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Schedule B—Part 1 Type or print in ink. Statement covers period <br /> SCHEDULER-PART 1 <br /> Amounts may be rounded p CALIFORNIA 460 <br /> Loans Received to whole dollars. from 1/1/09 FORM <br /> SEE INSTRUCTIONS ON REVERSE through 6/30/09 Page 15 of 17 <br /> NAME OF FILER I.D. NUMBER <br /> JOHN SEYBERT 1313963 <br /> IF AN INDIVIDUAL, ENTER (a) (b) (c) (d) (e) (f) (g) <br /> FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT � AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE <br /> OCCUPATION AND EMPLOYER BALANCE BALANCE AT <br /> OF LENDER (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS <br /> (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD * PERIOD LOAN TO DATE <br /> PERIOD THIS PERIOD PERIOD <br /> CHURCH ADMIN. ❑PAID CALENDAR YEAR <br /> PCC $ 0 $ 1,000 0 % $ 1,000 $ <br /> ❑FORGIVEN RATE PER ELECTION** <br /> $ 1,000 $ 0 $ 0 NA $ 0 12/3/08 $ 1,000 <br /> tI IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED <br /> ❑PAID CALENDAR YEAR <br /> $ $ % $ S <br /> ❑FORGIVEN RATE PER ELECTION** <br /> $ $ $ $ S <br /> to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED <br /> ❑PAID CALENDAR YEAR <br /> $ $ % $ $ <br /> ❑FORGIVEN RATE PER ELECTION** <br /> S $ $ S $ <br /> to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED <br /> SUBTOTALS $ $ $ $ ISL 1, <br /> Schedule B Summary <br /> (Enter lELn ) <br /> Schedule E,,Line 3 <br /> 1. Loans received this period $ 0 <br /> (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes <br /> 2. Loans paid or forgiven this period $ 0 IND—Individual COM—Recipient Committee <br /> (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) <br /> (Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g., business entity) <br /> PTY—Political Party <br /> 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ 0 SCC—Small Contributor Committee <br /> Enter the net here and on the Summary Page,Column A, Line 2. (May be a negative number) <br /> *Amounts forgiven or paid by another party also must be reported on Schedule A. <br /> **If required. FPPC Form 460(January/05) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) <br />