Laserfiche WebLink
Schedule B - Part 1 Type or print in ink. SCHEDULE B- PART 1 <br /> Amounts may be rounded Statement covers period <br />Loans Received tO whole dollars, from <br /> <br />SEE INSTRUCTIONS ON REVERSE through /,~. - <br />NAME OF FILER I.D. NUMBER <br /> <br /> IF AN INDIVIDUAL, ENTER LENDER INFORMATION GUARANTOR INFORMATION <br /> DATE FULL NAME, MAILING ADDRESS AND ZIP CODE CONTRIBUTOR OCCUPATION AND EMPLOYER (a) (b) <br /> RECEIVED OF LENDER OR GUARANTOR CODE w (IF SELF-EMPLOYED, ENTER DUE DATE/ AMOUNT CUMULATIVE AMOUNT CUMULATIVE <br /> (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) INTEREST RATE OF LOAN TO DATE GUARANTEED TO DATE <br /> <br />  DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> <br /> [] COM INTEREST RATE <br /> [] OTH OTHER OTHER <br /> <br /> G u aranto r'"""-,~ -- % $ <br /> Lender <br /> ~ DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> ~ [] INn <br /> '-..~[] COM / ; INTEREST RATE <br /> ~ OTH /~//,~ OTHER OTHER <br /> [] Lender [] Guarantor -- % $ $ <br /> ~.. '~. DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> <br /> $ $ <br /> [] COB '"-~. INTEREST RATE <br /> OTHER OTHER <br /> <br /> [] Lender [] Guarantor i ~',,, <br /> Enter (b) on <br /> "~' SUBTOTAL $ $ <br /> -~.,~...~. Summary Page, <br /> Line 17 only. <br /> <br />Schedule B - Part 1 Summary <br />1. Loans of $100 or more received this period. (Include all Loans Received - Part 1 (a) subtotals.) ...-~ .......... $ <br /> <br />2. Amount received this period - unitemized loans of less than $100 ........................................................ ..'h.,~_. ..... $ <br /> <br />3. Total loans received this period. (Add Lines 1 and 2.) ....................................................................... TOTAL'~'$ ""- <br />Schedule B - Part 2 Summary <br />4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part 2 (c) <br />subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) ............................. $ --t~)'~' /)~) *Contributor Codes <br />5. Loans under $100 repaid, forgiven, or paid by a third party. (Do not itemize.) If forgiven or ~ INn-Individual <br />paid by a third party, include this amount on Schedule A Summary, Line 2 ...................................................... $ -I._ COM-Recipient Committee <br /> <br />6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5.) ........................... TOTAL $ <br /> OTH <br /> Other <br /> <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 /> May be a negative number. FPPC Form 460 (8/99) <br /> For Technical Assistance: 916/322-5660 <br /> <br /> <br />