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Type or print in ink. SCHEDULE B-PART <br />Schedule B- Part I Amounts may be rounded Statement covere period <br />Loans Received to whole dollars, from <br />SEE INSTRUCTIONS ON REVERSE thr°ugh/' '~ ~ O <br />N~E OF FtLER LD. NUMBER <br /> <br /> (bi (c) d) (e) (g) <br /> ~TST~D NG INTEREST ORIGINAL CUUU~ <br /> FULL NAME, STREET ADDRESS AND ZIP CODE IF A~ INDIVIDUAL ENTER OUTSTAnDInG ~UNT AMOUNT PAID BA~CE AT <br /> O~ LE~DER ~CUPATION AMD E~PLOYER BA~CE RECEIVED THI~ OR FOR~I~E~ PAIO THIS A~OU~T OF CO~TRIBUTIO~ <br /> (IF C~EE, ~ E~ER ID. NU~ER) ~E ~ aUS~N~SS) PERIOD THIS PERIOD * PE RIOO LOAN TO DATE <br /> <br /> s $ --% s s <br /> <br /> s s $ <br />~ I~D ~ COM ~ OTH ~ P~ ~ SCC OATE~E DA~I~URR~D <br /> <br />~ IND ~ COM ~H ~ P~ ~ SCC DATE~E OA~I~URRED <br /> s s % s-- s <br /> <br /> s s s s s <br />t~ IND ~ COM DOTH ~ P~ ~ SCC DATED~ DA~INCURREO <br /> <br /> SUBTOTALS $ ~O~ $ $ <br />Schedule B Summa~ <br /> <br />1. Loans re~ived this period .................................................................................................................... $ *~ounts lo.ivan or paid by~ <br />(Total Column (b) plus unitemized loans less than $100.) another pa~y al~ must be <br /> re~ ~ S~edule A. <br />2. Loans paid or forgiven this peH~ .........................................................................................................$ <br />(Total Column (c) plus loans under $100 paid or forg~en.) <br />(Include loans paid by a third pa~ that are also itemized on Schedule A.) <br /> <br />3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... N~ $ <br /> Enter the net here and on the Summa~ Page, Column A, Line 2. ~"'~ <br /> <br /> t / FPPC Fo~ 460 (Junel01) <br /> ~ntfl~ <br /> IND - I~Mdual CO~ - Re~pient C~miltee {other then P~ or SCC) OTH - Other P~ - P~iti~l Pa~ SCC - SmaX C~t~tor Committee~ ~PPC Toll-~ H~lpllnm: 8661A~K~PPC <br /> <br /> <br />