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Schedule B -- Part I Type m i~intinln~. SCHEDULE B- Patti <br />Amounts mey be roundKI Statement covers period <br />Loans Received towho~ ~,~,~ <br />SEE INSTRUCTIONS ON REVERSE through Page Of <br />NAIdE OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br />--AT' LENDER OR GUARANTOR'S FULL NAME AND ADDRESS LENDER/GUARANTOR'S LENDER INFORMATION I GUARANTOR INFORMATION <br />D~U~KI~/~E D Iw C~M&MI~EIE, E#TER ~ULL N~ME, AD4~ESS AND I.D. NUMI~R. ~ I(O I.D. OCCUPATIC~ AND IEM~LOYER (1~ S~L~. · <br />I'1 Lender I'1 Guaremof* ~ $ ~ $-- <br />· Seeimoorlentinstzuctionsonreverse. SUBTOTAL $ <br />Loans Received - Pert I Summary <br />1. Loans of S 100 o~ more received this period. (Include all Loans Received - Part I (a) subtotals.) .......... <br />2. Loans under S100 received this period. (Do not itemize.) ........................................... S <br />3. Totll loans received this period. (Add Lines 1 end 2.) ....................................... TOTAL S <br />Loans Received - Part II Summary <br />4. Loans of S100 or more repaid, forgiven, or paid by & third party this period. (include all Part Il (c) <br />subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) .............. <br />5. Loans under Sl00 repaid, forgiven, or paid by a third party. (Do no itemize.) If forgiven or <br />paid by a third party, include this amount on Schedule A Summary, Line 2 ............................ $ <br />6. Total loans repaid, forgiven, or paid by a third party this period. TOTAL S <br />(Add Lines 4 + 5.) ....................................................................... <br />7. Net change this period. (Subtract Line 6 from Line <br />Knt~,rth~fleth~,r~ar..Innth4~C~lJmmarvPaoe. C'nh~m~A llne? ............................... NET $ <br /> <br /> <br />