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Type or print in ink. SCHEDULEB-PART1 <br /> �cleedule B- Part 1 Amounts may be rounded Statement covers period <br /> to whole dollars. � • � � ' <br /> oans Received r,om 9 - 1 • o s • • <br /> tnrou n �" 30 ' °B Pa e ot_� <br /> $�.STRUCTIONS ON REVERSE g B -/-Q— <br /> �R7EOF FILER I.D NUMBER <br /> �ni2rNs T l'/ 20T GT �£04J0601.iT �oL�-r �Cp� c7�b/J o M / £�. /�6 / l03 <br /> � IF AN INDIVIDUAL, ENTER OUTSTANDING tl' INTEREST ORIGINAL CUMULATIVE <br /> b?94L NAME,STREET ADORESS AND ZIP CO�E AMOUNT qMOUNTPAID �UTSTANDING <br /> OCCUPATIONANO EMPLOYER BALqNCE BALANCEAT <br /> OF LENOER �r.ss���na.oveo.eN*ER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PA�D TNIS AMOUNTOF CONTRIBUTIONS <br /> pFCOrnMirtee.<tso�i+*eai.onumeee� nnrnEOCSUSiNess7 � PERIOD THISPERIOD' PER100 LOAN TODATE <br /> �'j PAID CALENOAR VEAR <br /> � <br /> S 5 _% S 3 <br /> �FORGNEN A��E PER ELECTION" <br /> 9 5 5 S S <br /> �� 7iD ❑ COM ❑ OTH � PTY ❑ SCC OATEOUE OATEINCURftEO <br /> [,l PAIO CALENOFR VEAR <br /> � 5 5 _—% 5 � <br /> V FORGNEN p��E PERElFC7ION^ <br /> 4 S S 5 S <br /> � 0fD ❑ COM ❑ OTH ❑ PN ❑ SCC oATEOUE OA7EIUCURRED <br /> �PAIO CFLENOAR VEAR <br /> S 5 _Y� f 1 <br /> �FORGNEN RArE PER ELECTt04" <br /> 5 � S 5 5 5 <br /> � WD ❑ COM ❑ OTH ❑ PN ❑ SCC DAiEDUE OATEINCORREO <br /> SUBTOTALS S S S S <br /> Iemarte7en <br /> ehedule B Summary 5<MdABE.Lire3� <br /> t�ans received this period.................................................................................................................... 3 � <br /> �Tiatal Column{b)plus unitemized loans of less than 51 D0.) iCon[riDutor CodeS <br /> IND-intlividual <br /> �ans paid or forgiven this period ......................................................................................................... S COM-RedPientCommittee <br /> �Aatal Column(c)plus loans under$100 paid or forgiven.) tomer man arv or scc� <br /> YSnclude loans paid by a third party that are also itemized on Schedule A.) OTH -Other(e.g., business entity) <br /> � PTY-POliticalPeRy <br /> Plet chan e this eriod. Subtract line 2 from Line 1. NET $ SCC-SmallContribulorCommittee <br /> 9 P ( )......................._.....,.... <br /> Emter the net here and on the Summary Page,Column A, Line 2. ;""��`a�'9'�"•�"�"9 <br /> i'iasmunts forgiven or paid by another party also must be reported on Schadula A. <br /> —@?equiretl. FPPC Form 460(Januaryl05) <br /> FPPC Toll-Free Helpline:8661ASK-FPPC(8661275-]772) <br />