATE <br /> [] OTH O~HER OT~ER <br /> [] Lender [] Guarantor ~ro <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> [] IND <br /> [] COM INTEREST RATE <br /> [] OTH DTHEn OTHER <br /> [] Lender [] Guarantor <br /> <br /> Summa* Page, <br /> SUBTOTAL $ $ Line 17 only, <br /> <br />Schedule B - Part 1 Summary <br />1. Loans of $100 or more received this period. (Include all Loans Received - Part 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 - Part 2 Summary <br />4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part 2 (c) <br />subtotals. If forgiven or paid by a third party, a/so itemize the transaction on Schedule A.) ............................. $ I' *ContributorCodes <br />5. Loans under $100 repaid, forgiven, or paid by a third party. (Do not itemize.) If forgiven or <br /> paid by a third party, include this amount on Schedule A Summary, Line 2 ...................................................... $ O ~ND Individual <br /> COM- Recipient Committee <br /> <br /> 6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5.) ........................... TOTAL $ .~- ~- ~ ~) OTH-Other <br /> 7. Net change this period. (Subtract Line 6 from Line 3.) <br /> Enter the net here and on the Summary Page, Column A, Line 2 .......................................................... NET $ <br /> May be a negative number. FPPC Form 460 (8/99) <br /> For Technical Assistance: 916/322-5660 <br /> <br /> <br />