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SCHEDULE B - Part I <br />$ch ed u le B -- Pa rt I Type Or print in ink. F <br /> Amounts may be rounped Statement covers period <br />Loans Received towho~,~,,,. <br /> L from P~ge Of <br />SEE INSTRUCTIONS ON REVERSE I.D. NUMBER <br />)COMMITTEE <br /> <br /> =-7~ c v ~. .E..E.~ r,V. ~ mo, ,.L, .~E AND I' ' ' ' <br /> GUARANTOR~ ADDRESS LENDER / GUARANTOR'S LENDER INFORMATION GUARANTOR INFORMATION <br /> DATE <br /> OCCU,^TION ,mO ,U..OV,n M S~L~- · ' T~CI~nye I <br /> [] L&~,.~.; I'~ Guarentore <br /> DU~ DATE CALENOA~ yEAR CALENO~II YEAR <br /> : <br /> Guerentore <br /> <br /> it'1 Lender [] Guerentor~ ~ t <br /> <br /> SUBTOTAL S " <br /> · See important instructions on r, eveM. Line It mlk/. <br /> Loans Received -- PartlSummary <br /> 1. Loans of $1OO or more received this period- (Include all Loans Received - Part l (a) subtotals.) .......... $ <br /> ,..oans. or$,00roceivodtb'sper'od-( onot,tem,.., ........................................... ' <br /> 3. To.,,o.sr.eiv. th,spa, od. (^ddL'nes'and2-) ....................................... TOTAL S <br /> Loans Received - Part II Summary <br /> 4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part II (c) <br /> subtotals. If forgiv~nor paid bya third party, aL~oitemia, e the tran~¢tion o~ ~l:hed~leA.) .............. $ <br /> 5. Loans undar $100 repaid, forgiYen, or paid by a third party. (Do no itemize.} If forgivan or <br /> paid by a third party, include thi* amount on Schedule A Summary, tine ? ............................ $ <br /> 6. Total loans repaid, forgiven, or paid by a third party this period. TOTAL $ ( ~c~'~ <br /> (Add Lines/, + 5.) ....................................................................... <br /> 7. Net change this period. (Subtract Line 6 from Line 3.) NET $ <br /> ~,...1~,...~, i.~.., nnN ,~n tl~ c4 ~mmarv Paoe, Column A, Lirle 2 ................................ <br /> <br /> <br />