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<br />Schedule B - Part I <br />Loans Received <br /> <br />Type or print in Ink. <br />Amounts may be rounded <br />to whole dollars, <br /> <br />SCHEDULE B - Part I <br /> <br />1- L-9t:r <br />L2.~h <br /> <br /> <br />from <br /> <br />Statement covers period <br /> <br />Loans Received - Part I Summary <br /> <br />1. Loans of $100 or more received this period. (Include all Loans Received -Part I (a)subtotals.) .,........ $ <br /> <br />~. Loans under $100 received this period. (Do not itemize.) ........................................... $ <br /> <br />3. Totalloans received this period. (Add lines 1 and 2.) ....................................... TOTAL $ <br /> <br />Loans Received - Part II Summary <br /> <br />4. Loans of $ 1 00 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.) ..,........... $ ø <br />5. Loans under $100 repaid, forgiven, or paid by a third party. (Do no itemize.) If forgiven or . d <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. ( t1f ) <br />(Add lines 4 + 5.) .............................................................,......... TOTAL $- - <br />7. Net change this period. (Subtract line 6 from line 3.) ßro <br />I=ntpr thp npt hpr.. and on th@ ~ummarv Paae, Column A, line 2. ............................... NET S - - <br /> <br />SEE INSTRUCTIONS ON REVERSE <br />NAME OF OFFICEHOLDER OR CANDIDA TEAND CONTROLLED COMMITTEE <br /> <br />1)1~~ ~~ <br /> <br />,I through <br /> <br />DATE <br /> RECEIVED <br /> <br />LENDER OR GUARANTOR'S FULL NAME AND ADDRESS <br /> <br />(If COMMmEE. ENTER FUll NAME. ADDRESS AND 1.0. NUMIEII. If NO 1.0. <br />NUMIER HAS IUN ASSIGNED, ENTEII THE TREASUIIIII'S NAME AND ADOIIESS) <br /> <br />LENDER INFORMATION <br /> <br />LENDER 'GUARANTOR'S <br />OCCUPATION AND EMPlOYER (If SElf. <br />EMPLOYED, ENTEII IUSINESS NAME ) <br /> <br />DUE D"TEI <br />INTEREST RATE <br /> <br />DUE DATE <br /> <br />AMOUNT <br />Of LOAN <br /> <br />7- tï.9' <br /> <br />D \I\~e ~@ <br />C <br />R~ &-rý (!,A, <br /> <br />OA- ,. <br /> <br />Y\CE. 't...lþt'lVV2..- <br /> <br />~~ <br /> <br />INTEREST RATE <br /> <br />3CD <br /> <br />m Lender <br /> <br />[J Guarantor. <br /> <br />DUE DATE <br /> <br />INTEREST RATE <br /> <br />0 Lender <br /> <br />0 Guarantor. <br /> <br />,. <br /> <br />OUEDATE <br /> <br />INTEREST RATE <br /> <br />0 Lender <br /> <br />0 Guarantor. <br /> <br />,. <br /> <br />.See important instructions on reverse, <br /> <br />(8) <br />SUBTOTAL S '&:0 <br /> <br />25£:0 <br /> <br />Page ~ <br />I.D. NUMBER <br /> <br />of <br /> <br />~ <br /> <br />GUARANTOR INFORMATION <br /> <br /> CUMULATIVE AMOUNT CUMUlATIVE <br /> TO DATE GUARANTEED TO DATE <br />CALENDAR YEAR CALENDAR YEAR <br />$ 3ff) $- <br /> OTHEII OTHER <br />$ 541..4- S <br /> <br />CALENDAR YEAII CALENDAR YEAR <br />$ s- <br /> OTHEII OTHER <br />S $ <br />CAlENDAR YEAR CMENOAA YEAR <br />$ . I IS~ <br /> OTHEII OT~R¡ <br /> o' <br /> S- <br /> I <br /> $ OI) En'" ~Oft <br /> Sum...." hge, <br /> 1M II onIr. <br /> <br /> <br />300 <br />