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Schedule B -- Part I TypeM print in ink. SCHEDULE B- Part I <br /> Amounts may be rounded Statement covers period <br /> Loans Received towho~d~. <br /> from <br /> SEE iNSTRUCTIONS ON REVERSE through <br /> NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE ) I.D;,NUMBE R . . <br /> <br /> I~l~/~l: ri (1~ COMMITTEE ENTER FULL NAME, ADDRESS AND I.D. NUMIER. I~ ND I.D. OCCUPATION AND EMPLOYER (If S~LF. , <br /> <br /> · DUE DATE CALENDAR YEAR I ! CALENDAR YEAR <br /> I <br /> n Lender ~ Guirlntor* I, i <br /> : A <br /> ! , DUE D TE I CALENDAR YEAR I iCALENDAAYEAR <br /> INTEMST RATE <br /> ' OIHER J . OTHER <br /> I-i Lender ~ GuirDntore t, <br /> · DUE DATE CALENDAR YEAR I CALENDAR YEAR <br />· -'i . INTEREST RATE OTHER * J OTHER <br /> I <br /> I-I Lender I~l Guarantore __ '~ ~ <br /> · See important instructions on reverse. SUBTOTAL $ <br /> Loans Received - Part I Summary <br /> I. Loans of $100 or more received this period. (Include all Loans Received -Part I (a) subtotals.) .......... <br /> 2. Loans under $100 received this period. (Do not itemize.) ........................................... $ <br /> ~- 3. Total loans received this period. (Add Lines 1 and 2.) ....................................... TOTAL $ <br /> Loans Received - Part II Summary <br /> 4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part II (c} <br /> subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) . :.... ......... $ <br /> 5. Loans under $100 repaid, forgiven, or paid by a third party. (Do no itemize.) If forgiven or <br /> ; paid by a third party, include this amount on Schedule A Summary, Line 2 ............................ $ <br /> ~ 6. Total loans repaid, forgiven, or paid by a third party this period. <br /> (Add Lines 4 + 5.) ....................................................................... TOTAL $ ( <br /> 7. Net change this period. (Subtract Line 6 from Line 3.) NET $ <br /> <br /> <br />