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Schedule B—Part 1 <br /> Loans Received <br /> SEE INSTRUCTIONS ON REVERSE <br /> Type or print In Ink. <br /> Amounts may be rounded <br /> to whole dollars. <br /> SCHEDULEB-PART1 <br /> Statement cov rs period � � � � , i <br /> from � � U •- <br /> ZZ <br /> through � U Page.� of <br /> NAME OF FILER I.D. NUMBER <br /> ��? �'�t Y�1. r` ��'���' � ��-�' C �� � ��i�I �'�-���� � <br /> FULL NAME,STREET ADDRESS AND ZIP CODE �F AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT (c) OUTSTANDING <br /> OF LENDER OCCUPATIONAND EMPLOYER BALANCE RECEIVED THIS AMOUNTPAID gALANCEAT <br /> (IFCOMMITfEE,ALSOENTERI.�.NUMBER) (IFSELF-EMPLOVED,ENTER BEGINN�NG THIS pERIOD OR FORGIVEN� CLOSE OF THIS <br /> NAMEOFBUSINESS) THIS PERIOD <br /> y4i v° �(il �.� �'�'I�L(� 1� ❑PAID <br /> �-� ��-� 2�l`�. ���►s� $ $�°� <br /> �1_Gl,��� C! �� L`I (�fj/ �L� � ❑FORGIVEN n <br /> C���S..(�1 I 1 ""'�� $� $ 2_� $ '�E Du �� S <br /> �IND ❑ COM ❑ OTH ❑ PTY ❑ SCC y <br /> t❑ IND ❑ conn ❑ OTH ❑ PrY ❑ scc <br /> t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC <br /> S <br /> $ <br /> �PAID <br /> S <br /> �FORGIVEN <br /> a s <br /> �PAID <br /> S <br /> �FORGIVEN <br /> a s <br /> SUBTOTALS $ $ <br /> Schedule B Summary <br /> 1. Loans received this period..................................................................................... <br /> (Total Column(b)plus unitemized loans of less than$100.) <br /> 2. Loans paid orforgiven this period .......................................................................... <br /> (Total Column(c)plus loans under$100 paid or forgiven.) <br /> (Include loans paid by a third party that are also itemized on Schedule A.) <br /> 3. Net change this period. (Subtract Line 2 from Line 1.)......................................... <br /> Enter the net here and on the Summary Page, Column A, Line 2. <br /> *Amounts forgiven or paid by another party also must be reported on Schedule A. <br /> "*If required. <br /> a <br /> DATE DUE <br /> 5 <br /> DATE DUE <br /> S S <br /> .................... $ e�� <br /> � � <br /> NET $ �J �D <br /> (Ma e a nepotive number) <br /> INTEREST ORIGINAL CUMULATIVE <br /> PAID THIS AMOUNT OF CONTRIBUTIONS <br /> PERIOD LOAN TO DATE <br /> CALENDARYEAR <br /> % : $ <br /> RATE pER ELECTION" <br /> 3 <br /> DATEINCURRED <br /> CALENDARYEAR <br /> _% a s <br /> RATE pER ELECTION"" <br /> s I DATE INCURRED I $ <br /> CALENDARYEAR <br /> _% g S <br /> RATE pER ELECTION*" <br /> $ I DATE INCURRED I $ <br /> (entar(e)on <br /> Schedule E,Lina 3) <br /> r tContributor Codes <br /> IND—Individual <br /> COM—Recipient Committee <br /> (other than PTY or SCC) <br /> OTH—Other(e.g., business entity) <br /> PTY—Political Party <br /> SCC—Small Contributor Committee <br /> FPPC Form 460(January/05) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866l275-37T2) <br />