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Schedule B -- Part I Type or print in ink. SCHEDULE B - Part <br />Amounts may be rounded Statement covers period <br />Loans Received to whole dollars. <br />from <br />SEE INSTRUCTIONS ON REVERSE through <br />NAME OFOFFICEHOLDER (~C:A,NDIDATE AN[:~CONTROLLED COMMITTEE LD. NUMBER · <br />r~- ~- LENDER OR GUARANTOR'S FULL NAME AND ADDRESS LENDER I GUARANTOR'S LENDER INFORMATION I GUARANTOR INFORMATION <br />Ilr~'l~/~l: r~ (IF COMMITTEE, ENTER FULL NAME, ADDRESS AND I.D. NUMBER· IF NO I.D. OCCUPATION AND EMPLOYER (If SELF- · <br />......... .uM.R..,.,. A.~HED,,NT,RTHE T~..R'S.--M, AND AOO~.) ,MPLOY,D.,NT,R,U.,...,) ,NTO,U,~,C~:~;, ~'L~ C TU~ DAU~,~ J GU..~O~,%D C T~ DA~T' <br />· ~ _ /- .~ / ~ ,~ [ Z ~ . ~.~' DUE DATE CALENDAR YEAR I CALENDAR YEAR <br />. I <br />~ Lender I,I Guarantor /l: ,~ ~_.~(../~ S~ I S <br />, · DUE DATE CALENDAR YEAR J CALENDAR YEAR <br />I <br />iNTEREST RATE $ ~ I $ ' <br />', OTHER J . OTHER <br />[] Lender I~] Guarantor* ~ <br />· DUE DATE CALENDAR YEAR I : CALENDAR, yEAR <br />· INTEREST RATE S I S <br />. (~) <br />See important instructions on revere. SUBTOTAL $ <br />, LMe <br />Loans Received - Part I Summary <br />1. Loans of $100 or more received this period. (Include all Loans ~eceived - Part I (a) subtotals.) .......... $ ' <br />2. Loans under $100 received this period. (Do not i~emize.) ........................................... <br />/ <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 />S. 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 + S.) ........................................................................ TOTAL $ (· <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 he I~ ~eaetlve number <br /> <br /> <br />