Seybert 07-01-2009 thru 12-31-2009 Preelection 460

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- i • Type or print in ink. SCHEDULE B-PART 1 Schedule B—Part 1 Amounts may be rounded Statement covers period Loans Received to whole dollars. from 7/1/2008 CA FIORMNIA 460 h 12/31/2008 4 4 through SEE INSTRUCTIONS ON REVERSE g Page of NAME OF FILER I.D. NUMBER JOHN SEYBERT 1313963 FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING (b) (ol OUTSTANDING lei (rl (g) AMOUNT AMOUNT PAID INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION EMPLO o,EMPLOYER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OFT IS PAID THIS AMOUNT OF CONTRIBUTIONS (IF(IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD" PERIOD PERIOD LOAN TO DATE JOHN SEYBERT CHURCH ADMIN ❑PAID CALENDAR YEAR $ $ 0 % $ 1,000 $ REDWOOD CITY CA 94061 ❑FORGIVEN RATE PER ELECTION** $ 0 $ 1,000 $ 1,000 $ 0 12/3/08 $ 1,000 tm IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR $ $ % $ $ ❑FORGIVEN RATE PER ELECTION** $ $ $ $ $ to IND ❑COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR $ $ % $ $ ❑FORGIVEN RATE PER ELECTION** $ $ $ $ $ t❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 1,000$ $ 1,000 $ (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period $ 1,000 (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes 2. Loans paid or forgiven this period $ 0 IND—Individual COM—Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g.,business entity) PTY—Political Party 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ 1,000 SCC-Small Contributor Committee Enter the net here and on the Summary Page,Column A, Line 2. (May bee negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. **If required. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)