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<br />Sch~dule B - Part I <br />loans Received <br /> <br />Type or print In Ink. <br />Amounts may be rounded <br />to whole dollars. <br /> <br />Statement (overs period <br />from -ili1 q7 <br />through -~J?JCJ 97 <br /> <br />SEE INSTRUCTIONS ON REVERSE <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE <br /> <br />DATE <br /> RECEIVED <br /> <br />LENDER OR GUARANTOR'S FULL NAME AND ADDRESS <br /> <br />elf COMMmEE. ENTEII fUll NAME. ADDRESS AND 1.0, HUMIEII, If NO 1.0 <br />_.11 HAS lEEN ASSIGNED. ENTEII THE TREASURER'S NAME IUID ADOIIESSI <br /> <br />LENDER INFORMATION <br /> <br />LENDER I GUARANTOR'S <br />OCCUPATION "NO EMPlOYER elf SElf. <br />EMPlOYED. ENTEII IUSINESS NAME I <br /> <br />AMOUNT <br />OfLOAH <br /> <br />CUMUlATIVE <br />TO DATE <br /> <br />CAlENDAII YEAR <br /> <br />DUE DATE! <br />INTEREST RATE <br /> <br />DUE DATE <br /> <br />,,' \~/97 <br /> <br />D\~~e: ~ <br />9 <br />1<EÞ~ ßrr/ (JA. ~ <br /> <br />v,c-s MJ\:-IoR <br />~\"í'/ OF R~ <br />c,rty <br /> <br />, 5.0Cú <br /> <br />Ñk <br /> <br />INTEREST RATE <br /> <br />OTHEII <br /> <br />N~ <br /> <br />,. <br /> <br />15.0c0 <br /> <br />,6'12.4 <br /> <br />g¡ Lender <br /> <br />1J Guarantor- <br /> <br />DUE DATE <br /> <br />"'LENDAII YEAR <br /> <br />INTEREST RATE <br /> <br />OTHEII <br /> <br />0 lender <br /> <br />0 Guarantor- <br /> <br />,. <br /> <br />, <br /> <br />OUE DATE <br /> <br />CAlENDAII YEAII <br /> <br />, <br /> <br />INTEREST RATE <br /> <br />OTHEII <br /> <br />0 lender <br /> <br />0 Guarantor- <br /> <br />,. <br /> <br />SCHEDULE B - Part I <br /> <br /> <br />Page ~ <br /> <br />I.D. NUMBER <br /> <br />of 4- <br /> <br />AMOUNT <br />GUARANTEED <br /> <br />GUARANTOR INFORMATION <br /> <br />CUMULATIVE <br />TO DATE <br /> <br />CALENDAII YEAR <br /> <br />S 5 J ÐCt::J <br /> <br />OTHER <br /> <br />, ~tl-2..4.. <br /> <br />CALENDAII YEAII <br /> <br />, <br /> <br />OTHER <br /> <br />:. , <br /> <br />CALENDAII YEAR <br /> <br />s ~ <br /> <br />OTl~'" <br /> <br />, <br /> <br />-See important instructions on reverse. <br /> <br />SUBTOTAL S <br /> <br /> <br />En.. '" on <br />SU-rr 'eve. <br />1M '1 onIr <br /> <br />Loans Received - Part I Summary <br /> <br />,. LoansofS100ormorereceivedthisperiod. (Include all loans Received -Partl(a)subtotals.) .......... S 5~ <br /> <br />~.loansunderS100receivedthisperiod. (Do not itemize.) ........................................... S----p <br /> <br />3. Totalloan5 received this period. (Add lines 1 and 2.) ....................................... TOTAL S 5f::)C>O <br />--=t <br />Loans Received - Part II Summary <br /> <br />4. Loans of S 100 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.) ...,.......... S <br />5. loans under $100 repaid, forgiven, or paid by a thi ize.) 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 /> <br />(Add lines 4 + 5.) ....................................................................... TOTAL S <br />1. Net change this period. (Subtract line 6 from line 3.) <br />~nt.., thiP niPt hiP,.. "nli nn th.. Còllmmarv Pane Column A, Line 2 <br /> <br />ø.. <br />ø- <br />ø <br /> <br />) <br /> <br />NET S <br /> <br />5~O <br />"1 <br /> <br />.......,..................., . <br />