Laserfiche WebLink
SCHEDULE B-PART 1 <br /> Type or print in ink. <br /> Schedule B—Part 1 Amounts may be rounded Statement covers period �. <br /> Loans Received to whole dollars. 9t.�j� ' • � <br /> from � � <br /> SEE INSTRUCTIONS ON REVERSE thfOUgh ����� Page � Of �� <br /> NAME OF FILER I.D. NUMBER <br /> t 2531'I I <br /> IF AN INDNIDUAL, ENTER a (b) (c) (d Ie) (9) <br /> FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING qMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE <br /> OCCUPATIONANDEMPLOYER BALANCE AMOUNTPAID gALANCEAT <br /> OF LENDER �iFSe�F-EMP�oveo,eN�a BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS <br /> (IFCOMMITTEE,ALSOENTERI.D.NUMBER) ryq�EOFBU51NE5S) PERIOD PERIOD THIS PERIOD� PERI D PERIOD LOAN TODATE <br /> �� � �pqlD CALENDARYEAR <br /> '�/�� $ $� �% $� $� <br /> �FORGIVEN RAiE PERELECTION'"` <br /> r�/.��IG �7+ (/1��_/Yl ��/{ _�_ �� ,�- <br /> y.� $��., $-� $._�. -►-- $ $ <br /> t IND ❑ coM ❑ OTH ❑ Prv ❑ scc DAT-c���E �AT INC R EO <br /> �PAID CALENDARYEAR <br /> $ $ °�^ $ $ <br /> �FORGIVEN RAiE pERELECTIONi* <br /> $ $ $ $ $ <br /> t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATEINCURRED <br /> �PAID CALENDAR VEAR <br /> $ $ � $ $ <br /> �FORGIVEN RAiE pERELECTION;" <br /> $ $ $ $ $ <br /> t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATEINCURRED <br /> r <br /> ^-�= �� A ��"`�" <br /> SUBTOTALS $ $ $ $ e��,� ��m� � <br /> (Enter(e)on <br /> Sehedule B Summary ScheduleE,Line3) <br /> 1. Loans received this period.................................................................................................................... $ <br /> *Amounts forgiven or paid by <br /> (Total Column(b)plus unitemized loans less than$100.) another party also must be <br /> reported on Schedule A. <br /> 2. Loans paid or forgiven this period ......................................................................................................... $ <br /> (Total Colum� (c)plus loans under$100 paid orforgiven.) "If required. <br /> (Include loans paid by a third party 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 the Summary Page,Column A, Line 2. �Mar eanegativenumber� <br /> t Contributor Codes � <br /> IND-Individual COM-RecipientCommittee(otherthanPTYorSCC) OTH-Other PTY-PoliticalParty SCC-SmallContributorCommittee FPPC Form 460 (June/01) <br /> FPPC Toll-Free Helpline: 8661ASK-FPPC <br />