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! <br /> <br /> chedule B-- Part I Type o~pfint Inlnk. SCHEDULE B- Patti <br />Loans Received Amounts may be founded Statement cove, pe,iod O <br /> to whole ~k~n. <br /> <br />SEE INSTRLJCTIONS ON REVERSE , tlvough ~¢~" ~ (./ I~. Pllge ~ of__ O <br />NAME OF C)FFICEflOtDER OR C~IDIC)A, TE AJ~dD CONTROLLED COMMI~EE I.D. NUMBER .. <br /> <br /> i DATE LENDER OR GUARANTOR'S FULL NAME AND ADD~ESS LENDER I GUAAANTOR'S LENDER INFORMATION GUARANTOR INFORMATION <br /> RECEIVED Iw CQMIIITTEL iMTIII FULL NAI~, ADO~S$ AND I.D. BIUM~R. I~ NO I.D. OCCUPATION AND Eli4~OYEII (1[ I~LF- " ' ' ' <br /> I41AII! II H~ lIEN ASSWddEO llffIEII TN~ TI~ASU~II S NAME ~ AD(14~SS) EMPLOYED. EN~I~ BU~IIIESS NAME ) DAI( DATE/ AMOUeAT CIAI4AATI~ A k4oLq~ CUMULATIVE <br /> <br /> . , leTEIIEST llATE 0~ LOAN TO DATE GUAI~AIITEED TO DATE <br /> <br /> ~ , DU~ DATE CA~IIMII YEAA CALEI4DAI~ VlAll <br /> <br /> ~ Lender I~i Guir,ntor' (~) ~ t <br /> ' <br /> DiJ~ DA11 CALENDAR YEAA CALINDAA Yf. AIq <br /> <br /> IITEM~T PATE C~ <br /> OTHE, omi. -f) <br /> <br /> i I'1 Lendm !'1 Guirlnt(x* v t <br /> DU~ DA, CAi~NDM y~A~ CAL,,,DA~ v~ <br /> <br /> INTEIL~ST DATE <br /> OTl~ll OTH~.' <br /> .... v s ~ .l~ <br /> <br /> 'See important instruc(/om on ~everse. SUBTOTAL S .~ <br /> <br />Loans Received - Part I Summlry <br />I. Loans of $100 or more received this period. (include ali Loins Received - Part I (a) subtotals.) .......... S ~-/ ~ ~ <br />a. Loins under $100 received this period. (Do not itemize.) ........................................... $ <br />3. Total loins received this period. (Add Lines 1 end 2.) ....................................... TOTAL S..~/ ~ ~ <br /> / <br />Loans Received - Part II Summary <br />4. Loins of $100 or more repaid, forgiven, or peid 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. Loins under Sl00 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 ............................ S <br />&. Total loans repaid, forgiven, or paid by a third party this period. / -~ /~ ~ ~ ~ ' <br />(Add Lines 4 · 5.) ....................................................................... TOTAL $ ~ ~ ~ I <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 S <br /> <br /> <br />