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Schedule B—Part 1 Type or print in ink. Statement covers eriod SCHEDULEB-PART1 <br /> Amounts may be rounded P � _ <br /> Loans Received to whole dollars. ,',I� � � _ � • � <br /> from _ <br /> SEE INSTRUCTIONS ON REVERSE �hI0U9h 91�'✓�� Page� Of�_ <br /> NAMEOFP4ER I.D. NUMBER <br /> �2�,7I <br /> IF AN INDIVI�UAL, ENTER a (b� (�) (G) (e) p) (p <br /> FULI.NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING �NTEREST ORIGINAL CUMULATIVE <br /> OFLENDER OCCUPATIONANDEMPLOVER AMOUNTPAID <br /> BALANCE RECEIVEDTHIS BALANCEAT pqIDTHIS AMOUNTOF CONiRIBUTIONS <br /> �iFSe�F-En+a�oveo.eerER BEGINNINGTHIS ORFORGIVEN CLOSEOFTHIS <br /> QFCpAMITfEE.lLL50ENTERID.NIIMBER) Nr1MEOF0U51NESS� PERIOD PERIOD LOAN TODA7E <br /> PERI D THIS PERIOD' R� <br /> � �PAIO CALENDARYEAR <br /> S E �% q ��Q7 § �O�•m <br /> �� �FORGNEN R��E PERELECTION" <br /> R06E'�1'`U��E Fc'�`-�" V.P. t t�.�D s_� f� toav.m :_� s s a3 : iaa�o.�ao <br /> t� IND ❑ COM ❑ OTH ❑ P7Y ❑ $CC �ATEOUE DATEMCUftRED <br /> �PAID ' CALENDARVEAR <br /> f E % f S <br /> �FORGIVEN RATE PERELEQION� <br /> s s s s s <br /> t� IND ❑ COM ❑ OTIi ❑ PN ❑ SCC �ATEDUE DATEINCURRED . <br /> �PAID ClLLENOAR VEAR <br /> S f % f E <br /> �FORGNEN a�iE PER ELECTION" <br /> E f 5 5 S <br /> t0 IND ❑ COM ❑ OTH ❑ PN ❑ SCC DATEDUE DATEINCURREO <br /> , SUBTOTALS E S S S . <br /> (emer�elon <br /> Schedule B Summary ����E,���, <br /> 1. Loans received this period....................................................................................................................$ -_T� <br /> (Total Column(b)plus unitemized loans less than$100.) 'nmounts forgiven or paid by <br /> another party also must be <br /> ' reporied on Schedule A. <br /> 2. Loans paid or forgiven this period ......................................................................................................... $ ---�� <br /> (Total Column(c)plus loans under$100 paid or forgiven.) "u required. <br /> (Include loans paid by a third paRy that are also itemized on Schedule A.) <br /> 3. Net change this period. (Subtract Line 2 from Line 1.)............................................................... NET $ ��/ <br /> Enter the net here and on lhe Summary Page,Column A,Line 2 "�ay°eoega1veooni0a" <br /> t contributor codes <br /> IND-Individual COM-RecipienlCommitlee(otherthanPTYorSCC) OTH-Other PN-PoliticalPaAy SCC-SmallConiributorCommittee FPPC Form 460 (Junel0l) <br /> FPPC Toll-Free Helpline: B66/ASK-FPPC <br />