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SCHEDULE B -- Part I <br />Schedule B- Part I Type orPrintinlnk. Statementcoversp®riod ~ <br /> Amounts may be rounded <br />Loans Received to who,. do,,..., h~m ~ l ' ~ 1 <br /> <br />SEE INSTRUCTIONS ON REVERSE through l ~" ~1 t'~' ~ ~ <br />NAME ~i~ OFFICEHOLDER Off CANDIDATE AND CONTROLLED COMMITTEE:/~O~?~ ~', '~) 0 ~'y lID' NUM?~) 7 <br /> A SS LENDER / GUARANTOR'S LENDER INFORMATION GUARANTOR INFORMATION <br /> LENDER Off GUARANTOR'S FULL NAME AND DDRE <br /> DATE (IF COMMID'EE. ENTER FULL NAME, ADDRESS AND ID. NUMIN~R IF NO ID. OCCUPAIlON AND EMPLOYER (IF S~LF- DUE DATE/ AMOUNT CUMULATIVE AMOUNT CUMULATIVE <br /> RECEIVED NUMBER HAS BEEN ASSIGNED. ENTER TREASURER'S NAME & AOORES~) -E~t_OYED ENTER BUSINESS NAME) INTEREST RATE OF LOAN TO DATE GUARANTEED TO DATE <br /> <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> <br /> INTEREST RATE OTHER OTHER <br /> <br /> [] Lender [] Guwantor* <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> <br /> iNTEREST RATE OTHER OTHER <br /> I-I Lendm [] Ouexamm* <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> <br /> iNTEREST RATE OTHER OTHER <br /> <br /> [] Lender [] Guarantor* <br />  ii!ii::!i/::iiiii!i~iiiiii~iiiiii!ii::iii!!iiiiii (b) Enter (b) on <br /> * See important instruction~ on reverse. SUBTOTAL $ ~ ~:~ ~ ~.~;.~ .:..' ~ ~ ~:~ ~ :.:~ $ <br /> <br />Loans Received -- Part I Summary <br />!. Loans of $100 or mom received this period. (Include all Loans Received -- Part I(a) subtotals.) ....................... $ <br /> <br />2. Loans under $100 received Ibis period. (Do nm itemize.) ...................................................................................... $ <br />3. Tolal loans received this period. (Add Lines 1 and 2.) .......................................................................... TOTAL $ <br />Loans Received -- Part II Sununary <br />4. Loans of $100 or more repaid, forgiven, or paid by a Ihird pan), this period. (Include all <br />Pan II (c) subtotals. If forgiven or paid by a third pan),, also itemize thc leansacfion on Schedule A.) ................ <br />5. Loans undex $100 repaid, forgiven, or paid by a third i~1¥. (Do not ilemize.) if forgiven or paid <br />by a third party, include this amount off Schedule A Summary, Line 2 ................................................................. $ <br />6. To~ loans repaid, forgiven, or paid by a third party this period. <br />(Add Lines 4 + 5.) .................................................................................................................................. TOTAL $ <br />7. Net change this period. ($ublxacl Line 6 [rom Line 3.) <br />Emer the net here and on the Summary Page, Column A, Line 2 ......................................................... i....NET $ <br /> <br /> <br />