CpnStmt Ruskin 950888 - Laserfiche WebLink

Browse Search

Schedule B - Part 1 T~ or print in ink. SCHEDULE B~ PART 1 An'~unts may be roundedfrom S.'-;.~ Leans Received to whole dollars. S~E INSTRLICTIONS ON REVERSE Page N.a~IE OF FILER I.D. NUMBER IF AN INDIVIDUAL, ENTER LENDER INFORMATION GUARANTOR INFORMATION DATE FULL NAME, MAILING ADDRESS AND ZIP CODE CONTRIBUTOR OCCUPATION AND EM PLOYER [] IND [] COM ~TEP~ST [] OTH OTH[R OT~ER I-1 Lender [] Guarantor -- % $ $ [] IND [] COU INTEREST P~,TE $ [] OTH OTHER OTHE~ [~ Lender r-I Guarantor -- % $ [] IND s $ [] COM INTERE~i- I~TE [] OTH OTHER OTHER SUBTOTAL $ $ Line 17 Schedule B - Part 1 Summary 1. Loans of $100 or more received this period. (include ali Loans Received - Part 1 (a) subtotals.) ................... $ ~' 2. Amount received this period - unitemized loans of tess than $100 ................................................................... $ 3. Total loans received this period. (Add Lines 1 and 2.) ....................................................................... TOTAL $ Schedule B - Part 2 Summary 4. Loans of $100 or more repaid, forgiven, or pak:l by a third party this period. (Include all Part 2 (c) s~lbtotals, lf forgiven or paid by a third par{y, also itemize the trar~action on ScheduleA.) ............................. SZ~'O~ I 1 5. Loans undsr SrO0 repaid, fo~iven, or paid by e third party. {Do not itemize.) If forgiven or 'Con~but~ Co~ paid by a third parlg, include this amount on Schedule A Summe~t, Line 2 ...................................................... $ $. Total roan, repaid, forgiven, or paid by a third party this period. {Add Lines 4 + $.) ........................... TOIAL $ ~ ~ ~ ~ OlH-Oth~r 7. Net chang* this period. (Subtrect Line $ from Line 3.) ~ tinter the net here and on the Summary Page, Golumn ~, line 2 .......................................................... NI=T $ May be a negative number. FPPC Form 460 (8/99)