Laserfiche WebLink
SCHEDULE B - Par~ I <br /> <br /> Type m IXint in ink. Statement covers period <br /> ~iched ute B -- Part I A.o~t,..y b.,o~,d <br /> Loans Received te,hd, dd,,,.' ------- <br /> <br /> I.D. NUMBER <br /> SEE INSTRUCTIONS ON REVERSE <br /> i AND CONTROLLED COMMITTEE <br /> NAME OF OFFt <br /> LENDER INFORMATION <br /> LENDER I GUARANTOR'S <br /> LE NDE R OR G ~ FULL NAME ~ ADDRESS occueaTm# Am) <br /> <br /> ~ RECEIVED mfS)aTE <br /> <br />i iMISlIESI BATE OTfltP. Olfl~ <br /> <br /> Lender [] Guorontmt <br /> SUBTOTAL <br /> <br /> Loans Receiv~ - Pl~ I Su~ <br /> I. L~ns of $1~ m mine receiv~ ~is ~ (include all L~ns R~eiv~ - Pa~ I (a) ~btoMIs.) .......... <br /> 3. L~ns u~er S1~ r~eiv~ . (~ ~t itemize.) <br /> <br /> Loans Received ~fl ll~~ ___:. -., a third ~fly mis ~ri~. (include all Pm Ii (c) <br /> 4. Loans of $1~ ~e ~ . - · itemize ~ tran~ctiofl on Sch~ule A.) . % ........... <br /> ~btotils. I ................ <br /> 5. Loansu~l~re~,~givefl,°t ~ ~.l~ird~Y- (~ no itemize.) Ifforgiveflm <br /> i~lude this <br /> paid b~/~ird ~fly, amount on ~ule A Summa~, Li~ 2 ............ <br /> 6. Total loans re,id, forgiven, m paid by a third ~y this ~ri~. TOTAL <br /> (Add Li~s 4 · S.) ................................ <br /> :' ',' ',~' '~:.L'.;',':~ ~ ~,~m Line 3.) <br /> <br /> <br />