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Schedule B - Part 2 Type or print in ink, SCHEDULE B- PART 2 <br /> Statement covers period <br /> Amounts may be rounded <br />Repayments Made on Loans Received, Loans to whole dollars, fromO I / O / / {~ O <br />Forgiven, and Loans Repaid by a Third Party <br /> <br />SEE INSTRUCTIONS ON REVERSE through O (~ / ~ ~ ] 0(,.~ Page__ of <br />NAME OF FILER <br /> I.D. NUMBER <br /> <br /> INTEREST <br /> REPAYMENT DATE OF FULL NAME OF LENDER AMOUNT REPAIO OR OUTSTANDING INTEREST <br /> OR ORIGINAL LOAN ~TE FORGIVEN ON PRINCIPAL * PRINCIP~ PAID <br /> FORGIVENESS (IF CHANGED) (EXCLUDE PAYMENT OF INTEREST) <br /> <br /> Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ ~' I ~ L~ O TOTAL INTEREST <br /> PAID THIS PERIOD $ /~ <br />* IMPORTANT' If any part of a loan is forgiven or repaid by a third party, also itemize the transaction on Schedule A, Enter the amount in column (d) in the Schedule E <br />including the name and address of the person forgiving the loan or the third party making the payment, and the amount Summaq4, Line 3. Do not can]/Ibis total to the <br />forgiven or paid. Schedule B Summary <br /> <br /> FPPC Form 469 (8199) <br /> For Technical Assistance: 9161322-5660 <br /> <br /> <br />