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SCHEDULE B -- LOANS RECEIVED (PAR~ 1) <br /> FORM 490 J STATEMENT [OVERS PER'O0 <br /> (Amounts May Be Rounded TO Whole Dollars) //7~;;~/ TH. ROUGH~ <br /> <br />NAME OF~NDIOATE OR OFFICEHOLDER AND CONTROLLED COMMI~EE: I.D. NUMBER <br /> <br /> ~A~TI: LOAN5 EE~EIVED <br /> <br /> DATE ~ULL NA~ AND ADORE55 OF L~NDER O~UPATION INT. DUE AMOUNT ~UMU- <br /> EE~'D. (~ ¢OMM~n[L ~N AOO,~ON ~O ¢OMM~[['~ N~M[ ANO AOO~[S~. EMPLOYER OF LOAN ~TIVE <br /> <br /> ENTER THE TREASURER'S NAME AND ADDRESS) NAME OF BUSINESS) <br /> Occupation: ~LENDAR YEAR <br /> <br />  Employer: FIS~L YEaR <br /> Occupation: ~LENDAR YEAR <br /> Employer: FIS~L YEAR <br /> <br /> SUBTOTAL $ <br /> <br /> FU~ NAME AND ADDRESS OF GUA~NTOR OCCUPATION AMOUNT <br /> GUARANTEED <br /> <br /> (IF COM~EE. IN A~ITI~ TO COMM~EE'S ~ME A~ A~RESS. EMPLOYER THIS CUMU- <br /> EN~R t.O. NUMAR ~. ~F ~ I.D. NUM~ HAS B~EN ASgGNED. (IF ~LF~OYED. ENTER PERIOD <br /> E~R ~ T~SU~R'S ~ME A~ A~SS} ~ME ~ BUMNESS) TO DATE <br /> ~ ~ OccuHllOn: ~LENDAR YEAR <br /> <br /> : Employer: FIS~L YEAR <br /> : <br /> <br /> ..~ ~ ~ Occu~ion; ~LENDAR Y EAR <br /> Emp~yer: FIS~L YEAR <br /> SUBTOTAL (bi <br /> <br /> SUeeARY <br /> 1. LOAHS OF $100 OR MORE RECEIVED THIS PERIOD (include ail Pa~ 1 (a) subto~ls) ... <br /> <br /> 2. LOANS UNDER $100 RECEIVED THIS PERIOD (Not itemized) ........................ <br /> <br /> 3. TOTAL LOANS RECEIVED THIS PERIOD (Line 1 + 2) ................................ <br /> <br /> 4. LOANS OF $100 OR MORE REPAID, FORGIVEN, OR PAID BY A THIRD PARTY THIS <br /> PERIOD (Include all Part 2, Column (c) subtotals) (If forgiven or paid by a third party, <br /> also itemize on Schedule A) ..................................................... <br /> <br /> 5. LOANS UNDER $100 REPAID, FORGIVEN OR PAID BY A THIRD PARTY <br /> (not previously itemized) (If forgiven or paid by a third party, also enter <br /> amount on Line 2 of the summary section of Schedule A) .......................... <br /> <br /> 6. TOTAL LOANS REPAID, FORGIVEN OR PAID BY A THIRD PARTY THIS PERIOD <br /> (Line 4 + 5) .......................... , ......................................... <br /> <br /> 7. NET CHANGE THIS PERIOD (Subtract Line 6 from Line 3) <br /> Enter the difference here and on Line 2, Column B of Summary Page ............... <br /> <br /> (May I~e neg- <br /> ative .gure~ <br /> <br /> <br />