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~ched ule B -- Part I tVp, or print in ink. 5CH EDULE B- Part I <br /> Loans Received Amounts may be rounded Statement covers period <br /> to whole dollars. <br /> from ~ <br /> <br /> SEE INSTRUCTIONS ON REVERSE ,through <br /> NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE <br /> <br /> j DATE LENDER OR GUARANTOR'S FULL NAME AND ADDRESS LENDER / GUARANTOR'S LENDER INFORMATION <br /> RECEIVED (w COMMITTEE, ENTER FULL MAME, ADDBESS AND I.D. NUMBER. If NO I.D. OCCUPATION AND EMPLOYER (If SELF- <br /> NUMBER HAS BEEN ASSIGNED, ENTER Tfl~ TBEASUI~R'S NAME AND ADOIIESS) EMPt. OYED, ENTER BUSIN~SS NAA~ ) DUE DATE/ AMOUNT CUMULATIVE AMOUNT CUMULi, TIVE <br /> b INTEREST RATE 01r LOAM TO DATE GUARANTEED TO DATE <br /> <br /> /~)~~ ~.~y ~, INTEBE~T RATE OTHER OTHER <br /> <br /> ~ Lender [~] G..,.ntor' ,, <br /> <br /> OTHER OTHEI~ <br /> <br /> DUE DATE CALEIfO~ YN CALENO~q YRAR <br /> <br /> $ <br /> INTEII~$T RATE <br /> OTHER OTHI(.P~ <br /> [] Lender Guarantor * ~ <br /> <br />'See important instl~ctions on ~evelle. SUBTOTAL $ ~) $ <br />Loans Received - Part I Summary <br />1. Loans of $100 or more received this period. (include all Loans Received - Part I (a) subtotals.) .......... S <br />;I. Loans under S100 received this period. (Do not itemize.) ........................................... $ <br />:3. Total loans received this period. (Add Lines I and 2.) ....................................... TOTAL $ <br />Loans Received - Part II Summary <br />4. Loans of S100 or more repaid, forgiven, or paid by a third party this period. (include all Part II (c) <br />subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) .............. $ <br />5. Loans under $100 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. <br />(Add Lines 4 + 5.) ....................................................................... TOTAL $ ( ) <br />7. Net change this period. (Subtract Line 6 from Line 3.) <br />Enter the net here and on the Summary Page, Column A, Line 2 ................................ NET $ ** <br /> <br /> <br />