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Type or print in ink. SCHEDULEB-PART1 <br /> Schedule B—Part 1 Amounts may be rounded Statement covers period � _ <br /> Loans Received to whoie dollars. � �. � � • � <br /> from <br /> SEE INSTRUCTIONS ON REVERSE through Page 6 of $ <br /> NAME OF FILER I.D. NUMBER <br /> IF AN INDIVIDUAL, ENTER ° (b) (c) (d) (e� ( (g1 <br /> FULI NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING qMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE <br /> OCCUPATIONANDEMPLOYER BALANCE AMOUNTPAID gq�qryCEAT <br /> OF LENDER QFSELF-EMPIOYED,ENiER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS <br /> (IFCOMMITTEE,ALSOEMERID.NUMBER) NAMEOFBUSINESS) PERIOD THISPERIOD� p R PERIOD LOAN TODATE <br /> lan Bain ❑PA�� CALENDAR VEAR <br /> Public Relations $ 1000 $ 0 � � $ l000 � 2000 <br /> A&R Partners �FORGIVEN RATE pERELECTION'M <br /> $ l000 $ 0 $ $ $ <br /> t� IND ❑ COM � OTH � PTY ❑ SCC �ATEOUE DATEINCURRED <br /> lan Bain �PAID CALENDAR VEAR <br /> Public Relations $ 500 � 500 � % $ 1000 $ 2000 <br /> A&R Partners �FORGIVEN RATE PERELECTION*' <br /> $ 1000 $ 0 $ � $ <br /> t� IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATEINCURRED <br /> �PAID CALENDAR VEAR <br /> $ $ Ne $ $ <br /> �FORGIVEN RATE PEREIECTION"* <br /> $ $ $ $ $ <br /> t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATEINCURRED <br /> ,� _ <br /> SUBTOTALS b S $ E = <br /> � <br /> (Enter(e)on <br /> Schedule B Summary SchetluleE,Line3) <br /> 1. Loans received this period....................................................................................................................$ � <br /> �Total Column b lus unitemized loans Iess than$100. �Amoun4s forgiven or paid by <br /> � �P � another party also must be <br /> 2. Loans paid or forgiven this period ......................................................................................................... $ <br /> 1500 reported on Schedule A. <br /> (Total Column(c)plus loans under$100 paid or forgiven.) ••if required. <br /> (Include loans paid by a third party that are also itemized on Schedule A.) <br /> 3. Net chan e this eriod. Subtract Line 2 from Line 1. NET $ -1500 <br /> 9 P � �............................................................... (MaYbaane9z[ivenumber) <br /> Enter the net here and on the Summary Page,Column A, Line 2. <br /> t Contributor Codes <br /> IND—Individual COM—RecipientCommittee(otherthanPTYorSCC) OTH—Other PTY—PoliticalParty SCC—SmallContributorCommittee FPPCForm460 (June/01) <br /> FPPC Toll-Free Helpline: 866/ASK-FPPC <br />