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Type or print in ink. SCHEDULEB-PARTi <br /> ct�edule B— Part 1 Amounts may be rounded Statement covers perlod � . <br /> �ns Received to whole dollars. o _ � • � <br /> ��om i i-os' . • <br /> �;tluSTRUCTIONS ON REVERSE through �� '�8� �g Page of� <br /> �EOF FILER I.D. NUMBER <br /> (� �)� .� ' / 30 � 63� <br /> Cfrl�.$ � �"Qo7EC'T ^���0� u4s �cA.L �rIaA) MMTf'!tc <br /> � IF AN INDIVIDUAL, ENTER a �b) �c� I (a� 19 <br /> .�?ULL NAME.STREET ADDRESS AND ZIP CODE OUTSTANDING pMOUNT qMOUNTPAiD OUTSTANDING WTEREST ORIGINAL CUMULATIVE <br /> OCCUPAiIONAND EMPLOYER BqLqNCE BALANCEAT <br /> OF LENDER BEGINNING THIS RECEIVED 7HI5 OR FORGIVEN CLOSE OF THIS PA�D THIS AMOUNTOF CONTRIBUTIONS <br /> pccoMMinEE,ni.soEVrEn�.o.NUrneEel I�FSEIF�EMPLOYEO,EUiER pERIOD PERIOD LOAN 70DATE <br /> rumeorauSwESSi THISPERIOD� I <br /> �PA10 CALENOAR VEAR <br /> S 4 —_V. 3 4 <br /> �FORGNEI: ReiE PER ELECTION" <br /> 3 S 5 f f <br /> �,�:WO ❑ COM ❑ OTH ❑ PN ❑ SCC DATE OUE DATE INCURRE� <br /> �pq�D CFLLENDNRYEAR <br /> 1 S �� � 9 <br /> �FORGNEN RATE PER ELECTION" <br /> 3 S 5 S 5 <br /> }?ID ❑ COM Q OTH ❑ PTV ❑ SCC OATEDUE OATEINCURRED <br /> �PAID CA�ENDAR VEAR <br /> 3 5 _M 4 3 <br /> �FOftGNEN RaiE PER EIECTIDN" <br /> 3 3 S E 5 <br /> �,9iD ❑ COM ❑ OTM ❑ PTY ❑ SCC DAiE WE OATE INCURREO <br /> SUBTOTALS E 5 8 E <br /> teme,(a)on <br /> c�edule B Summary s�"`"'"E""°" <br /> �.nans received this period..............._.,..........................,.................................._.................................. $ � <br /> �Total Column(b) plus unitemized loans of less than 5100.) � iContributor Codes <br /> IND-Intlividual <br /> 4nans paid or forgiven this period ......................................................................................................... 5 COM-RecipientCommittee <br /> �iotal Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) <br /> �clude loans paid by a third party that are also itemized on Schedule A.) orH -o�ner�e.g., tusiness ennry� <br /> /{^ PTY-POliticalParty <br /> �� � SCC-SmallContributorCommitlee <br /> SYet change this period. (Subtract Line 2 from Line 1.)............................................................... NET $ ��� <br /> �nter the net here and on the Summary Page,Column A, Line 2. ;M'Y"a�'9'W"w�"9 <br /> a�unts forgiven or pald by another party also must be reponed on Schedule A. ' <br /> FPPC Form 460(Januaryl05) <br /> —SEsequired. FPPC ToILFree Helpline:866IASK-FPPC(86fi!]75-7772� <br />