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<br />Schedule B - Part 1 <br />Loans Received <br /> <br />SEE INSTRUCTIONS ON REVERSE <br />NAME OF FILER <br /> <br /> <br />DATE FULL NAME, MAILING ADDRESS AND ZIP CODE I CONTRIBUTOR <br />RECEIVED OF LENDER OR GUARANTOR CODE' <br /> I" COMMlmE, "'so mER 10 NUMBERI <br />4/4 I '5¥~ ~~ <br /> C; IND <br /> áAr--9 ~ &\ '740ìD OCOM <br /> OaTH <br /> Lend., 0 Gua,an!o, <br /> OIND <br /> OCOM <br /> OaTH <br /> 0 Lende, 0 Gua,an!m ~ <br /> <br /> OIND <br /> OCOM <br /> OaTH <br /> 0 Lende, 0 Gua,"n!o' <br /> <br />Type or print in ink. <br />Amounts may be rounded <br />to whole dollars. <br /> <br />IF AN INDIVIDUAL, ENTER <br />OCCUPATION AND EMPLOYER <br />I" SELF-EMeLOYEO, E"ER <br />NAME OF BUSINESS) <br /> <br />JE;LF l:3-AR.v./1 <br />~ <br /> <br />Statement covers period <br /> <br />from I/dn) <br />thrOUghkl~ )1':» <br /> <br />LENDER INFORMATION <br />OUE OATEI l AM!;!,NT I" CUMULATIVE <br />INTEREST RATE OF LOAN TO OATE <br /> <br />OUE OATE CALENDAR YEAR <br /> 1- <br />INTEREST RATE ;() so:> OTHER <br />_% ,j3~7 <br />DUE DATE CALENDAR YEAR <br /> ,- <br />INTEREST RATE OTHER <br />_% 1- <br />DUE DATE CALENDAR YEAR <br /> 1- <br />INTEREST RATE I ~ OTHER <br />_% <br /> 1- <br /> '7 <br />SUBTOTAL $ 2 '5tO <br /> <br /> <br />Schedule B - Part 1 Summary <br /> <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 <br /> <br />3, Total loans received this period. (Add Lines 1 and 2.) , "". "." <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.). <br />5, Loans under $100 repaid, forgiven, or paid by a third party. (Do not itemize.) If forgiven or <br />paid by a third party, include this amount on Scheduie A Summary, Line 2, .". <br /> <br />6, Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + <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 <br /> <br />""""." $ ~5l:O <br />"". """ $ ~ <br />. TOTAL $ 25CD <br />$ ;) <br />$ ------Ø <br />TOTAL $ ~ <br />NET $ 2500 <br /> <br />May b.a_"" ""mbe', FPPC Form 460 (8/99) <br />For Technical Assistance, 916/322.5660 <br /> <br />SCHEDULE B - PART 1 <br /> <br />CALIFORNIA 460 <br />FORM <br /> <br />page~ of11- <br /> <br />LD NUMBER <br /> <br />'=74 1494 <br /> <br />GUARANTOR INFORMATION <br /> <br />(b) <br />AMOUNT <br />GUARANTEED <br /> <br />CUMULATIVE <br />TO DATE <br /> <br />CALENDAR YEAR <br /> <br />,- <br />OTHER <br /> <br />1- <br /> <br />CALENDAR YEAR <br /> <br />1- <br />OTHER <br /> <br />,- <br /> <br />CALENDAR YEAR <br /> <br />1- <br /> <br />OTHER <br /> <br />E"" (b) O" <br />Summ,~ Page, <br />uoe17o"'y, <br /> <br />'ConlributOf Codes <br />IND - (ndividual <br />COM - Recipient Committee <br />OTH-Othe' <br />