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Schedule B - Part I Typ~ or print in ink. SCHEDULE B - PART 1 <br /> Amounts may be rounded Statement covers period <br />Loans Received to whole dollars, from ~) <br /> through~'l ~]/IOO <br />SEE INSTRUCTIONS ON REVERSE <br />NAME OF FILER <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 w (IFSELF-EMPLOY~D,ENTER DUE DATE/ AMOUNT CUMULATIVE AMOUNT CUMULATIVE <br /> (IF COMMITTEE, ALSO ENTER I D NUMBER} NAME OF BUSINESSI INTEREST RATE OF LOAN TO DATE GUARANTEED TO DATE <br /> <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> [] IND <br /> [] GeM INTEREST RATE <br /> [] OTH OTHER OTHER <br /> [] Lender [] Guarantor -- % ; $ <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> [] IND <br /> $ <br /> [] CeE INTEREST RATE <br /> [] OTH OTHER OTHER <br /> <br /> [] Lender [] Guarantor -- % $ <br /> <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> ~IIND <br /> [] GeM INTEREST RATE <br /> [] OTH OTHER OTHER <br /> 3 Lender [] Guarantor -- % $ $ <br /> En{er (b) on <br /> SUBTOTAL $ Summary Page, <br /> Line 17 <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, lf forgiven or paid by a third party, also itemize the transaction on Schedule A.) ............................. $ //~(~ [ *ContdbutorCodes ]. · <br />5. Loans under $100 repaid, forgiven, or paid by a third party. (Do not itemize.) If forgiven or IND-Individual <br /> paid by a third party, include this amount on Schedule A Summary, Line 2 ...................................................... $ COM-Recipient Committee <br />6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5.) ........................... TOTAL $ . OTH-Other <br /> <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 $ ~//~ O <br /> May be a negative number. FPPC Form 460 (8/99) <br /> For Technical Assistance: 9161322-5660 <br /> <br /> <br />