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Schedule B -- Part I Type OT I~in~ inink. SCHEDULE Bo Part <br />Amounts rely be rounded Stetement covers period <br />Loans Received towho~ do,b.. <br />from .~~ <br />SEEINSTRUCTIONSONREVERSE through ~g)/ ~)_/d~P Pi~e '~ c~~ ~ <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE LD. NUMBER <br />LENDER OR GUARANTOR'S FULL I~KME AND ADDRESS LENDER I GUARANTOR'S LENDER INFORMATION GUARANTOR INFORMATION <br />DATE <br /> RECEIVE D M CO~dlTTEE, ENTER fULL NAME, ADOII~SS AIM) I.D. NUMBER. W NO I.D. OCCUPATION AND EMPLOYER ~1~ SELF- <br /> MR HAS BEEN ASS4GI~D, ENTER THE TIMAS4J~R~S NAME AND ADOBESS) EMPLOYED, ENTER BUSMSS NAME ) DUE DATE/ AMOUNT CUMULATIVE AMOUNT CUMULATIVE <br /> I~JTEBEST RATE Of LOAN TO DATE GUARANTEED TO DATE <br /> DUE DATE CALENDAR YEAR CALENO~R YEA~ <br /> $ s <br /> NJTEBEST RATE <br /> OTHER OTHER <br /> [] Lender O Gulrentore ' '~ $ $ <br /> DU~ DATE CALENDAR YEAR ,.CALENOAR YEAI <br /> s $ <br /> INTEREST RATE <br /> ' OTHER OTHEA <br /> I-~ Lender g Guerintor' ~* $ <br /> $ <br /> INTEREST RATE <br /> OTHER OTHER <br /> [] Lender ~ GuerlntOT* ,I* $ <br /> <br />'See impo~an! instructions on teveM. SUBTOTAL $ (~ $ ~ <br /> Line <br />Loans Received - Part I Summary <br />1. Loans o! $100 or more receiv~l this ~riod. (Include all Loans R~:eiv~l - Part ! (a) subtotals.) .......... S <br />2. roans under $100 rKeiv~d this I~riod. {Do not itemize.} ........................................... <br />3. lot~l loans rKeiv~l this ~riod. {Add Lin~ 1 and :~.} ....................................... TOTAl. $ <br />Loans Received - Part II Summary <br />4. Loans o! $100 or more repaid, forgiven, or paid by a third p, rt¥ this I~riod. {In¢lud~ all P~rt II <br />subtotals. If forgiven or paid by a third party, atso itemize th~ transaction on Schedule A.} .............. <br />$. roans under $100 r~paid, for~iYen, or paid by a third party. {Do no itemize.} If forgiven or <br />paid by a third party, in¢lud~ thi~ amount on Schedule A Summa~0 Lin~ ~ ............................ <br />$. lotal Ioan~ repaid, for~i¥~n0 or paid by, third party thi~ ~riod. <br />{Add Lines 4 · $.} ....................................................................... lOllL $ <br />?. N~t chan~e this ~riod. {Subtract Line $ from t. in~ 3.} ~ET $ <br /> <br /> <br />