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Type or print in ink. SCHEDULEB-PART 1 <br />Schedule B - Part I Amounts may be rounded Statement covers period <br />Loa~s Received to whole dollars. <br /> from IO- ICl - O ~ <br /> <br />SEE INSTRUCTIONS ON REVERSE <br />NAME OF FILER ..u.nUM <br /> <br /> (a) (b) (c) ~ (e) (f) i (g) <br /> FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL. ENTER ~TSTANDING ~UNT AMOUNT PAID ~S DING INTEREST ORIGINAL C~VE <br /> BALANCE AT PAID THIS ~OUNT OF CONTRI~TIONS <br /> OF LENDER ~CUPATION AND EMPLOYER BA~NCE RECEIVED THIS OR FORGIVEN CLOSE OF THIS <br /> (IF SE~-EM~OYED, ENTER BEGINNING THIS PERIOD PERIOD LOAN TODA~ <br /> (IF~I~,~SO ENmR I.D.~R) N~E~ 8USINESS) PERIO~ THIS PERIOD * <br /> <br /> s s S s <br />~D ~ COM ~ OTH ~ P~ ~ SCC DATEDUE DATE INCURRED <br /> ~ PND C~ENDAR Y~R <br /> S S ~ S S. <br /> <br />f~ IND ~ C~ ~ OTH ~ P~ ~ sec O~OU~ OAT~NCORnEO <br /> ~ PND CALENDAa <br /> <br /> t~ IND ~ COM ~ OTH ~ P~ ~ SCC DATE~E DATEI~URRED <br /> <br />Schedule B summa~ <br />1. Loans received th.is pedod ........................................ ' .......................................................... : ................. $ ~ 'Amo~ legmen o~ paid b~ <br /> (Total Column (b) plus unitemized loans less than $100.) a~er pa~ also must be <br /> <br />2. Loans paid or forgiven this period ......................................................................................................... $ <br />(Total Column (c) plus loans under $100 paid or forgiven.) - I~ required, <br />(Include loans paid by a third paAy that are also itemized on Schedule A~) <br />3. Net change this peH~. (Subtract Line 2 from Line 1.) ............................................................... .~ $-- ~ ~ <br />Enter the net here and on the Sum~ Page, Column A, Line 2. <br /> <br /> Contfi~ <br /> C~s <br /> ] FPPC Form 460 (June~l) <br />~,. IND - {~ COM - R~ip{ent C~i~ee {other than P~ ~ SCC) OTH ~ Ot~r PTY - P~itic~ Pa~ SCC - Smell ~ntfibut~ Co~eel FPPC Toll-Free Nelpllne: 866/ASK-FPP~ <br /> <br /> <br />