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Type or print in ink. SCHEDULEB-PART1 <br /> Schedule B—Part 1 Amounts may be rounded Statement covers period <br /> Loans Received to whole dollars. � � p i3 �� � � � <br /> from <br /> SEE INSTRUCTIONS ON REVERSE through �°' � Z '-"'�� Page � of `� <br /> NAME OF FILER ���� � �� �`l ��1,; /`� ��( �� �� li��E� ( �� <br /> ��� <br /> IF AN IND�VIDUAL, ENTER a (b) ��� �d� �e) (f► �g) <br /> FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE <br /> OCCUPATIONANDEMPLOYER BALANCE BALANCEAT <br /> OF LENDER (IFSELF-EMPIOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CIOSE OF THIS PA�D THIS AMOUNTOF CONTRIBUTIONS <br /> (IFCOMMiTfEE,ALSOENTERI.D.NUMBER) NqMEOFBUSINESS) pERI D PERIOD THISPERIOD" PERIOD PERIOD LOAN TODATE <br /> �PAID CALENDARYEAR <br /> a a � a s <br /> �FORGIVEN RATE PERELECTION"' <br /> 5 S 5 E S <br /> t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATEINCURRED <br /> - �PAID CALENDARYEAR <br /> a a % a a <br /> �FORGIVEN RA7E PER ELECTION** <br /> a a a a a <br /> t� IND � COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED <br /> �PAID CALENDARYEAR <br /> b 5 % g S <br /> �FORGIVEN RArE pERELECTION** <br /> IND a $ $ DATE DUE a DATE INCURRED a <br /> t❑ ❑ conn ❑ orH ❑ Prv ❑ scc <br /> SUBTOTALS $ � a $ '`� ���� �`' <br /> Schedule B Summary (Enter(e)on <br /> Schedule E,Line 3) <br /> 1. Loans received this period....................................................................................................................$ � <br /> (Total Column(b)plus unitemized loans of less than$100.) Q tContributor Codes <br /> IND-Individual <br /> 2. Loans paid orforgiven this period .........................................................................................................$ COM—RecipientCommittee <br /> (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) <br /> (Include loans paid by a third party that are also itemized on Schedule A.) � OTH—Other(e.g.,business entity) <br /> PTY—Political Party <br /> 3. Net change this period. (Subtract Line 2 from Line 1.)................ sCC-sman ContributorCommittee <br /> ............................................... NET $ <br /> Enter the net here and on the Summary Page,Column A� LICIe 2. (Maybeanegativenumber) <br /> 'Amounts forgiven or paid by another party also must be reported on Schedule A. <br /> *`If required. FPPC Form 460(Januaryl05) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) <br />