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~ or I~int in Ink. SCHEDULE B ~ PART 1 <br />SEE,.STRUC'.ONSONREVERS~ n,~ "/'- '~ / ( <br />NAME OF FILER LO. NUMBER <br /> <br /> DATE FULL NAME, MAILING ADDRESS AND ZIP CODE CONTRIBUTOR OCCUPATION AND EMPLOYER <br /> RECEIVED OF LENDER OR GUARANTOR CODE (IF SELF4~IPt. OYED. ENTER DUE DATE/ CUMULATIVE <br /> (iF C~ITTEE, ALSO ENTER I,D. N~MBER) NAME OF BUSINESS) INTEREST RATE O~ LOAN TO CATE GUARANTEED TO DATE <br /> ~ [] Guarantor <br /> [] ~ND <br /> [] COM ,.~E~ST RATE <br /> [] OTH i$ O~HER Or~ER <br /> [] Le~er [] Guarantor % ; <br /> , <br /> [] IND <br /> [] COM IN'Eft-ST RATE ~ $ OTHER <br /> [] OTH <br /> <br />[] Le~der [] Gueranto~ % $ $ <br /> SUSTOTAL $ 3! <br />Schedule B - Part I 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 pedod. (Add Lines I and 2.) ....................................................................... TOTAL $ 'J~ ~ ~ O O <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, also itemize the transaction on Schedule A.) ............................. $ ~ f *CmtributorCodes <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 ...................................................... $ ? IND-IndividueJ <br /> COM - Recipient Commiltee <br /> 6. Total loans repaid, forgiven, or paid by a third party this pedod. (Add Lines 4 + 5.) ........................... TOTAL $ ~ OTH-OU~er <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 b~ ~ ne~,,~. FPPC Form 460 (8t99) <br /> For Technical A~sl~ta~ce: 916~22-5~60 <br /> <br /> <br />