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SCHEDULE B -- Part I <br />Schedule B -- Part I Type orPflnt in Ink. Statement covero period <br />Loans Received Amounts may be rounded <br /> ,o.,,.o,. do,,.., fo. / - / - <br /> <br />SEE INSTRUCTIONS ON REVERSE through / - -~ ~/) * c? ~. Page 7 of ,-~'~ / <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE: ID. NUMBER <br /> <br /> LENDER OR GUARANTOR'S FULL NAME AND ADDRESS LENDER I GUARANTOR'S .ENDER iNFORMATION GUARANTOR iNFORMATION <br /> DATE (Il: COMIdlI-IEE. ENTER lULL NAME, ADORES~ AN~ I.D. NUMBER IF NO ID. OCCUPATION AND EMPI.OYER (IF S~LE- DUE DATE/ I AMOUNT CUMULATIVE AMOUNT CUMULATIVE <br /> RECEIVED NUMBER HAS BEEN ASaGNED. ENEER TREASURER'S NAIvI~ & ADORE,SS) -EMPLOYED 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 /> [] Lender [] Guarantor* ~ <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> <br /> INTEREST RATE OTHER OTHER <br /> [] Lefldar [] Guarantor* <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> <br /> INTEREST RATE OTHER OTHER <br /> <br /> [] Lende~ [] Guarantor* <br /> (a) :i:i:.:~i:i:i:~:~!:i:i:!:!:i:.::.::~:i:i:!:i:~:i:i~ (b) Enter (b) on <br /> * See imporlam ~'L~tr.ction.~ Off reverse. SUBTOTAL $ ' .~ ~ i.~:~:i:~:i:~.::~:i:~:i~:~.~:::~:!:i:~: $ S~a~ P~. <br /> :,:.:.:,:,:.:.:.:.:.:.:.:+:;:.:.;;?:.:.~;.;.;. <br /> <br />Loans Received ~ Pa~ I <br />1. ~ns o~ $1~ ~ m~ ~iv~ ~is ~d~. (l~ludc all L~ns R~ivcd -- P~ I (a) submmb.) ....................... $ <br /> <br />2. ~ns undcr $~ r~iv~ ~is ~. (~ not i[cm~c.) ...................................................................................... <br />3. To~ l~s r~civ~ ~ ~d~. (Add Lmcs l ~d 2.) .......................................................................... TOTAL <br />Loans Receiv~ ~ Pa~ II Su~q <br />4. ~ns of $ I~ or mom rc~d, forgiven, or ~id by a ~i~ p~y ~is ~d~. (Include <br />P~ 1I (c) subtomb, ff forgiven or ~id by a ~d ~y, ~1~o itemize thc ~an~don <br />5. ~ns un~r $1~ rc~id, forgiven, or ~id by a ~d ~y. (~ not i~mi~.) ff ~orgivcn or ~d <br />by a ~ird ~y, i~ludc ~is amount ~ Schcd~c A Summa, Linc 2 ................................................................. $ <br />6. To~ Io~s rcp~d, forgiven, or ~d by a ~ird p~y this ~ri~. <br />(Add Lines 4 + ~.) .................................................................................................................................. TOTAL <br />7. Net change this ~ri~. (Sub,ac[ Linc 6 [rom Li~ 3.) <br /> Enter ~c nci here and on thc Summary Page, Column A, Line 2 ......................................................... :.... NET $ ~ ~) ~ ~ ~y ~ a ~ga~ numar. <br /> <br /> <br />